Individual and Dyadic Functioning, Adherence, and Quality of Life After Kidney Transplantation
IDyAL
1 other identifier
observational
30
0 countries
N/A
Brief Summary
Following solid organ transplantation, adherence to treatment regime (especially with regard to a reliable intake of immunosuppressant medication) is crucial for transplant survival, and has an impact on the patients' health and morbidity. Approximately 35 % of graft rejection or failure cases in kidney transplant patients are due to insufficient levels of adherence or non-adherence to immunosuppressant medication. Adherence is influenced by both individual and interpersonal aspects in complex interaction. This study aims at investigating individual and dyadic functioning of both patients and their spouses following kidney transplantation. Outcome measures of interest are patient's level of adherence and both patient and spouse's subjective quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Aug 2016
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 1, 2016
CompletedFirst Posted
Study publicly available on registry
February 12, 2016
CompletedStudy Start
First participant enrolled
August 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2017
CompletedSeptember 14, 2016
September 1, 2016
7 months
February 1, 2016
September 13, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
levels of adherence (externally evaluated and self-reported, both via questionnaires)
self-reported (by Patient) and externally evaluated (by spouse) adherence to immunosuppressive medication
6 months after kidney transplantation
Secondary Outcomes (3)
social support behaviors (self-report questionnaires and coding systems)
6 months after kidney transplantation
emotional functioning (self-report questionnaire and physiological assessment)
6 months after kidney transplantation
quality of life (self-report questionnaire)
6 months after kidney transplantation
Eligibility Criteria
Patients having a kidney transplantation at Hannover Medical School presenting for monthly follow-up appointments at the nephrological transplantation outpatient clinic
You may qualify if:
- kidney transplantation six or more months ago
- treated with immunosuppressive medication
- no Episode of acute rejection reported
- in a Long-term relationship (Duration of 12 or more months)
- spouse accompanying Patient to transplantation outpatient clinic
You may not qualify if:
- none
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (5)
Low JK, Williams A, Manias E, Crawford K. Interventions to improve medication adherence in adult kidney transplant recipients: a systematic review. Nephrol Dial Transplant. 2015 May;30(5):752-61. doi: 10.1093/ndt/gfu204. Epub 2014 Jun 20.
PMID: 24950938BACKGROUNDDiMatteo MR. Social support and patient adherence to medical treatment: a meta-analysis. Health Psychol. 2004 Mar;23(2):207-18. doi: 10.1037/0278-6133.23.2.207.
PMID: 15008666BACKGROUNDNorthouse L, Templin T, Mood D. Couples' adjustment to breast disease during the first year following diagnosis. J Behav Med. 2001 Apr;24(2):115-36. doi: 10.1023/a:1010772913717.
PMID: 11392915BACKGROUNDPabst S, Bertram A, Zimmermann T, Schiffer M, de Zwaan M. Physician reported adherence to immunosuppressants in renal transplant patients: Prevalence, agreement, and correlates. J Psychosom Res. 2015 Nov;79(5):364-71. doi: 10.1016/j.jpsychores.2015.09.001. Epub 2015 Sep 18.
PMID: 26526310BACKGROUNDZimmermann T, Pabst S, Bertram A, Schiffer M, de Zwaan M. Differences in emotional responses in living and deceased donor kidney transplant patients. Clin Kidney J. 2016 Jun;9(3):503-9. doi: 10.1093/ckj/sfw012. Epub 2016 Mar 24.
PMID: 27274840BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Tanja Zimmermann, Professor
Hannover Medical School
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- post-doctoral research associate
Study Record Dates
First Submitted
February 1, 2016
First Posted
February 12, 2016
Study Start
August 1, 2016
Primary Completion
March 1, 2017
Study Completion
September 1, 2017
Last Updated
September 14, 2016
Record last verified: 2016-09
Data Sharing
- IPD Sharing
- Will not share