Developmental and disease-related influences on self-management acquisition for liver transplant recipients
transition to adulthood – self- management – adolescents – pediatric liver transplantation – adherence
Psychology | Social and Behavioral Sciences
Pediatric LT recipients are vulnerable to disruptions in their healthcare management and transitioning to self-managed care. This study aimed to examine whether age at transplant and indication for transplant (acute vs. chronic liver disease) influence later self-manage- ment skills. Sixty-three LT recipients, aged 14 and older (M = 17.68, s.d. = 3.01), were recruited and asked to complete a healthcare man- agement survey, the Developmentally Based Skills Checklist, adapted for transplant patients, listing 22 behaviors that medically ill adolescents should progressively master. While there were no significant differences between those who received an LT owing to an acute disease vs. those who received an LT owing to a chronic disease, the age at which pa- tients received their transplant did yield significant results, although, overall, these findings were attenuated by current age. However, our findings indicated that males transplanted at a younger age struggled with mastery over their healthcare responsibilities relative to males transplanted later and females in both age groups. There are many possible reasons why the experience of transplant at a younger age could negatively affect or derail healthcare transitions. Future research is necessary to further untangle this relationship; yet, it seems as though longer time living with LT may make transition harder for families.
Piering, K., Arnon, R., Miloh, T.A., Kerkar, N., & Annunziato, R.A. (2011). Developmental and disease-related influences on self-management acquisition for liver transplant recipients. Pediatric Transplantation, 15(8), 819-826.