Tielen Mirjam, van Staa Anne Loes, Jedeloo Susan, van Exel N Job A, Weimar Willem
Department of Internal Medicine, University Medical Center, Erasmus MC, Rotterdam, The Netherlands.
Transplantation. 2008 Mar 15;85(5):700-6. doi: 10.1097/TP.0b013e318166163e.
Young adult renal transplant recipients may display patterns of behavior that affect graft survival. The present study aimed to identify young adults at risk for nonadherent behavior by investigating their attitudes about posttransplant health lifestyle.
A Q-methodological study was conducted. Participants were asked to rank-order statements on issues potentially associated with (non)adherence. Factor analysis was applied to uncover patterns in the ranking of statements. The resulting factors represent attitudes and are described using a composite ranking of the statements. As a first test of discriminated validity, a different group of 34 young renal transplant patients was asked how well the factor descriptions fitted them.
Twenty-six young renal transplant recipients (18-25 years) participated in the study. They were remarkably willing to discuss sensitive issues when confronted with statements on cards. Four distinct attitude profiles concerning posttransplant health lifestyle were found among these young adults: (a) concerned and controlled, (b) appearance orientated, (c) opinionated and independent, and (d) easy going and pliable. In a follow-up analysis, self-categorization proved to discriminate well between the four attitude profiles in 67% of the respondents.
Using Q-methodology, four attitude profiles about posttransplant health lifestyle were uncovered. Self-categorization on these attitudes seems feasible and may be a useful screening aid to identify young adults at risk for nonadherence.
年轻的成年肾移植受者可能表现出影响移植肾存活的行为模式。本研究旨在通过调查年轻成年肾移植受者对移植后健康生活方式的态度，来识别有不依从行为风险的人群。
开展了一项Q方法学研究。参与者被要求对与（不）依从性潜在相关问题的陈述进行排序。应用因子分析来揭示陈述排序中的模式。所得因子代表态度，并使用陈述的综合排序进行描述。作为区分效度的首次检验，另一组34名年轻肾移植患者被问及因子描述与他们的契合程度。
26名年轻肾移植受者（18 - 25岁）参与了本研究。当面对卡片上的陈述时，他们非常愿意讨论敏感问题。在这些年轻成年人中发现了四种关于移植后健康生活方式的不同态度类型：（a）关心且自控型，（b）外貌导向型，（c）固执且独立型，以及（d）随和且柔顺型。在后续分析中，自我分类在67%的受访者中能够很好地区分这四种态度类型。
使用Q方法学，揭示了四种关于移植后健康生活方式的态度类型。基于这些态度进行自我分类似乎可行，并且可能是识别有不依从风险的年轻成年人的有用筛查工具。
