A Serious Digital Game to Reduce Kidney Transplant Failure in Young Adults
PHE ePoster Library. Szczepura A. Sep 12, 2019; 274528; 85
Prof. Ala Szczepura
Prof. Ala Szczepura
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Abstract
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Abstract Introduction
Treatment adherence following a kidney transplant is particularly poor during adolescence and young adulthood, leading to costly transplant failures, decreased quality of life and increased mortality. Development of a serious game might improve post-transplant adherence. KJ Ho (Method), a creative problem solving method widely used in Japan, has been applied for the first time in the UK to Serious games design.
Method
KJ Ho is used to order qualitative information through a number of steps using divergent and convergent thinking processes. Over twenty clinicians took part in two hour creative KJ Ho workshops. Data were then analysed in a step-wise approach and overarching elements extracted. Similar workshops were also conducted with patients (aged from 13 – 30 years) and their family members. A systematic review has been undertaken of qualitative research in this patient population.
Results
Clinicians' workshops identified non-adherence, communication, continuity in care, values, family, and patient-centred focus as important. Young kidney transplant patients and families identified themes such as mental health, care accessibility, communication with healthcare professionals and peer support. Triangulation of the KJ Ho themes in improving treatment adherence will be triangulated with systematic review outputs for next stage intervention development.
Conclusions
Testing of a mixed methods approach (involving Japanese and standard Western methods) offers a novel means of identify factors influencing treatment adherence for subsequent games creation. This stage will be followed by a collaborative, co-design stage to produce a prototype digital intervention able to improve treatment adherence among young kidney transplant patients. External funding details This research was supported by the WPH Charitable Trust, Leamington Spa CV32 6EL, England.
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