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Kidney Week

Abstract: SA-PO1079

Patient Needs and Priorities for a Goal-Setting Intervention in Kidney Transplant Recipients: A Workshop Report

Session Information

Category: Transplantation

  • 2102 Transplantation: Clinical

Authors

  • O'Reilly, Colm, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Hughes, Anastasia, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Manera, Karine E., The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Matus Gonzalez, Andrea, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Scholes-Robertson, Nicole Jane, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Wong, Germaine, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Wu, Rebecca, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Kanellis, John, Monash University Faculty of Medicine Nursing and Health Sciences, Melbourne, Victoria, Australia
  • Howell, Martin, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Jaure, Allison, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  • Guha, Chandana, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia

Group or Team Name

  • On behalf of the GOAL-KIT Investigators.
Background

Kidney transplant recipients have an increased risk of side effects and complications and must adhere to a complex treatment regimen. Goal-setting interventions have the potential for improving health and quality of life outcomes through motivation and behavioural change. The aim of the workshop was to identify the priorities of kidney transplant recipients regarding goal-setting domains, and to describe their perspectives on the design and implementation of goal-setting interventions.

Methods

We convened an online workshop co-designed with consumers and researchers with three breakout groups involving 18 adult kidney transplant recipients in Australia. Participants identified and voted for goal-setting domains (e.g. diet and nutrition), in order of priority, discussed reasons for their priorities and provided suggestions for the design and implementation of a goal-setting program. Votes were then scored to reflect the level of priority assigned to each domain. Transcripts from the workshop were analysed thematically.

Results

Of the seven goal-setting domains voted as important to patients, the top five domains were: treatment management (53 points), diet and nutrition (22 points), physical fitness (15 points), social participation (6 points), and mental health (5 points). Four themes that captured the
discussions were: adapting to complex self-management responsibilities, strengthening motivation, ensuring safety, and contributing to long term benefits.

Conclusion

In a co-design process, kidney transplant recipients prioritized the goal-setting domains that addressed treatment, lifestyle, and psychosocial wellbeing, and suggested that a goal-setting intervention should involve coaching and monitoring.

Digital Object Identifier (DOI)