A Nurse-Led Self-Management Support Intervention (ZENN) for Kidney Transplant Recipients Using Intervention Mapping:...

Area of Science:

• Nephrology
• Transplant Medicine
• Health Psychology

Background:

• Optimal self-management is crucial for kidney transplant recipients' survival and quality of life.
• Effective post-transplant self-management support interventions are limited.

Purpose of the Study:

• To systematically develop a nurse-led self-management support intervention for kidney transplant recipients.

Main Methods:

• Intervention Mapping protocol used, incorporating recipient and nurse needs, Self-Regulation Theory, and the 5A's model.
• Needs assessment via literature review, focus groups, interviews, and observations.
• Development of change objectives, evidence-based methods, and practical implementation strategies.

Main Results:

• A four-session, nurse-delivered intervention designed to optimize self-management support.
• Nurses trained in Solution-Focused Brief Therapy and Motivational Interviewing.
• Recipients guided to assess challenges, set goals, and develop action plans using the Self-Management Web.

Conclusions:

• The Intervention Mapping protocol facilitated a systematic development of a comprehensive self-management intervention.
• The intervention effectively integrated recipient and nurse needs, evidence-based methods, and theoretical frameworks.