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The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review

BACKGROUND: Renal transplantation is considered the gold standard treatment for end-stage kidney disease. Adolescent and young adult kidney transplant recipients have the highest rate of graft loss amongst transplanted patients. It is largely accepted this is due to psychosocial and behavioural diff...

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Autores principales: Wurm, Fina, McKeaveney, Clare, Corr, Michael, Wilson, Anna, Noble, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336106/
https://www.ncbi.nlm.nih.gov/pubmed/35906706
http://dx.doi.org/10.1186/s40359-022-00893-7
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author Wurm, Fina
McKeaveney, Clare
Corr, Michael
Wilson, Anna
Noble, Helen
author_facet Wurm, Fina
McKeaveney, Clare
Corr, Michael
Wilson, Anna
Noble, Helen
author_sort Wurm, Fina
collection PubMed
description BACKGROUND: Renal transplantation is considered the gold standard treatment for end-stage kidney disease. Adolescent and young adult kidney transplant recipients have the highest rate of graft loss amongst transplanted patients. It is largely accepted this is due to psychosocial and behavioural difficulties, which impact adherence to prescribed therapies. This phenomenon is not isolated to a particular healthcare system having been observed in multiple countries across different continents. It is a global issue of concern. We sought to review the psychosocial needs of these patients, and the interventions designed to meet these needs. METHODS: A scoping review was conducted based on Arksey and O’Malley’s six-stage framework. Eligibility criteria included primary studies of any type that investigated the psychosocial needs of adolescent and/or young adult renal transplant recipients or studies which examined interventions designed to address these needs. Search strategies were developed and conducted on PsycINFO, PubMed, Embase, and CINAHL. Articles meeting the inclusion criteria were critically reviewed using a descriptive-analytical narrative method. RESULTS: Thirty-nine studies met our inclusion criteria, 30 of which related to psychosocial needs, and the remainder examined psychosocial interventions. Four main themes were derived from our analysis of psychosocial needs literature, as follows: the need for (1) emotional support, (2) acceptance, (3) direction, (4) equality in healthcare. 2 main themes emerged from analysis of psychosocial intervention literature, namely: psychosocial (1) capability, (2) assessment. Despite the evidence that graft health is strongly associated with psychosocial wellbeing, findings revealed a significant lack of literature investigating how best to meet psychosocial needs. Trends were observed amongst intervention studies, namely interventions of novel and non-evidenced based design, with the aim of improving medication adherence through organisational strategies and education. However, literature regarding psychosocial needs showed non-adherence to therapies was not simply a result of disorganisation or lack of understanding, but rather, was founded on a recipient’s idiosyncratic relationship with their prescribed therapies e.g., psychological, social or financial reasons for non-adherence. CONCLUSIONS: Future research should be directed at investigating the efficacy of evidence-based interventions that empower the individual patient to overcome their specific barrier to an optimal relationship with their therapies.
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spelling pubmed-93361062022-07-30 The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review Wurm, Fina McKeaveney, Clare Corr, Michael Wilson, Anna Noble, Helen BMC Psychol Research BACKGROUND: Renal transplantation is considered the gold standard treatment for end-stage kidney disease. Adolescent and young adult kidney transplant recipients have the highest rate of graft loss amongst transplanted patients. It is largely accepted this is due to psychosocial and behavioural difficulties, which impact adherence to prescribed therapies. This phenomenon is not isolated to a particular healthcare system having been observed in multiple countries across different continents. It is a global issue of concern. We sought to review the psychosocial needs of these patients, and the interventions designed to meet these needs. METHODS: A scoping review was conducted based on Arksey and O’Malley’s six-stage framework. Eligibility criteria included primary studies of any type that investigated the psychosocial needs of adolescent and/or young adult renal transplant recipients or studies which examined interventions designed to address these needs. Search strategies were developed and conducted on PsycINFO, PubMed, Embase, and CINAHL. Articles meeting the inclusion criteria were critically reviewed using a descriptive-analytical narrative method. RESULTS: Thirty-nine studies met our inclusion criteria, 30 of which related to psychosocial needs, and the remainder examined psychosocial interventions. Four main themes were derived from our analysis of psychosocial needs literature, as follows: the need for (1) emotional support, (2) acceptance, (3) direction, (4) equality in healthcare. 2 main themes emerged from analysis of psychosocial intervention literature, namely: psychosocial (1) capability, (2) assessment. Despite the evidence that graft health is strongly associated with psychosocial wellbeing, findings revealed a significant lack of literature investigating how best to meet psychosocial needs. Trends were observed amongst intervention studies, namely interventions of novel and non-evidenced based design, with the aim of improving medication adherence through organisational strategies and education. However, literature regarding psychosocial needs showed non-adherence to therapies was not simply a result of disorganisation or lack of understanding, but rather, was founded on a recipient’s idiosyncratic relationship with their prescribed therapies e.g., psychological, social or financial reasons for non-adherence. CONCLUSIONS: Future research should be directed at investigating the efficacy of evidence-based interventions that empower the individual patient to overcome their specific barrier to an optimal relationship with their therapies. BioMed Central 2022-07-29 /pmc/articles/PMC9336106/ /pubmed/35906706 http://dx.doi.org/10.1186/s40359-022-00893-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wurm, Fina
McKeaveney, Clare
Corr, Michael
Wilson, Anna
Noble, Helen
The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title_full The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title_fullStr The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title_full_unstemmed The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title_short The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
title_sort psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336106/
https://www.ncbi.nlm.nih.gov/pubmed/35906706
http://dx.doi.org/10.1186/s40359-022-00893-7
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