The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design
Abstract Background Weight gain after a kidney transplant remains a major problem that can lead to adverse effects on morbidity and mortality. The posttransplant phase provides a window of opportunity to improve the engagement of self-management of care for lifestyle modifications for diet and physi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01417-9 |
| _version_ | 1797355999253757952 |
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| author | Tara O’Brien Karen Rose Brian Focht Noor Al Kahlout Tad Jensen Kenzie Heareth Uday Nori Reem Daloul |
| author_facet | Tara O’Brien Karen Rose Brian Focht Noor Al Kahlout Tad Jensen Kenzie Heareth Uday Nori Reem Daloul |
| author_sort | Tara O’Brien |
| collection | DOAJ |
| description | Abstract Background Weight gain after a kidney transplant remains a major problem that can lead to adverse effects on morbidity and mortality. The posttransplant phase provides a window of opportunity to improve the engagement of self-management of care for lifestyle modifications for diet and physical activity. The purpose of our study was to (1) test the feasibility of recruitment, retention, and adherence for using the Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients (≥ 18 years of age) at baseline, 4, 8, and 12 weeks; and (2) estimate the preliminary effects of the TASK intervention in producing change over time for blood pressure (BP), weight, fruits/vegetable intake, fiber intake, sodium intake, self-efficacy to exercise, and perceived stress. Methods This study used a 12-week pre/posttest design using to test the feasibility of the TASK intervention. We applied paired t-tests and McNemar’s test to compare the outcomes at weeks 4, 8, and 12. Results We met our recruitment goal (N = 20) and found a 15% attrition rate (n = 3) at Week 12. Adherence rate among the study completers for recording daily food intake was 83–94% over the 12 weeks and for recording daily physical activity was 17–33% over the 12 weeks. We observed improvements over time for BP, weight, fruits/vegetable intake, fiber intake, and sodium intake; these differences were non-significant, although clinically important. We did find a significant difference from baseline to 12 weeks in weight reduction (p = 0.02), self-efficacy to exercise (p = 0.003), and perceived stress (p = 0.04). Conclusions The data suggest the TASK intervention was feasible for kidney recipients to use and resulted in weight control, increased self-efficacy to exercise, and decreased perceived stress. Trial registration ClinicalTrials.gov #:NCT05151445 |
| first_indexed | 2024-03-08T14:19:21Z |
| format | Article |
| id | doaj.art-9bb4b4c062584b948a294c325e4abea4 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-03-08T14:19:21Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-9bb4b4c062584b948a294c325e4abea42024-01-14T12:12:23ZengBMCPilot and Feasibility Studies2055-57842023-11-019111010.1186/s40814-023-01417-9The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest designTara O’Brien0Karen Rose1Brian Focht2Noor Al Kahlout3Tad Jensen4Kenzie Heareth5Uday Nori6Reem Daloul7The Ohio State University College of NursingThe Ohio State University College of NursingThe Ohio State University College of Education and Human EcologyThe Ohio State University College of NursingThe Ohio State University College of NursingThe Ohio State University College of NursingThe Ohio State University College of MedicineDivision of Nephrology, Kidney and Pancreas Transplant Program, Allegheny General HospitalAbstract Background Weight gain after a kidney transplant remains a major problem that can lead to adverse effects on morbidity and mortality. The posttransplant phase provides a window of opportunity to improve the engagement of self-management of care for lifestyle modifications for diet and physical activity. The purpose of our study was to (1) test the feasibility of recruitment, retention, and adherence for using the Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients (≥ 18 years of age) at baseline, 4, 8, and 12 weeks; and (2) estimate the preliminary effects of the TASK intervention in producing change over time for blood pressure (BP), weight, fruits/vegetable intake, fiber intake, sodium intake, self-efficacy to exercise, and perceived stress. Methods This study used a 12-week pre/posttest design using to test the feasibility of the TASK intervention. We applied paired t-tests and McNemar’s test to compare the outcomes at weeks 4, 8, and 12. Results We met our recruitment goal (N = 20) and found a 15% attrition rate (n = 3) at Week 12. Adherence rate among the study completers for recording daily food intake was 83–94% over the 12 weeks and for recording daily physical activity was 17–33% over the 12 weeks. We observed improvements over time for BP, weight, fruits/vegetable intake, fiber intake, and sodium intake; these differences were non-significant, although clinically important. We did find a significant difference from baseline to 12 weeks in weight reduction (p = 0.02), self-efficacy to exercise (p = 0.003), and perceived stress (p = 0.04). Conclusions The data suggest the TASK intervention was feasible for kidney recipients to use and resulted in weight control, increased self-efficacy to exercise, and decreased perceived stress. Trial registration ClinicalTrials.gov #:NCT05151445https://doi.org/10.1186/s40814-023-01417-9mHealth technologyKidney transplant recipientsPhysical activity trackingDietary intake trackingSelf-management of care |
| spellingShingle | Tara O’Brien Karen Rose Brian Focht Noor Al Kahlout Tad Jensen Kenzie Heareth Uday Nori Reem Daloul The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design Pilot and Feasibility Studies mHealth technology Kidney transplant recipients Physical activity tracking Dietary intake tracking Self-management of care |
| title | The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design |
| title_full | The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design |
| title_fullStr | The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design |
| title_full_unstemmed | The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design |
| title_short | The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design |
| title_sort | feasibility of technology application self management for kidney task intervention in post kidney transplant recipients using a pre posttest design |
| topic | mHealth technology Kidney transplant recipients Physical activity tracking Dietary intake tracking Self-management of care |
| url | https://doi.org/10.1186/s40814-023-01417-9 |
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