Isabel Pérez-Flórez’s research while affiliated with Complutense University of Madrid and other places

BACKGROUND Kidney transplantation is the treatment of choice for the management of most cases of end-stage renal disease. Recipients need to lead a healthy lifestyle to minimize the possible side effects to immunosuppressant drugs, and improve the results of transplantation. One of the objectives set by the nursing team is to train people to acquire the necessary skills and tools to be able to self-care. OBJECTIVE The objective of this study was to draft an Information guideline for adults with kidney transplantation. METHODS A 3-step methodological, sequential approach was used: 1) training from a group of experts and item consensus; 2) review of the medical literature available; 3) use of the Delphi technique with on-site meetings. Five nurses from the Community de Madrid Kidney Transplantation Unit, Madrid Spain were asked to participate. They kept their professional commitment across the entire process. The patients’ lifestyles that, according to the medical literature available and experts’ opinion, have the greatest impact on the survival of the transplanted organ and the recipient himself were all described. RESULTS After achieving consensus using the modified Delphi method on the items that should be included and the information necessary in each of these items, an Information guideline for adults with kidney transplantation was eventually drafted. This Guideline facilitates structuring healthcare, information, and the necessary recommendations for every individual to be able to self-care effectively. Therefore, an easy-to-understand, useful tool for transplant physicians and nurses has been drafter in plain language with information based on the latest scientific-medical evidence published to this date. CONCLUSIONS Currently, this Guideline is the main intervention variable of a clinical trial destined to improve compliance to healthy habits in kidney transplant recipients from the Community of Madrid, Madrid, Spain. CLINICALTRIAL Clinical Trial NCT05715580

Background Renal transplantation is the treatment of choice for most cases of end-stage renal disease. Recipients need to lead a healthy lifestyle to minimize the potential side effects of immunosuppressive drugs and improve transplant outcomes. There is not much evidence about the best way to increase adherence to healthy lifestyles in kidney transplant recipients, so one of the objectives set by the nursing team is to train people to acquire the necessary skills and tools to be able to take care of themselves. In this sense, the consensual development of appropriate materials may be useful and of interest. Objective The aim of this study was to develop an information guide for adults with kidney transplants to be assessed in a subsequent clinical trial as an intervention to increase adherence to healthy habits. Methods We used a 3-step, methodological, sequential approach: (1) training from a group of experts and item consensus; (2) review of the medical literature available; and (3) use of the Delphi technique with on-site meetings. A total of 5 nurses from the Community of Madrid Kidney Transplantation Unit in Spain were asked to participate. The patients’ lifestyle factors that, according to the medical literature available and experts’ opinions, have the greatest impact on the survival of the transplanted organ and the recipients themselves were all described. Results After using the modified Delphi method to reach a consensus on the items to be included and the information needed in each, an information guide for adult kidney transplant patients was developed. This guide facilitates the structuring of health care, information, and recommendations necessary for effective self-care for each person. The result is considered to be an easy-to-understand tool, useful for transplant doctors and nurses, in simple language, with information based on the latest scientific-medical evidence published to date, aspects of which will be evaluated in a clinical trial designed for this purpose. Conclusions Currently, this guide is the main intervention variable of a clinical trial (registered on ClinicalTrials.gov; NCT05715580) aimed at improving compliance with healthy habits in kidney transplant recipients in the Community of Madrid, Spain. The method used in its development has been useful and agile, and the result is a guide that can be easily updated periodically following the same procedure. International Registered Report Identifier (IRRID) DERR1-10.2196/46961