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Published on: April 12, 2021
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MyKidneyCoach, Patient Activation, and Clinical Outcomes in Diverse Kidney Transplant Recipients: A Randomized
McLean D Pollock1, Nicolas Stauffer2, Hui-Jie Lee2
1Department of Psychiatry, Duke University, Durham, NC.
Transplantation Direct
|March 20, 2023
Summary
The MyKidneyCoach app improved patient engagement and self-management skills in kidney transplant recipients. This mHealth intervention shows promise in reducing healthcare disparities for diverse patient populations.
Area of Science:
- Nephrology
- Digital Health
- Health Services Research
Background:
- Kidney transplant (KT) recipients with poor engagement and self-management skills experience worse outcomes, particularly Black patients.
- mHealth interventions offer a potential solution to improve self-management and outcomes in this population.
Purpose of the Study:
- To evaluate the MyKidneyCoach app's effectiveness in enhancing patient activation, engagement, and nutritional behaviors among diverse kidney transplant recipients.
- To assess the feasibility and acceptability of the MyKidneyCoach intervention in a post-KT population.
Main Methods:
- A randomized, age-stratified, parallel-group, attention-control pilot study was conducted.
- Participants were assigned to either an attention-control group or an intervention group receiving the MyKidneyCoach app with tailored nurse coaching.
- Feasibility, acceptability (System Usability Scale), patient activation, and nutritional self-efficacy were assessed.
Main Results:
- The MyKidneyCoach app demonstrated high acceptability (67.5 SUS) and usability, with an 81% completion rate and 73% retention rate.
- Patient activation measure significantly increased by 11 points overall.
- Black patients showed higher nutrition self-efficacy, though patient activation scores were slightly lower compared to non-Black patients.
Conclusions:
- The MyKidneyCoach app is a feasible and acceptable intervention for kidney transplant recipients, demonstrating improvements in patient-reported outcomes.
- The intervention shows potential to enhance self-management competencies in both Black and non-Black patients, possibly reducing healthcare inequities in kidney transplantation.
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