title: A Randomized Controlled Trial of a Mobile Health Intervention to Promote Self-Management After Lung Transplantation.
abstract: Lung transplant recipients are encouraged to perform self-management behaviors, including (i) monitoring health indicators, (ii) adhering to their regimen, and (iii) reporting abnormal health indicators to the transplant coordinator, yet performance is suboptimal. When hospital discharge was imminent, this two-group trial randomized 201 recipients to use either the mobile health (mHealth) intervention (n = 99) or usual care (n = 102), to compare efficacy for promoting self-management behaviors (primary outcomes) and self-care agency, rehospitalization, and mortality (secondary outcomes) at home during the first year after transplantation. The mHealth intervention group performed self-monitoring (odds ratio [OR] 5.11, 95% confidence interval [CI] 2.95-8.87, p < 0.001), adhered to medical regimen (OR 1.64, 95% CI 1.01-2.66, p = 0.046), and reported abnormal health indicators (OR 8.9, 95% CI 3.60-21.99, p < 0.001) more frequently than the usual care group. However, the two groups did not differ in rehospitalization (OR 0.78, 95% CI 0.36-1.66, p = 0.51) or mortality (hazard ratio 1.71, 0.68-4.28, p = 0.25). The positive impact of the mHealth intervention on self-management behaviors suggests that the intervention holds promise and warrants further testing.
authors.affiliation: University of Pittsburgh, School of Nursing, Pittsburgh, PA.
authors.forename: A
authors.initials: A
authors.lastname: DeVito Dabbs
authors.affiliation: School of Nursing, Emory, Atlanta, GA.
authors.forename: M K
authors.initials: MK
authors.lastname: Song
authors.affiliation: Carnegie Mellon University, School of Computer Sciences, Pittsburgh, PA.
authors.forename: B A
authors.initials: BA
authors.lastname: Myers
authors.affiliation: The University of Texas, School of Public Health, Houston, TX.
authors.forename: R
authors.initials: R
authors.lastname: Li
authors.affiliation: University of Wisconsin, Journalism and Mass Communication, Madison, WI.
authors.forename: R P
authors.initials: RP
authors.lastname: Hawkins
authors.affiliation: University of Pittsburgh, School of Medicine, Pittsburgh, PA.
authors.forename: J M
authors.initials: JM
authors.lastname: Pilewski
authors.affiliation: University of Pennsylvania, School of Medicine, Philadelphia, PA.
authors.forename: C A
authors.initials: CA
authors.lastname: Bermudez
authors.affiliation: University of Pittsburgh, School of Nursing, Pittsburgh, PA.
authors.forename: J
authors.initials: J
authors.lastname: Aubrecht
authors.affiliation: University of Pittsburgh, School of Nursing, Pittsburgh, PA.
authors.forename: A
authors.initials: A
authors.lastname: Begey
authors.affiliation: University of Pittsburgh, School of Nursing, Pittsburgh, PA.
authors.forename: M
authors.initials: M
authors.lastname: Connolly
authors.affiliation: University of Pittsburgh, School of Nursing, Pittsburgh, PA.
authors.forename: M
authors.initials: M
authors.lastname: Alrawashdeh
authors.affiliation: University of Pittsburgh, School of Medicine, Pittsburgh, PA.
authors.forename: M A
authors.identifier: 0000-0002-4666-1870
authors.initials: MA
authors.lastname: Dew
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D016040:Lung Transplantation / Q000534:rehabilitation*; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D011379:Prognosis; D011788:Quality of Life; D017010:Reminder Systems; D012648:Self Care; D017216:Telemedicine / Q000706:statistics & numerical data*
keywords: allied health/nursing; clinical research/practice; clinical trial; compliance/adherence; lung transplantation/pulmonology; outpatient care