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BMC Medical Informatics and Decision Making
Published in: BMC Medical Informatics and Decision Making 1/2021

Open Access 01-12-2021 | Care | Review

Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review

Authors: Saeid Eslami, Farnaz Khoshrounejad, Reza Golmakani, Zhila Taherzadeh, Fariba Tohidinezhad, Sayyed Mostafa Mostafavi, Raheleh Ganjali

Published in: BMC Medical Informatics and Decision Making | Issue 1/2021

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Abstract

Background

Kidney transplant outcomes are broadly associated with transplant recipients’ capacity in following a complex and continuous self-management regimen. Health information technology has the potential to empower patients. This systematic review aimed to determine the impacts of IT-based interventions for self-management in kidney transplant recipients.

Methods

A comprehensive investigation was performed in MEDLINE (via PubMed) and EMBASE (via Scopus) in April 2019. Eligible studies were the randomized controlled trials which aimed to design an automated IT-based intervention. All English papers including adult kidney transplant recipients were included. To assess the clinical trial’s quality, Cochrane Collaboration’s assessment tool was employed. The articles were integrated based on category of outcomes, characteristics of interventions, and their impact. The interventions were classified based on the used IT-based tools, including smart phones, coverage tools, computer systems, and a combination of several tools. The impact of interventions was defined as: (1) positive effect (i.e. statistically significant), and (2) no effect (i.e. not statistically significant).

Results

A total of 2392 articles were retrieved and eight publications were included for full-text analysis. Interventions include those involving the use of computerized systems (3 studies), smart phone application (3 studies), and multiple components (2 studies). The studies evaluated 30 outcomes in total, including 24 care process and 6 clinical outcomes. In 18 (80%) out of 30 outcomes, interventions had a statistically significant positive effect, 66% in process and 33% in clinical outcomes.

Conclusions

IT-based interventions (e.g. mobile health applications, wearable devices, and computer systems) can improve self-management in kidney transplant recipients (including clinical and care process outcomes). However, further evaluation studies are required to quantify the impact of IT-based self-management interventions on short- and long-term clinical outcomes as well as health care costs and patients' quality of life.
Appendix
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Metadata
Title
Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review
Authors
Saeid Eslami
Farnaz Khoshrounejad
Reza Golmakani
Zhila Taherzadeh
Fariba Tohidinezhad
Sayyed Mostafa Mostafavi
Raheleh Ganjali
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Medical Informatics and Decision Making / Issue 1/2021
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-020-01360-2

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