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Purpose: This study aimed to determine the effect of motivational interviewing on self-management of treatment regimen, medication adherence, and patient outcomes in adult kidney transplant recipients between 3 months and 6 months after kidney transplant in the transplant outpatient clinic.
Design: The research is a single-centered, single-blind, parallel and 1:1 randomized active comparative experimental study.
Method: A total of 80 individuals, of the 40 in the control group and 40 in the intervention group, will be included in the study. Motivational interview sessions for the intervention group will be held 3 times between 15-30 minutes with an interval of 10 days. The control group will be given routine care (approximately 1 hour of face-to-face standard training) by the nurse educator. Within the research pattern, intervention and control groups will be applied pre-test at the first interview and post test after one month. In addition, follow-up test will be performed 3th month. The data will be obtained using the Self-Management Scale in Kidney Transplant Recipients, Visual Analog Scale (VAS) for self-care and VAS for medication adherence. In the study, Standard Protocol Items: Recommendations for Interventional Trials- SPIRIT(2013) and CONSORT 2010 (Consolidated Standards of Reporting Trials) were used.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MIAKTR | Experimental | MIAKTR is an acronym that defines Motivational Interviewing for Adult Kidney Transplant Recipients |
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| Control Group | Active Comparator | routine care |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Interviewing for Adult Kidney Transplant Recipients | Behavioral | Motivational interviewing with individual sessions are planned to be conducted 3 times. Planned motivational interviews will be implemented the intervention group who are within 3th month, 4th month, 5th month and 6th month. Motivational interviewing will planned last 15-30 minutes with an interval of 10 days. The first interview will be performed face-to-face at the transplant outpatient clinic and the second and third ones will be phone interviews |
| Measure | Description | Time Frame |
|---|---|---|
| Self-management scale | The scale Turkish version includes 13 items, and it is likert type with 4 steps. Scale items are scored as 1 "never applied", 2 "applied slightly", 3 "applied very often" and 4 "fully applied". It is recommended to perform calculation based on the item mean scores instead of an overall mean. The lowest possible score obtained from each item and sub-scale is 1 and the highest possible score is 4. The scale has no cutoff points and reversed items. | Change from Baseline Self Management at 3 months |
| VAS for medication adherence | Medication adherence will be evaluated with self reported scale the visual analog scale ranges from 0 to 100. Rating will be of 0 "taken no medications" to 100 "taken medications perfectly". A score different from 100 will be considered a non adherence | Change from Baseline VAS for Medication Adherence at 3 months |
| VAS for self care | The rating will be done as 0-100. 0: "I cannot provide my own care".100:"I am able to provide my own care". | Change from Baseline VAS for self care at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Glomerular Filtration Rate (GFR) | official measurements made by the hospital | Change from Baseline GFR at 3 months |
| Serum Creatinine | official measurements made by the hospital |
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Inclusion Criteria:
Exclusion Criteria:
Removing Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Çiğdem Erdem, MSc | Contact | +905075011397 | cgdmctn07@gmail.com | |
| Fatma Cebeci, PhD | Contact | +905366137926 | fatmacebeci@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Akdeniz University | Recruiting | Antalya | Turkey (Türkiye) |
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The statistician will be blinded to avoid evaluator bias.
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| Routine care | Other | The control group will be provided with routine care( face-to-face care standard training) by the nurse educator at the transplant outpatient clinic. |
|
| Change from Baseline Serum Creatinine at 3 months |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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