Solid organ transplant recipients (SOTR) must follow complex medication regimens and require a substantial amount of education for effective self-management. The current standard of care for post-transplant medication teaching is a Self Medication education program conducted in hospital by the pharmacist. The Transplant Medication Information Teaching Tool (TMITT) is a web-based e-learning tool for SOTR developed at the Toronto General Hospital. The ability to control the content, sequence, pace and timing of education in order to achieve personal learning objectives, as well as the opportunity for ongoing review and reinforcement of information, may be an attractive, convenient and effective teaching modality.

SOTR will be randomly assigned to receive the standard of care or the standard of care plus the TMITT intervention. Primary objectives are to compare patient satisfaction and medication knowledge between the two groups at baseline and 3 months using modified versions of previously published questionnaires. Medication adherence as measured by a multidimensional approach including both subjective and objective components, will also be compared at 3 months. Our hypothesis is that an education strategy that includes both the standard pharmacist teaching followed by a tailored online e-learning intervention post-discharge will lead to improved patient satisfaction, knowledge and medication adherence.

Inclusion Criteria:

• all patients undergoing solid organ transplantation at Toronto General Hospital during the study period

Exclusion Criteria:

• non-English speaking/reading
• no internet access at home
• planned discharge to a rehab facility without internet access
• not on a calcineurin inhibitor (CNI) or sirolimus
• attending the Self Medication class on the same day as hospital discharge
• cognitive impairment that precludes participation in Self Medication program (as per the assessment of the transplant pharmacist)
• incapable of providing informed consent