Postrenal transplant compliance from the perspective of African- Americans, hispanic-americans, and anglo-americans

B. R. Siegal, Stuart M. Greenstein

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

Medication compliance by patients is a subject that has attracted attention because it has been identified as the third leading cause of renal graft loss. The purpose of this study was to gather specific information about renal-transplant recipients' cognitions, emotions, and behaviors during the postrenal transplant compliance process. Data from 519 renal transplant patients were collected through mailed surveys; chart audits were conducted for 397 patients in the sample. Findings revealed that 96 (18%) of the transplant recipients had been noncompliant with immunosuppressive medications. Factors related to noncompliance included being away from home, length of time since transplant, age, gender, and ethnicity, as well as patients' beliefs regarding how long posttransplant symptoms would persist and their beliefs about the effectiveness of immunosuppressive medications. Of particular interest were the findings related to compliance by African- American patients, which challenge conventional thinking. Implications for assessing patient compliance, patient education, and further research are discussed.

Original languageEnglish (US)
Pages (from-to)46-54
Number of pages9
JournalAdvances in Renal Replacement Therapy
Volume4
Issue number1
StatePublished - 1997
Externally publishedYes

Fingerprint

Hispanic Americans
African Americans
Compliance
Transplants
Immunosuppressive Agents
Kidney
Medication Adherence
Patient Education
Patient Compliance
Cognition
Emotions
Research
Transplant Recipients

Keywords

  • African-Americans
  • Anglo- Americans
  • compliance
  • Hispanic-Americans
  • Renal transplant

ASJC Scopus subject areas

  • Nephrology

Cite this

@article{69e1ebcd39ec4743bd614d4cfb20e53e,
title = "Postrenal transplant compliance from the perspective of African- Americans, hispanic-americans, and anglo-americans",
abstract = "Medication compliance by patients is a subject that has attracted attention because it has been identified as the third leading cause of renal graft loss. The purpose of this study was to gather specific information about renal-transplant recipients' cognitions, emotions, and behaviors during the postrenal transplant compliance process. Data from 519 renal transplant patients were collected through mailed surveys; chart audits were conducted for 397 patients in the sample. Findings revealed that 96 (18{\%}) of the transplant recipients had been noncompliant with immunosuppressive medications. Factors related to noncompliance included being away from home, length of time since transplant, age, gender, and ethnicity, as well as patients' beliefs regarding how long posttransplant symptoms would persist and their beliefs about the effectiveness of immunosuppressive medications. Of particular interest were the findings related to compliance by African- American patients, which challenge conventional thinking. Implications for assessing patient compliance, patient education, and further research are discussed.",
keywords = "African-Americans, Anglo- Americans, compliance, Hispanic-Americans, Renal transplant",
author = "Siegal, {B. R.} and Greenstein, {Stuart M.}",
year = "1997",
language = "English (US)",
volume = "4",
pages = "46--54",
journal = "Advances in Chronic Kidney Disease",
issn = "1548-5595",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Postrenal transplant compliance from the perspective of African- Americans, hispanic-americans, and anglo-americans

AU - Siegal, B. R.

AU - Greenstein, Stuart M.

PY - 1997

Y1 - 1997

N2 - Medication compliance by patients is a subject that has attracted attention because it has been identified as the third leading cause of renal graft loss. The purpose of this study was to gather specific information about renal-transplant recipients' cognitions, emotions, and behaviors during the postrenal transplant compliance process. Data from 519 renal transplant patients were collected through mailed surveys; chart audits were conducted for 397 patients in the sample. Findings revealed that 96 (18%) of the transplant recipients had been noncompliant with immunosuppressive medications. Factors related to noncompliance included being away from home, length of time since transplant, age, gender, and ethnicity, as well as patients' beliefs regarding how long posttransplant symptoms would persist and their beliefs about the effectiveness of immunosuppressive medications. Of particular interest were the findings related to compliance by African- American patients, which challenge conventional thinking. Implications for assessing patient compliance, patient education, and further research are discussed.

AB - Medication compliance by patients is a subject that has attracted attention because it has been identified as the third leading cause of renal graft loss. The purpose of this study was to gather specific information about renal-transplant recipients' cognitions, emotions, and behaviors during the postrenal transplant compliance process. Data from 519 renal transplant patients were collected through mailed surveys; chart audits were conducted for 397 patients in the sample. Findings revealed that 96 (18%) of the transplant recipients had been noncompliant with immunosuppressive medications. Factors related to noncompliance included being away from home, length of time since transplant, age, gender, and ethnicity, as well as patients' beliefs regarding how long posttransplant symptoms would persist and their beliefs about the effectiveness of immunosuppressive medications. Of particular interest were the findings related to compliance by African- American patients, which challenge conventional thinking. Implications for assessing patient compliance, patient education, and further research are discussed.

KW - African-Americans

KW - Anglo- Americans

KW - compliance

KW - Hispanic-Americans

KW - Renal transplant

UR - http://www.scopus.com/inward/record.url?scp=0031025117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031025117&partnerID=8YFLogxK

M3 - Article

VL - 4

SP - 46

EP - 54

JO - Advances in Chronic Kidney Disease

JF - Advances in Chronic Kidney Disease

SN - 1548-5595

IS - 1

ER -