SystemCHANGE[TM] Solutions to Improve Medication Adherence in Kidney Transplant Recipients: A Secondary Data Analysis

The SystemCHANGE[TM] intervention has led to great improvements in medication adherence, which is a challenge for nearly one-third of kidney transplant recipients. This secondary data analysis sought to measure the frequency of individual solutions utilized by participants in a previously conducted randomized controlled trial of the SystemCHANGE[TM] intervention and to determine which classes of solutions had greatest impact on improved medication adherence. Solutions that were significant predictors of improving medication adherence to the 85% or higher level included alarm cues (p < 0.0001), time cues (p = 0.006), restructuring the physical environment (p = 0.048), and social support (p = 0.023). Alarm and time cues, restructuring the environment, and social support were successful solutions largely influenced by personal routine and environment consideration that might be prioritized in future studies when implementing SystemCHANGE[TM]. Key Words: Medication adherence, immunosuppressant, secondary data analysis.
Kidney failure impacts an estimated 746,557 Americans (Saran et al., 2020). In 2020, nearly 58% of transplants in the United States were kidney transplants (Organ Procurement and Transplant Network, 2021). [...]