Liver transplant recipients: individual, social, and environmental resources.
BACKGROUND
Patient characteristics are important in the liver transplant population because of proven associations between individual and environmental factors, treatment adherence, and health outcomes in general medical and other transplant populations.


OBJECTIVE
To determine generalizability of the sample to other liver transplant populations and to establish reliability of measures used to assess individual and environmental resources.


METHODS
Cross-sectional analysis of baseline data in a longitudinal study of adherence and health outcomes.


METHODS
Ninety first-time adult liver transplant recipients at the University of Pittsburgh Medical Center completed assessments of sociodemographic, health history, psychosocial, and environmental factors shortly after surgery; adherence and health outcomes were tracked throughout the study.


RESULTS
The medical center cohort was older, less racially diverse, and contained more living donors than the national sample. Our sample was generally comparable to the medical center cohort on pretransplant sociodemographic and clinical characteristics. Reliability/internal consistency on psychological measures was similar between our sample and most published norms. The mean scores on all coping scales in our sample were higher than normative. Our patients indicated a more negative perception of family environment and perceived relationships with their primary caregiver more positively than did the normative group.


CONCLUSIONS
The generalizability of our sample to the parent population and reliability of individual and environmental measures reported here will enable us to examine relationships and the value of patient and contextual resources for predicting treatment adherence and health outcomes among liver transplant recipients.
Stilley
Carol S
CS
University of Pittsburgh, PA, USA. css100@pitt.edu
DiMartini
Andrea F
AF
Tarter
Ralph E
RE
DeVera
Michael
M
Sereika
Susan
S
Dew
Mary Amanda
MA
King
Jennifer
J
Flynn
William B
WB
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000523:psychology* / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D018579:Patient Selection; D010414:Pennsylvania; D010555:Personality Inventory; D018570:Risk Assessment; D012931:Social Environment; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
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