Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care
IntroductionPsychosocial distress and mental health problems are common in patients before and after solid organ transplantation and can negatively affect morbidity, mortality, and adherence. Even though regular screening is recommended to identify patients with high levels of distress, the implemen...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1481643/full |
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| author | Sanna Higgen Evamaria Müller Markus J. Barten Markus J. Barten Doreen Eickhoff Doreen Eickhoff Florian Grahammer Martin Härter Sabine Bart Martina R. Sterneck Martina R. Sterneck Angela Buchholz Angela Buchholz |
| author_facet | Sanna Higgen Evamaria Müller Markus J. Barten Markus J. Barten Doreen Eickhoff Doreen Eickhoff Florian Grahammer Martin Härter Sabine Bart Martina R. Sterneck Martina R. Sterneck Angela Buchholz Angela Buchholz |
| author_sort | Sanna Higgen |
| collection | DOAJ |
| description | IntroductionPsychosocial distress and mental health problems are common in patients before and after solid organ transplantation and can negatively affect morbidity, mortality, and adherence. Even though regular screening is recommended to identify patients with high levels of distress, the implementation in routine care has been insufficient so far.MethodsTwo newly developed problem lists for patients before and after transplantations were pilot implemented for 8 weeks at the Medical Center Hamburg Eppendorf (UKE) to identify factors facilitating and impeding their implementation.ResultsHealth care professionals evaluated its appropriateness, feasibility, and the cooperation with the psychologists before (HCPs: n = 23) and after (HCPs: n = 19) the implementation. Four psychologists assessed the appropriateness and feasibility by answering to open-ended and close-ended questions. Additionally, patients before (n = 8) and after (n = 100) transplantation filled out the screening and rated its acceptance. Only the data of the patients after transplantation were analyzed due to the small sample size of patients before transplantation. HCPs and psychologists rated the screenings as very appropriate [HCPs: M = 3.84 (SD = 0.77) to M = 4.32 (SD = 0.58)]. It was also highly accepted among patients [M = 4.23 (SD = 0.85) to M = 4.68 (SD = 0.65)]. Contentment with the psychological support and understanding of the mental health problems among HCPs increased significantly from before to after the implementation (U = 107.50, p < 0.05, r = 0.33; U = 107.00, p < 0.05, r = 0.34). The feasibility of the problem list post-Tx in routine care, however, was seen as challenging [HCPs: M = 3.11 (SD = 1.05) to M = 3.47 (SD = 1.07)].DiscussionThe distress screening was accepted and improved the cooperation between different professions. Barriers to implementation can be lack of staff and resources. Future studies should assess the adoption and sustainability of the screening in routine care. |
| format | Article |
| id | doaj-art-1079173d79124f33ac13165256af4852 |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-01-01 |
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| series | Frontiers in Psychology |
| spelling | doaj-art-1079173d79124f33ac13165256af48522025-01-17T06:50:52ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011510.3389/fpsyg.2024.14816431481643Pilot implementation of two specific problem lists before and after solid organ transplantation into routine careSanna Higgen0Evamaria Müller1Markus J. Barten2Markus J. Barten3Doreen Eickhoff4Doreen Eickhoff5Florian Grahammer6Martin Härter7Sabine Bart8Martina R. Sterneck9Martina R. Sterneck10Angela Buchholz11Angela Buchholz12Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Cardiovascular Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyUniversity Transplant Center, University Medical Center Hamburg- Eppendorf, Hamburg, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyUniversity Transplant Center, University Medical Center Hamburg- Eppendorf, Hamburg, GermanyCenter for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment Health Sciences, University of Applied Sciences Hamburg, Hamburg, GermanyUniversity Transplant Center, University Medical Center Hamburg- Eppendorf, Hamburg, GermanyDepartment of Internal Medicine, University Medical Center Hamburg- Eppendorf, Hamburg, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyUniversity Transplant Center, University Medical Center Hamburg- Eppendorf, Hamburg, GermanyIntroductionPsychosocial distress and mental health problems are common in patients before and after solid organ transplantation and can negatively affect morbidity, mortality, and adherence. Even though regular screening is recommended to identify patients with high levels of distress, the implementation in routine care has been insufficient so far.MethodsTwo newly developed problem lists for patients before and after transplantations were pilot implemented for 8 weeks at the Medical Center Hamburg Eppendorf (UKE) to identify factors facilitating and impeding their implementation.ResultsHealth care professionals evaluated its appropriateness, feasibility, and the cooperation with the psychologists before (HCPs: n = 23) and after (HCPs: n = 19) the implementation. Four psychologists assessed the appropriateness and feasibility by answering to open-ended and close-ended questions. Additionally, patients before (n = 8) and after (n = 100) transplantation filled out the screening and rated its acceptance. Only the data of the patients after transplantation were analyzed due to the small sample size of patients before transplantation. HCPs and psychologists rated the screenings as very appropriate [HCPs: M = 3.84 (SD = 0.77) to M = 4.32 (SD = 0.58)]. It was also highly accepted among patients [M = 4.23 (SD = 0.85) to M = 4.68 (SD = 0.65)]. Contentment with the psychological support and understanding of the mental health problems among HCPs increased significantly from before to after the implementation (U = 107.50, p < 0.05, r = 0.33; U = 107.00, p < 0.05, r = 0.34). The feasibility of the problem list post-Tx in routine care, however, was seen as challenging [HCPs: M = 3.11 (SD = 1.05) to M = 3.47 (SD = 1.07)].DiscussionThe distress screening was accepted and improved the cooperation between different professions. Barriers to implementation can be lack of staff and resources. Future studies should assess the adoption and sustainability of the screening in routine care.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1481643/fulltransplant recipientsorgan transplantationpsychological distressimplementation researchsymptom assessment |
| spellingShingle | Sanna Higgen Evamaria Müller Markus J. Barten Markus J. Barten Doreen Eickhoff Doreen Eickhoff Florian Grahammer Martin Härter Sabine Bart Martina R. Sterneck Martina R. Sterneck Angela Buchholz Angela Buchholz Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care Frontiers in Psychology transplant recipients organ transplantation psychological distress implementation research symptom assessment |
| title | Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| title_full | Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| title_fullStr | Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| title_full_unstemmed | Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| title_short | Pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| title_sort | pilot implementation of two specific problem lists before and after solid organ transplantation into routine care |
| topic | transplant recipients organ transplantation psychological distress implementation research symptom assessment |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1481643/full |
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