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| Natura: | Artículo Open Access |
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Wiley
2025
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| Accesso online: | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70139 |
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| author | Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan |
| author_facet | Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan |
| collection | Wiley Open Access |
| contents | Effectiveness of a Mobile Health System on Compliance With 2‐Year Living Kidney Donor Follow‐Up in the United States Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan Clinical Transplantation ABSTRACTBackgroundOrgan Procurement and Transplantation Network (OPTN) policy requires 2 years of follow‐up for living kidney donors (LKDs); however, many transplant hospitals struggle to meet this requirement. We developed and tested a mobile health (mHealth) system for LKD follow‐up in a pilot randomized‐controlled trial (RCT).MethodsLKDs were randomly assigned to either the intervention (mHealth + standard of care) or control arm (standard of care). We assessed OPTN policy‐defined completeness and timeliness of 6‐month, 1‐year, and 2‐year follow‐ups. Four hundred LKDs were enrolled in the study (June 2018 to February 2021).ResultsAt 6‐month follow‐up, a higher proportion of the intervention arm participants completed composite visits (97.5% vs. 91.5%, p = 0.01). Both arms had similar compliance rates at 1‐ and 2‐year follow‐up (92.0% vs. 89.5%, p = 0.49, and 66.5% vs. 65.0%, p = 0.83). Intervention arm participants completed 6‐month follow‐up 11 days earlier than their counterparts (p = 0.009).ConclusionmHealth technologies improved 6‐month follow‐up, but did not impact 1‐ and 2‐year LKD follow‐up in this single‐center RCT. Other strategies, such as providing services beyond data collection, may be necessary to improve donor engagement and support LDK's long‐term follow‐up. 10.1111/ctr.70139 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/ctr.70139 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_70139 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Effectiveness of a Mobile Health System on Compliance With 2‐Year Living Kidney Donor Follow‐Up in the United States Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan Clinical Transplantation Effectiveness of a Mobile Health System on Compliance With 2‐Year Living Kidney Donor Follow‐Up in the United States Alvin G. Thomas Sarah Hussain Samantha B. Klitenic Carolyn N. Sidoti Madeleine M. Waldram Amy Chang Jennifer D. Motter Kelly Terlizzi Allan B. Massie Mary Schofield Karol Barstow Adam Bingaman Dorry L. Segev Macey L. Levan Clinical Transplantation ABSTRACTBackgroundOrgan Procurement and Transplantation Network (OPTN) policy requires 2 years of follow‐up for living kidney donors (LKDs); however, many transplant hospitals struggle to meet this requirement. We developed and tested a mobile health (mHealth) system for LKD follow‐up in a pilot randomized‐controlled trial (RCT).MethodsLKDs were randomly assigned to either the intervention (mHealth + standard of care) or control arm (standard of care). We assessed OPTN policy‐defined completeness and timeliness of 6‐month, 1‐year, and 2‐year follow‐ups. Four hundred LKDs were enrolled in the study (June 2018 to February 2021).ResultsAt 6‐month follow‐up, a higher proportion of the intervention arm participants completed composite visits (97.5% vs. 91.5%, p = 0.01). Both arms had similar compliance rates at 1‐ and 2‐year follow‐up (92.0% vs. 89.5%, p = 0.49, and 66.5% vs. 65.0%, p = 0.83). Intervention arm participants completed 6‐month follow‐up 11 days earlier than their counterparts (p = 0.009).ConclusionmHealth technologies improved 6‐month follow‐up, but did not impact 1‐ and 2‐year LKD follow‐up in this single‐center RCT. Other strategies, such as providing services beyond data collection, may be necessary to improve donor engagement and support LDK's long‐term follow‐up. 10.1111/ctr.70139 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Effectiveness of a Mobile Health System on Compliance With 2‐Year Living Kidney Donor Follow‐Up in the United States |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70139 |