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ORIGINAL RESEARCH

Transpl Int
Volume 37 - 2024 | doi: 10.3389/ti.2024.13175
This article is part of the Special Issue Living well after organ transplantation View all 10 articles

Nurse-led self-management support after organ transplantation -a multicenter, stepped-wedge randomized controlled trial

Regina van Zanten Regina van Zanten 1Monique van Dijk Monique van Dijk 2Joost van Rosmalen Joost van Rosmalen 3,4Denise K Beck Denise K Beck 1AnneLoes van Staa AnneLoes van Staa 5Ann Van Hecke Ann Van Hecke 6,7Emma K. Massey Emma K. Massey 1*
  • 1 Erasmus MC Transplant Institute, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands
  • 2 Department of Internal Medicine, Erasmus Medical Center, Rotterdam, Netherlands
  • 3 Department of Biostatistics, Erasmus Medical Center, Rotterdam, Netherlands
  • 4 Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands
  • 5 Rotterdam University of Applied Sciences, Rotterdam, Netherlands
  • 6 Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
  • 7 Ghent University Hospital, Ghent, Belgium

The final, formatted version of the article will be published soon.

    In this unblinded multi-center stepped wedge randomized controlled trial the effectiveness of the nurseled 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 six 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 six months and one 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.

    Keywords: Nurse Practitioners, patient participation, motivation, goal, self-efficacy

    Received: 24 Apr 2024; Accepted: 04 Dec 2024.

    Copyright: © 2024 van Zanten, van Dijk, van Rosmalen, Beck, van Staa, Van Hecke and Massey. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Emma K. Massey, Erasmus MC Transplant Institute, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.