Nurse-Led Self-Management Support After Organ Transplantation - A Multicenter, Stepped-Wedge Randomized Controlled Trial

In this unblinded multi-center stepped-wedge randomized controlled trial the effectiveness of the nurse-led ZENN-intervention was tested in promoting self-management skills in comparison to standard care among heart, lung and kidney transplant recipients. This intervention is based on behaviour chan...

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Bibliographic Details
Published in:Transplant international 2025-01, Vol.37, p.13175
Main Authors: van Zanten, Regina, van Dijk, Monique, van Rosmalen, Joost, Beck, Denise K, van Staa, AnneLoes, Van Hecke, Ann, Massey, Emma K
Format: Article
Language:English
Subjects:
Adult
Aged
Female
goal
Health Archive
Humans
Kidney Transplantation
Lung Transplantation
Male
Medication Adherence
Middle Aged
motivation
nurse practitioners
Organ Transplantation
patient participation
Quality of Life
Self Care
self-efficacy
Self-Management - methods
Surveys and Questionnaires
Citations: Items that this one cites
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Summary:In this unblinded multi-center stepped-wedge randomized controlled trial the effectiveness of the nurse-led ZENN-intervention was tested in promoting self-management skills in comparison to standard care among heart, lung and kidney transplant recipients. This intervention is based on behaviour change theories and was conducted in four sessions over 6 months at the outpatient clinic. The experimental group received standard care, plus the ZENN-intervention, while the control group received only standard care. Both groups completed questionnaires at baseline, at 6 months and 1 year follow-up. At baseline, the experimental group (n = 69) scored significantly lower than the control group (n = 106) on the primary outcome Skills and Technique Acquisition (STA). No significant between-group differences were found on the secondary outcomes self-management, self-regulation, quality of life and medication adherence at T1 and T2. There was a significant increase on the self-management scale STA between T0 and T1 in the experimental group. Therefore, participants included in the experimental group had lower self-management skills at baseline and reported significant improvement after completing the intervention. No significant intervention effect was found in the primary analysis, however, for recipients with reduced self-management skills the intervention may be beneficial. https://onderzoekmetmensen.nl/en/trial/24150, Netherlands Trial Register NL8469.
ISSN:1432-2277
0934-0874
1432-2277
DOI:10.3389/ti.2024.13175