Effect of an interactive voice response system on self-management in kidney transplant recipients: Protocol for a randomized controlled trial. Issue 6 (February 2019)

• Record Type: Journal Article
• Authors: Ganjali, Raheleh; Taherzadeh, Zhila; Ghorban Sabbagh, Mahin; Nazemiyan, Fatemeh; Mamdouhi, Fereshteh; Tabesh, Hamed; Badiee Aval, Shapour; Golmakani, Reza; Mostafavi, Sayyed Mostafa; Eslami, Saeid
• Is Part Of: Medicine. Volume 98:Issue 6(2019)
• Publication Date: 2019-02
• Subjects: IVRS -- kidney transplant recipients -- medication adherence -- patient transplant knowledge -- quality of life; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000014291
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Introduction: Adherence to a complex and ongoing set of therapeutic recommendations significantly determines short and long-term outcomes after kidney transplantation (KT). Interactive voice response system (IVRS) is a novel phone-based platform which is potentially useful to deliver health behavior interventions. Objective: The aims of the study is to describe the development of a theory-driven and educational IVRS investigate the effect of an IVRS on the self-management outcomes in KT recipients as compared with the control group. Methods: This study has been designed as a randomized, 2 parallel groups controlled trial. The KT recipients' older than18 years of age with access to a cellphone will be included. A total of 120 patients will be randomly assigned to the control and intervention groups. The participants in the intervention group will receive completely automatic calls in 3 categories: educational, medication adherence, and reminders by the IVRS, whereas those in the control group will receive usual care. The follow up will be performed within 6 months. The primary outcome will be the medication adherence while patients' transplant knowledge, health-related quality of life, and rehospitalization rates will be considered as secondary outcomes. Results: Thus far, recruitment of participants has not been completed and results will be published in 2019. Discussion: The IVRS is potentially useful to help KT recipients improve the self-management outcomes. The hypothesis is using an IVRS intervention makes a significant difference between basel assessment of adherence to immunosuppressive medications scale, 12-item short form survey, second version, kidney transplant understanding tool baseline scores, and those obtained at the end of study. Trial registration number: This trial is registered with the Iran Trial Registrar under registration number IRCT20180124038492N1 and registration date 30 January 2018.https://irct.ir/trial/29215 Abstract : Supplemental Digital Content is available in the text