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Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic
BACKGROUND: Young adults who underwent liver transplantation in childhood (YALTs) are highly vulnerable to non‐adherent behavior and psychosocial problems. During the COVID‐19 pandemic, special efforts may be necessary to maintain contact with these patients and offer support. This can be achieved t...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646625/ https://www.ncbi.nlm.nih.gov/pubmed/34428322 http://dx.doi.org/10.1111/petr.14121 |
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author | Kröncke, Sylvia Lund, Louisa Katharina Buchholz, Angela Lang, Melanie Briem‐Richter, Andrea Grabhorn, Enke Freya Sterneck, Martina |
author_facet | Kröncke, Sylvia Lund, Louisa Katharina Buchholz, Angela Lang, Melanie Briem‐Richter, Andrea Grabhorn, Enke Freya Sterneck, Martina |
author_sort | Kröncke, Sylvia |
collection | PubMed |
description | BACKGROUND: Young adults who underwent liver transplantation in childhood (YALTs) are highly vulnerable to non‐adherent behavior and psychosocial problems. During the COVID‐19 pandemic, special efforts may be necessary to maintain contact with these patients and offer support. This can be achieved through the use of telemedicine. The study's objective was to assess adherence and the psychosocial situation of YALTs during the COVID‐19 pandemic in Germany and to evaluate the utilization of video consultations. METHODS: In May 2020, a questionnaire was sent to YALTs treated at the Hamburg University Transplant Center, accompanied by the offer of video appointments with the attending physician. The questionnaire included the Generalized Anxiety Disorder Scale 7, the Patient Health Questionnaire 2, and questions compiled by the authors. RESULTS: Of 98 YALTs, 12% used the video consultation, while 65% had an in‐person appointment. The 56 patients who completed the questionnaire did not report reduced medication adherence during the pandemic, but 40% missed follow‐up visits with their primary care physician or check‐up laboratory tests. About 70% of YALTs were afraid to visit their physician and the transplant center, and 34% were afraid of a SARS‐CoV‐2 infection. Mental health and well‐being were unimpaired. CONCLUSIONS: During the COVID‐19 pandemic, YALTs in our study did not show an increased need for psychosocial support, but a majority were afraid to attend medical appointments, and 40% reported lower appointment adherence. Acceptance of video consultations was lower than expected. The reasons for this need to be further investigated in order to optimize care. |
format | Online Article Text |
id | pubmed-8646625 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86466252021-12-06 Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic Kröncke, Sylvia Lund, Louisa Katharina Buchholz, Angela Lang, Melanie Briem‐Richter, Andrea Grabhorn, Enke Freya Sterneck, Martina Pediatr Transplant Original Articles BACKGROUND: Young adults who underwent liver transplantation in childhood (YALTs) are highly vulnerable to non‐adherent behavior and psychosocial problems. During the COVID‐19 pandemic, special efforts may be necessary to maintain contact with these patients and offer support. This can be achieved through the use of telemedicine. The study's objective was to assess adherence and the psychosocial situation of YALTs during the COVID‐19 pandemic in Germany and to evaluate the utilization of video consultations. METHODS: In May 2020, a questionnaire was sent to YALTs treated at the Hamburg University Transplant Center, accompanied by the offer of video appointments with the attending physician. The questionnaire included the Generalized Anxiety Disorder Scale 7, the Patient Health Questionnaire 2, and questions compiled by the authors. RESULTS: Of 98 YALTs, 12% used the video consultation, while 65% had an in‐person appointment. The 56 patients who completed the questionnaire did not report reduced medication adherence during the pandemic, but 40% missed follow‐up visits with their primary care physician or check‐up laboratory tests. About 70% of YALTs were afraid to visit their physician and the transplant center, and 34% were afraid of a SARS‐CoV‐2 infection. Mental health and well‐being were unimpaired. CONCLUSIONS: During the COVID‐19 pandemic, YALTs in our study did not show an increased need for psychosocial support, but a majority were afraid to attend medical appointments, and 40% reported lower appointment adherence. Acceptance of video consultations was lower than expected. The reasons for this need to be further investigated in order to optimize care. John Wiley and Sons Inc. 2021-08-24 2021-12 /pmc/articles/PMC8646625/ /pubmed/34428322 http://dx.doi.org/10.1111/petr.14121 Text en © 2021 The Authors. Pediatric Transplantation published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Kröncke, Sylvia Lund, Louisa Katharina Buchholz, Angela Lang, Melanie Briem‐Richter, Andrea Grabhorn, Enke Freya Sterneck, Martina Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title | Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title_full | Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title_fullStr | Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title_full_unstemmed | Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title_short | Psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during COVID‐19 pandemic |
title_sort | psychosocial situation, adherence, and utilization of video consultation in young adult long‐term pediatric liver transplant recipients during covid‐19 pandemic |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646625/ https://www.ncbi.nlm.nih.gov/pubmed/34428322 http://dx.doi.org/10.1111/petr.14121 |
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