Articles tagged "Psychosocial"

2019 American Transplant Congress
Psychosocial Factors and Medication Adherence among Recipients of Vascularized Composite Allografts
S. Rasmussen¹, M. Henderson¹, C. Cooney¹, J. Shores¹, W. Lee¹, E. Goldman², C. Kaufman², D. Segev¹, G. Brandacher¹
¹Johns Hopkins University, Baltimore, MD, ²Christine M Kleinert Institute, Louisville, KY
*Purpose: Psychosocial factors are important predictors of medication adherence, and subsequently graft survival, in solid organ transplantation. Early experiences suggest this may be the case…
2019 American Transplant Congress
Implementation of a Longitudinal Comprehensive Multidisciplinary Transition Program and Seminar – Safely Making the Long Leap to the Adult World
M. Moss, E. Steinberg, A. Sikora, K. McKinnon, J. Goebel, M. Bock
Children's Hospital Colorado, Aurora, CO
*Purpose: Introduction: Adolescent and young adult (AYA) recipients of renal transplants (RTR) are confronted with a unique set of stressors. Rates of non-adherence are high…
2019 American Transplant Congress
Impact of an mHealth, Electronic Pillbox Intervention on Tacrolimus Variability in Kidney Transplantation: Results of a Prospective Randomized Clinical Trial
J. W. McGillicuddy, L. Sox, J. Chandler, F. Treiber, D. Taber
Medical University of South Carolina, Charleston, SC
*Purpose: Medication non-adherence (MNA) is a major risk factor and leading cause of late allograft loss in kidney transplant (KTX) recipients. Tacrolimus trough concentration variability,…
2019 American Transplant Congress
Prospective Evaluation of Living Kidney Donor Anxiety: Concerns, Anxiety Mitigation, and Realized Negative Experiences
A. A. Krause, R. S. Mangus, M. French, V. Martine, J. Powelson, W. C. Goggins
Medicine, Indiana University Health, Indianapolis, IN
*Purpose: Living donor kidney transplantation provides a critical source of high quality grafts for patients with end stage renal disease. Detailed understanding of specific sources…
2019 American Transplant Congress
Caregiving before Thoracic Transplantation–A Qualitative Inquiry
C. C. Kennedy¹, J. Ridgeway¹, E. Stevens¹, J. Kirsch², K. Carroll¹, J. Griffin¹, R. Benzo¹
¹Mayo Clinic, Rochester, MN, ²University of Florida-Gainesville, Gainesville, FL
*Purpose: Although post-transplant caregiver (CG) support is a prerequisite for transplant listing, research shows CG outcomes including stress and social functioning may be worse during…
2019 American Transplant Congress
Lifelong Immunosuppression, I Am Sure We Told Them That?: Long Term Medication Adherence in Liver Transplant Patients
K. Foster¹, C. Perez¹, T. Harrison¹, H. Corbo¹, N. Patel¹, J. Fleming¹, H. Meadows¹, D. Taber¹, D. DuBay², J. McGillicuddy², N. Pilch¹
¹Department of Pharmacy Services, -Medical University of South Carolina, -Charleston, SC, ²Division of Transplant Surgery, Department of Surgery, -Medical University of South Carolina, -Charleston, SC
*Purpose: Current literature describes demographic information of non-adherent patients and identifies that non-adherence may be predictive of post-txp outcomes. We suspect that patients with private…
2019 American Transplant Congress
Attitudes and Knowledge about Organ Donation in a Cohort of Medical Students: Association of Religion and Ethnicity
M. Markell, A. Cerrato, M. Salifu
Nephrology/Medicine, SUNY Downstate Medical Center, Brooklyn, NY
*Purpose: Physicians often do not refer appropriate candidates for organ donation and the reasons may be rooted in personal beliefs about transplantation. Students come to…
2019 American Transplant Congress
Patient-Reported Self-Management in Lung Transplant Candidates
C. C. Kennedy¹, M. Budev², S. Chandrashekaran³, D. Erasmus⁴, E. D. Lease⁵, D. Levine⁶, K. Thompson¹, E. Stevens¹, R. Benzo¹
¹Mayo Clinic, Rochester, MN, ²Cleveland Clinic, Cleveland, OH, ³University of Florida- Gainesville, Gainesville, FL, ⁴Mayo Clinic, Jacksonville, FL, ⁵University of Washington, Seattle, WA, ⁶University of Texas Health Science Center San Antonio, San Antonio, TX
*Purpose: Pre-transplant risk factors are strongly associated with worse post-transplant survival (e.g. frailty); however, effective pre-transplant strategies to improve outcomes are lacking. We hypothesize that…
2019 American Transplant Congress
Multilevel Correlates of Immunosuppressive Nonadherence in Kidney Transplant Patients – The Multicenter ADHERE BRAZIL Study
H. Sanders-Pinheiro¹, F. A. Colugnati¹, K. Denhaerynck², E. O. Marsicano¹, J. O. Medina³, S. De Geest², A. ADHERE BRAZIL Study team¹
¹Nephrology, Federal University of Juiz de Fora, Juiz de Fora, Brazil, ²Institute of Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland, ³Hospital do Rim e Hipertensão/Nephrology, Federal University of São Paulo, São Paulo, Brazil
*Purpose: Nonadherence to immunosuppressive therapy is a risk factor for poor clinical and economic outcomes after kidney transplantation (KT). Brazil, having the largest public and…
2019 American Transplant Congress
Facilitators and Barriers to the Implementation of Culturally Competent Care to Increase Living Kidney Donation in Transplant Centers
E. J. Gordon, E. Romo, D. Amortegui, A. Rodas, N. Anderson, J. Uriarte, J. Caicedo, M. Shumate
Northwestern University, Chicago, IL
*Purpose: Hispanics/Latinos are disproportionately less likely than non-Hispanic whites to receive a live donor kidney transplant (LDKT). Cultural beliefs and linguistic barriers contribute to LDKT…