TANG J1,2, LEE V1,2, GUHA C1,2, DOMINELLO A1,2, BLAZEK K1,2, TEIXEIRA-PINTO A1,2, ROGER S4, KEUNG K5, HOWELL M1,2, TONG A1,2, WONG G1,2,3
1Sydney School of Public Health, The University of Sydney, Australia, 2Centre for Kidney Research, The Children’s Hospital at Westmead, Australia, 3Centre for Transplant and Renal Research, Westmead , Australia, 4Renal research, Gosford, Australia, 5Prince of Wales, Randwick, Australia
Aim: To determine the factors associated with eHealth use in kidney transplant recipients.
Background: Kidney transplant recipients require high-level care with complex management regimens. eHealth maintains continuity of care by delivering healthcare provisions and supporting self-care.
Methods: We conducted a self-reported survey between June – November 2020 (aged ≥ 18 years) in 3 transplanting units (NSW) and via the BEAT-CKD consumer network. Multivariable and LASSO logistic regression modelling was used to determine factors associated with eHealth user status compared to non-eHealth (or previous) user.
Results: Of 117 invited, 91 (response rate 77%) completed the survey. Mean age was 51 years (SD 15), mostly male (59%) and 73% were transplanted 12 months prior. A total of 63 participants (69%) were current eHealth users (active use of devices and/or tools for health), 91% had access to eHealth devices, including smartphones (81%) and desktop/laptop computers (59%). Most participants (98%) reported eHealth use improves post-transplant care including online medication refills (80%), reliable medical information (70%), and access to electronic booking appointments (69%). Approximately, 30% reported adequate eHealth literacy (eHealth literacy scale [eHEALS] scores ≥ 32). Factors associated with increased eHealth use (OR (95%CI)) were higher eHEALS score (1.21, 1.06-1.38), younger age (1.05, 1.00-1.11), higher education (7.78, 2.19-27.7) and recipients that only spoke English at home (2.95, 0.87-10.0). Findings from the LASSO model were consistent with the regression analysis.
Conclusion: Transplant recipients believe that eHealth interventions have the potential to improve their post-transplant care. eHealth interventions should meet the needs of all transplant recipients and ensure accessibility by those with lower eHealth literacy, older age, less educated, and non-English speaking.
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