Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial.
Accurate immunosuppression is of critical importance in preventing rejection, while avoiding toxicity following lung transplantation. The mainstay immunosuppressants are calcineurin inhibitors, which require regular monitoring due to interactions with other medications and diet. Adherence to immunos...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2014-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3946627?pdf=render |
| _version_ | 1811293390386495488 |
|---|---|
| author | Hendrik Suhling Jessica Rademacher Imke Zinowsky Jan Fuge Mark Greer Gregor Warnecke Jacqueline M Smits Anna Bertram Axel Haverich Tobias Welte Jens Gottlieb |
| author_facet | Hendrik Suhling Jessica Rademacher Imke Zinowsky Jan Fuge Mark Greer Gregor Warnecke Jacqueline M Smits Anna Bertram Axel Haverich Tobias Welte Jens Gottlieb |
| author_sort | Hendrik Suhling |
| collection | DOAJ |
| description | Accurate immunosuppression is of critical importance in preventing rejection, while avoiding toxicity following lung transplantation. The mainstay immunosuppressants are calcineurin inhibitors, which require regular monitoring due to interactions with other medications and diet. Adherence to immunosuppression and patient knowledge is vital and can be improved through patient education. Education using tablet-computers was investigated.To compare tablet-PC education and conventional education in improving immunosuppression trough levels in target range 6 months after a single education. Secondary parameters were ratio of immunosuppression level measurements divided by per protocol recommended measurements, time and patient satisfaction regarding education.Single-centre, open labelled randomised controlled trial.Patients >6 months after lung-transplantation with <50% of calcineurin inhibitor trough levels in target range.Tablet-pc education versus personal, nurse-led education.Calcineurin inhibitor levels in target range 6 months after education, level variability, interval adherence, knowledge and adherence was studied. As outcome parameter, renal function was measured and adverse events registered.Sixty-four patients were 1:1 randomised for either intervention. Levels of immunosuppression 6 months after education were equal (tablet-PC 58% vs. conventional 48%, p = 0.27), both groups improved in achieving a CNI trough level within target range by either education method (delta tablet-PC 29% vs. conventional 20%). In all patients, level variability decreased (-20.4%), whereas interval adherence remained unchanged. Knowledge about immunosuppression improved by 7% and compliance tests demonstrated universal improvements with no significant difference between groups.Education is a simple, effective tool in improving adherence to immunosuppression. Tablet-PC education was non-inferior to conventional education.ClinicalTrials.gov NCT01398488 http://clinicaltrials.gov/ct2/show/NCT01398488? term=gottlieb+tablet+pc+education&rank=1. |
| first_indexed | 2024-04-13T05:00:42Z |
| format | Article |
| id | doaj.art-7480b27ed6594fcba3be7119116e877f |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T05:00:42Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7480b27ed6594fcba3be7119116e877f2022-12-22T03:01:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0196e9082810.1371/journal.pone.0090828Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial.Hendrik SuhlingJessica RademacherImke ZinowskyJan FugeMark GreerGregor WarneckeJacqueline M SmitsAnna BertramAxel HaverichTobias WelteJens GottliebAccurate immunosuppression is of critical importance in preventing rejection, while avoiding toxicity following lung transplantation. The mainstay immunosuppressants are calcineurin inhibitors, which require regular monitoring due to interactions with other medications and diet. Adherence to immunosuppression and patient knowledge is vital and can be improved through patient education. Education using tablet-computers was investigated.To compare tablet-PC education and conventional education in improving immunosuppression trough levels in target range 6 months after a single education. Secondary parameters were ratio of immunosuppression level measurements divided by per protocol recommended measurements, time and patient satisfaction regarding education.Single-centre, open labelled randomised controlled trial.Patients >6 months after lung-transplantation with <50% of calcineurin inhibitor trough levels in target range.Tablet-pc education versus personal, nurse-led education.Calcineurin inhibitor levels in target range 6 months after education, level variability, interval adherence, knowledge and adherence was studied. As outcome parameter, renal function was measured and adverse events registered.Sixty-four patients were 1:1 randomised for either intervention. Levels of immunosuppression 6 months after education were equal (tablet-PC 58% vs. conventional 48%, p = 0.27), both groups improved in achieving a CNI trough level within target range by either education method (delta tablet-PC 29% vs. conventional 20%). In all patients, level variability decreased (-20.4%), whereas interval adherence remained unchanged. Knowledge about immunosuppression improved by 7% and compliance tests demonstrated universal improvements with no significant difference between groups.Education is a simple, effective tool in improving adherence to immunosuppression. Tablet-PC education was non-inferior to conventional education.ClinicalTrials.gov NCT01398488 http://clinicaltrials.gov/ct2/show/NCT01398488? term=gottlieb+tablet+pc+education&rank=1.http://europepmc.org/articles/PMC3946627?pdf=render |
| spellingShingle | Hendrik Suhling Jessica Rademacher Imke Zinowsky Jan Fuge Mark Greer Gregor Warnecke Jacqueline M Smits Anna Bertram Axel Haverich Tobias Welte Jens Gottlieb Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. PLoS ONE |
| title | Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. |
| title_full | Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. |
| title_fullStr | Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. |
| title_full_unstemmed | Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. |
| title_short | Conventional vs. tablet computer-based patient education following lung transplantation--a randomized controlled trial. |
| title_sort | conventional vs tablet computer based patient education following lung transplantation a randomized controlled trial |
| url | http://europepmc.org/articles/PMC3946627?pdf=render |
| work_keys_str_mv | AT hendriksuhling conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT jessicarademacher conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT imkezinowsky conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT janfuge conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT markgreer conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT gregorwarnecke conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT jacquelinemsmits conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT annabertram conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT axelhaverich conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT tobiaswelte conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial AT jensgottlieb conventionalvstabletcomputerbasedpatienteducationfollowinglungtransplantationarandomizedcontrolledtrial |