Literature DB >> 19588667

Medication adherence in successful kidney transplant recipients.

Todd M Ruppar1, Cynthia L Russell.   

Abstract

OBJECTIVE: To explore the medication-taking behavior of successful kidney transplant recipients and determine what behaviors were common among this group.
METHODS: Open-ended interviews were conducted by telephone with 19 individuals who had successfully maintained a transplanted kidney for 25 years or more. Data were coded by using a grounded theory approach to explore patterns of phenomena, common descriptions, and relationships.
RESULTS: Four themes emerged as participants described the behaviors they developed to adhere successfully to the immunosuppressive medication required for maintaining their transplanted kidneys. The themes were reminder methods, obtaining medications, maintaining routines, and problem-solving strategies. Kidney transplant recipients identified the importance of developing and maintaining medication-taking skills and routines on medication adherence. Problem-solving abilities were also valuable during times of disruption of normal routines.
CONCLUSIONS: Interventions focusing on medication-taking skills, habit formation, and resources for problem solving may improve immunosuppressive medication adherence and clinical outcomes in kidney transplant recipients.

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Year:  2009        PMID: 19588667      PMCID: PMC3071038          DOI: 10.1177/152692480901900211

Source DB:  PubMed          Journal:  Prog Transplant        ISSN: 1526-9248            Impact factor:   1.065


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3.  Supporting medication adherence in renal transplantation (SMART): a pilot RCT to improve adherence to immunosuppressive regimens.

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Review 2.  Applying A Biopsychosocial Framework to Achieve Durable Behavior Change in Kidney Disease.

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5.  Adherence to medication in patients with chronic kidney disease: a systematic review of qualitative research.

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6.  Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

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7.  Medication compliance and lifestyle adherence in renal transplant recipients in Kuwait.

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8.  MAGIC Study: Aims, Design and Methods using SystemCHANGE™ to Improve Immunosuppressive Medication Adherence in Adult Kidney Transplant Recipients.

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