A Randomized Controlled Trial of a Mobile Health Intervention to Promote Self‐Management After Lung Transplantation
Open accessAbstract
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.
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DeVito Dabbs et al. reported improvement in adherence to medical regimen (OR = 1.64; 95% CI, 1.01-2.66, P = 0.046) in patients with lung transplantation.
“DeVito Dabbs et al. [32] in the US conducted an RCT for patients with lung transplantation and reported improvement in self-monitoring (OR = 5.11; 95% CI, 2.95–8.87; P < 0.001), adherence to medical regimen (OR =1.64; 95% CI, 1.01–2.66, P = 0.046), and reported abnormal health indicators more frequently (OR = 8.9; 95% CI, 3.60–21.99; P < 0.001).”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [32]
Only 2 studies reported use of an adequate allocation concealment method.
“Only 2 studies reported use of an adequate allocation concealment method [22, 32].”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [32]
DeVito Dabbs et al. reported improvement in self-monitoring (OR = 5.11; 95% CI, 2.95-8.87; P < 0.001) in patients with lung transplantation.
“DeVito Dabbs et al. [32] in the US conducted an RCT for patients with lung transplantation and reported improvement in self-monitoring (OR = 5.11; 95% CI, 2.95–8.87; P < 0.001), adherence to medical regimen (OR =1.64; 95% CI, 1.01–2.66, P = 0.046), and reported abnormal health indicators more frequently (OR = 8.9; 95% CI, 3.60–21.99; P < 0.001).”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [32]
DeVito Dabbs et al. reported that patients with lung transplantation reported abnormal health indicators more frequently (OR = 8.9; 95% CI, 3.60-21.99; P < 0.001).
“DeVito Dabbs et al. [32] in the US conducted an RCT for patients with lung transplantation and reported improvement in self-monitoring (OR = 5.11; 95% CI, 2.95–8.87; P < 0.001), adherence to medical regimen (OR =1.64; 95% CI, 1.01–2.66, P = 0.046), and reported abnormal health indicators more frequently (OR = 8.9; 95% CI, 3.60–21.99; P < 0.001).”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [32]
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- Authors
- DeVito Dabbs, A., Song, M. K., Myers, B. A., Li, R., Hawkins, R. P., Pilewski, J. M., Bermudez, C. A., Aubrecht, J., Begey, A., Connolly, M., Alrawashdeh, M., & Dew, M. A.
- Affiliations
- Emory University (US)
- Carnegie Mellon University (US)
- The University of Texas Health Science Center at Houston (US)
- University of Wisconsin–Madison (US)
- University of Pittsburgh (US)
- University of Pennsylvania (US)
- Venue
- American Journal of Transplantation
- Publisher
- Elsevier BV
- Published
- 2016-07
- Volume
- 16
- Issue
- 7
- Pages
- 2172-2180
- ISSN
- 1600-6135 (ISSN-L)
- PMC
- PMC4925283
- OpenAlex
- W2223022961
- Cited by
- 120
- References
- 47
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 11 · 2022: 11 · 2021: 13 · 2020: 21 · 2019: 12 · 2018: 11 · 2017: 16 · 2016: 4
- FWCI
- 26.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- American Journal of Transplantation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Nursing Research (R01NR010711)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Keywords
- lung transplantation, mobile health, self-management, self-care agency, self-monitoring, medication adherence, post-discharge care, hospital readmission, mortality, transplant recipients
- MeSH terms
- Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Quality of Life, Self Care, Health Behavior, Lung Transplantation, Reminder Systems, Telemedicine, Medication Adherence
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