Evaluation of a hand-held, computer-based intervention to promote early self-care behaviors after lung transplant
Article first published online: 18 MAY 2009
© 2009 John Wiley & Sons A/S
Volume 23, Issue 4, pages 537–545, August/September 2009
How to Cite
DeVito Dabbs, A., Dew, M. A., Myers, B., Begey, A., Hawkins, R., Ren, D., Dunbar-Jacob, J., Oconnell, E. and McCurry, K. R. (2009), Evaluation of a hand-held, computer-based intervention to promote early self-care behaviors after lung transplant. Clinical Transplantation, 23: 537–545. doi: 10.1111/j.1399-0012.2009.00992.x
- Issue published online: 28 JUL 2009
- Article first published online: 18 MAY 2009
- Accepted for publication 18 January 2009
- hand-held computer device;
- health informatics;
- lung transplant;
- mobile computing;
- patient-centered technology;
- personal digital assistant;
Abstract: Background: Lung transplant recipients are expected to perform self-care behaviors to maximize transplant-related health outcomes. Despite high non-adherence rates in performing these self-care behaviors, and the dire clinical consequences of such non-adherence, interventions are lacking. Pocket Personal Assistant for Tracking Health (Pocket PATH) is a hand-held device developed for patients to record health data, review data trends, and report condition changes to the transplant team.
Methods: A pilot trial was conducted to compare self-care agency, self-care behaviors, and health-related quality of life (HRQOL) between recipients randomized to use Pocket PATH (n = 15) vs. standard care (n = 15) for the first two months following hospital discharge after lung transplantation.
Results: Baseline characteristics were equivalent across groups. Patients in the Pocket PATH group showed significantly higher ratings of self-care agency, performed self-care behaviors at significantly higher rates, and reported significantly better HRQOL than standard care controls.
Conclusion: Pocket PATH is more efficacious than standard care in promoting early self-care agency, self-care behaviors, and HRQOL in lung recipients. A large-scale randomized controlled trial is needed to test the impact of Pocket PATH on long-term self-care behaviors.