ISQUA16-2887PATIENTS’ STORIES: CAN THIS INSIDER VIEW BE USED TO SUPPORT MEDICATION ADHERENCE IN KIDNEY TRANSPLANTATION?

Abstract

Objectives: Using experiences of kidney transplant recipients, this qualitative sequential study sought to develop a video compilation of patients' stories. The video, underpinned by the Theory of Planned Behaviour, has been implemented as part of a multidimensional intervention, to support medication adherence in kidney transplant recipients at 1-4 months post-transplantation. Method(s): All five hospitals that offer adult kidney transplantation in Victoria, Australia, were involved in this study. To explore issues of medication adherence, semi-structured interviews were conducted with 25 patients who had either maintained their graft for at least 8 months or had experienced a graft loss because of medication non-adherence. Interviews were analysed to identify the storytellers and the story surrounding patients' medication experiences with their kidney transplant. Based on age, ethnicity and gender, 13 participants were purposely selected to be the storytellers in the video. The interview footage was reviewed by two researchers and organised using NVivo software. The final content of the video was evaluated by a panel of 5 healthcare experts, 2 content experts in the field of kidney transplantation, 1 independent educational expert and 2 kidney transplant recipients using Lynn's content validity questionnaire. Result(s): The final 18-minute video comprised of 15 sections. The video has been viewed and was well-received by 33 newly transplanted kidney recipients. The video was perceived to have helpful content and clearly conveyed messages about the absolute necessity of good medication-taking behaviour in ensuring a successful transplant. Conclusion(s): In kidney transplantation, this medium is a novel way to engage and support patients to adhere to their medications and avoid the negative consequences of medication non-adherence. This study provided evidence that healthcare experts, content experts, educational expert and kidney transplant recipients support the use of patient stories. The video has the potential to promote medication adherence in an appealing format, which can complement the existing medication education and follow-up that patients receive.