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Web-Based Tailored Nursing Intervention to Support Medication Self-management

A Qualitative Study of the Experience of Kidney Transplant Recipients

Côté, José PhD, RN; Fortin, Marie-Chantal MD, PhD, FRCPC; Auger, Patricia MSc; Rouleau, Geneviève MSc, RN; Dubois, Sylvie PhD, RN; Vaillant, Isabelle MSc, RN; Gélinas-Lemay, Élisabeth MSc, BPharm; Boudreau, Nathalie MSc, BPharm

CIN: Computers, Informatics, Nursing: November 2019 - Volume 37 - Issue 11 - p 564–572
doi: 10.1097/CIN.0000000000000572
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Optimal adherence to immunosuppressive medication is essential to kidney graft success. A Web-based tailored virtual nursing intervention was developed to promote medication adherence and support self-management among kidney transplant recipients. A qualitative study was undertaken in a hospital setting in Montreal (Canada) to document how users experience the intervention and to explore medication intake self-management behaviors. To participate, transplant recipients had to be at least 18 years old and had to have completed at least one computer session of the intervention. Semistructured interviews were conducted with 10 participants (two women, eight men) with a mean age of 47.8 years. They reported receiving their latest renal transplant on average 10.6 years prior. Content analysis of the interview transcripts yielded five major themes: (1) kidney transplant is a gift from life; (2) routinization of medication intake; (3) intervention is a new and positive experience; (4) using the intervention offers many benefits; and (5) individual relevance of the intervention. Patient experience shows the intervention is acceptable and can help better manage medication intake. Results also underscore the importance of offering the intervention early in the care trajectory of transplant recipients. Web-based tailored virtual nursing interventions could constitute an easily available adjunct to existing specialized services.

Author Affiliations: Research Chair in Innovative Nursing Practices (Dr Côté and Mss Auger and Rouleau), Research Centre of the Centre Hospitalier de l’Université de Montréal (Drs Côté, Fortin, and Dubois and Mss Auger and Rouleau), Centre Hospitalier de l'Université de Montréal (Dr Fortin and Mss Vaillant, Gélinas-Lemay, and Boudreau); and Faculty of Nursing, University of Montréal (Drs Côté and Dubois), Quebec, Canada.

Licensing options have been granted for the marketing of VIH-TAVIE.

The study was funded by the Kidney Foundation of Canada (2013–2015), the Canadian Institutes of Health Research (2012–2013), and the Research Chair in Innovative Nursing Practices. J.C. has received a clinical research bursary (senior) from the Fonds de recherche du Québec - Santé (2013–2017) to support her research program on innovative virtual interventions intended for persons living with a chronic health problem. The TAVIE platform was developed with the financial support of the Réseau Sidami du FRSQ.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: José Côté, PhD, RN, 850 St-Denis, Montreal, Québec, Canada H2X 0A9 (jose.cote@umontreal.ca).

Online date: October 10, 2019

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