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Table4 Classification of the interventions according to technology type and features

From: Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review

References

Classification of consumer health informatics

Technology platform

Technology functionality

Technology description

Freier et al. [31]

Computer systems

Computer-based educational programme

Inform

A computer program was designed to arrange clinical information about pre-transplant, transplant operation, and post-transplant recommended care. The program also offered relevant medication taking behaviors based on each patient’s medication regimen. An interactive quiz was also obtained at the end of each education session to provide neutral feedback (correct or incorrect answer)

Robinson et al. [36]

Smartphones or PDA

Tablet program

Inform Communicate

A tablet-based program was implemented to offer interactive recommendations about sunscreen behaviors (e.g. skin cancer, appropriate methods for getting sun exposure, protective clothing, and etc.). Personal concerns of patients were also discussed by a physician during a live chatting session

McGillicuddy et al. [3]

Smartphones or PDA

A blood pressure monitoring device and electronic medication

Remind/Alert communicate

A smartphone connected to a wireless blood pressure monitoring device was used to record encrypted physiological parameters and also text messages reminders were sent to assist regular blood pressure monitoring process

Gordon et al. [33]

Computer systems

Website

Inform

Instruct communicate

A website was designed to present 5–10 interactive messages on each of the following items: risks of donation and its relevant immigrant, financial, and cultural issues as well as available treatment options. A link to detailed description of each subject was also provided for interested patients. Moreover, interactive multimedia contents (e.g. video, telenovela, photograph, quizzes, and games) were also offered

Gordon et al. [34]

Smartphones or PDA

Mobile application

Inform

Instruct

The iPad app, Inform Me used Computer Adaptive Learning (CAL) method to personalize educational materials and content according to each KTC comprehension levels in 5 interactive chapters: Introduction, Definition of Increased Risk, Risks and Benefits, Screening for Infection, and Treatment and Follow-Up. The Introduction provides an orientation and instructions; the other 4 chapters educate and assess comprehension. Inform Me shows videos, animations, and graphics to depict complex concepts

Reese et al. [35]

Multiple component

Monitoring with customized reminders

Remind/Alert Record

An electronic adherence monitoring system including following features was provided to kidney transplant recipients: notifications on wireless pill bottle, phone calls playing recorded messages, and short text message or email reminders

A. Schmid et al. [22]

Multiple component

Telemonitoring real-time video consultations

Record

Display

Remind/Alert

Inform

Instruct communicate

A telemonitoring system containing following features was implemented: (1) standard quiz including multiple-choice questions were obtained once a day, (2) self-measured data were transferred through a secure web-based connection, (3) clinical recommendations were provided via voice mailbox, phone calls, and short text messaging, (4) continuous access to a physician was provided to discuss possible daily concerns of the patients, (5) remote case management by resident nephrologists which was triggered in case of acute disorders

José Côté et al. [32]

Computer systems (websites)

Transplant-TAVIE

Inform

Instruct

Three interactive web-based sessions were design to improve patient’s self-efficacy by teaching medication intake behaviors as well as verbal persuasion. The web-site was built using 89 videos and animations, 58 PDF files, and 93 pages of educational content

SUM

Computer systems (3studies) Multiple component (2 studies)

Smartphones or PDA (3studies)

 
  1. OTIS organ transplantation information system, IRK illness-related knowledge, mHealth mobile health, cal computer adaptive learning, KTC kidney transplant candidate, STP senior transplant physician, TNCM transplant nurse case manager, UMC University Medical Center, RTR renal transplant recipient, Transplant-TAVIE treatment, virtual nursing assistance, and education