Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.
Transplant and Kidney Care Regional Center of Excellence, Erie County Medical Center, Buffalo, New York, USA.
Clin Transplant. 2020 Jun;34(6):e13862. doi: 10.1111/ctr.13862. Epub 2020 Apr 20.
We aimed to develop an adapted information-motivation-behavioral skills (IMB) model to describe barriers and facilitators for adherence and self-management among kidney transplant recipients.
We conducted a review of literature about kidney transplant recipients' knowledge, perceptions, and experiences and organized our results using the IMB framework. We then conducted interviews with transplant recipients and transplant providers to supplement our literature search.
Our proposed adaption of the IMB model describes informational, motivational, and behavioral skills barriers and facilitators for medication adherence and self-management among kidney transplant recipients. Moderating factors influence not only behavioral skills, but also recipients' understanding of information and motivation to adhere and practice self-management.
By using the IMB model to organize current research and interviews with recipients and providers, we developed an adapted model for medication adherence and self-management. Results are promising to impact future educational and behavioral interventions for kidney transplant recipients.
本研究旨在通过改编信息-动机-行为技能（IMB）模型，描述肾移植受者在坚持治疗和自我管理方面的障碍和促进因素。
我们对肾移植受者的知识、观念和经验进行了文献回顾，并使用 IMB 框架对研究结果进行了整理。之后，我们对移植受者和移植提供者进行了访谈，以补充文献检索。
我们提出的 IMB 模型改编版描述了肾移植受者在坚持药物治疗和自我管理方面的信息、动机和行为技能障碍和促进因素。调节因素不仅影响行为技能，还影响受者对信息的理解以及坚持治疗和实践自我管理的动机。
通过使用 IMB 模型来组织当前的研究以及对受者和提供者的访谈，我们为药物治疗和自我管理制定了一个适应性模型。研究结果有望对未来针对肾移植受者的教育和行为干预产生影响。
