The Psychosocial Assessment of Transplant Candidates: Internal Consistency, Interrater Reliability, and Content Validity of the Thai Version of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT–Thai Version) (original) (raw)
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Psychosomatics, 2019
Objective: Since neither established assessment procedures nor standardized tools designed to perform pre-transplant psychosocial evaluation are currently available in Italy, the current study was designed to develop and preliminarily validate the Italian version of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT). Methods: First, our team developed the Italian version of the SIPAT, following standard forward-back translation procedures. Then, the Italian version of the SIPAT was retrospectively and blindly applied to 118 randomly selected transplant cases (40 heart, 40 lung, and 38 liver) by two independent examiners. Information about the patients' final transplant listing recommendation (i.e., listing vs. deferral) were independently collected from the respective transplant teams. Results: The inter-rater reliability of the Italian version of the SIPAT scores was substantial (Cohen's kappa = 0.77; p < 0.001). Moreover, the predictive value of the SIPAT ratings on the final transplant listing recommendation (i.e., listing vs. deferral) for each examiner was significant (both ps < 0.05). Conclusion: Current findings suggest that SIPAT is a promising and reliable instrument also in its Italian version. Given these excellent psychometric characteristics, the use of the SIPAT as part of the pre-transplant psychosocial evaluation in Italian medical settings is highly encouraged.
The Journal of Heart and Lung Transplantation, 2013
Background: While medical criteria have been well established for each end-organ system, psychosocial listing criteria are less standardized. To address this limitation, we developed and tested a new assessment tool: the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT). Methods: The SIPAT was developed from a comprehensive review of the literature on the psychosocial factors that impact transplant outcomes. Five examiners blindly applied the SIPAT to 102 randomly selected transplant cases, including liver, heart, and lung patients. After all subject's files had been rated by the examiners, the respective transplant teams provided the research team with the patient's outcome data. Results: Univariate logistic regression models were fit in order to predict the transplant psychosocial outcome (positive or negative) using each rater's SIPAT scores. These results show that SIPAT scores are highly predictive of the transplant psychosocial outcome (P Ͻ 0.0001). The instrument has excellent inter-rater reliability (Pearson's correlation coefficient ϭ 0.853), even among novice raters. Conclusions:
Clinical Transplantation, 2019
BackgroundPsychosocial risk factors influence the course of transplantation. Psychosocial evaluation is an important part of pre‐transplantation evaluation processes, yet there are no standardized instruments in Spanish.ObjectiveTo translate, adapt, and test the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in organ and cell transplantation patients in the Spanish context.MethodA Spanish version was developed and adapted using WHO's guidelines. The first 30 candidates' SIPAT interviews were recorded and scored by four independent examiners to test the inter‐rater reliability. The internal consistency of the SIPAT items was calculated with a sample of 150 heart, liver, and allogeneic haematopoietic stem cell transplant candidates. Evaluations were conducted by SIPAT‐trained and transplantation‐experienced clinical psychologists and psychiatrists.ResultsStanford Integrated Psychosocial Assessment for Transplantation achieved excelle...
Psychosocial Level of Patients Undergoing Solid Organ Transplantation
Introduction: Organ transplantation has been developed over past 100 years. It is a process which is challenging for patients and his/her family members. It requires lifelong commitment which results in psychosocial distress. Hence along with the clinical evaluation of the patient psychosocial assessment is also important. Purpose: The objectives of the study were to identify the psychosocial level of patients undergoing solid organ transplantation. Materials and method: A quantitative descriptive study was done among 50 patients who were planned for undergoing solid organ transplantation at AIMS, Kochi. A standardized questionnaire, Stanford Integrated Psychosocial Assessment Tool was used for assessing the psychosocial level along with the questionnaire for socio demographic and clinical variables. Results: The study results shows that among 50 subjects 36(72%) were males and 14(28%) were females. Majority 47(94%) of them had good social support .Out of 50 subjects 37(74%) are waiting for kidney transplantation and 13 (26%) are waiting for liver transplantation. With regard to psychosocial levels 68% were belongs to category of good candidates. The mean score of the study was 16.14. There was statistically significant association were found between education and monthly income (p<0.005) Conclusion: The patients who are undergoing organ transplantation or on transplantation treatment are connected with long term emotional tension, experiencing strong anxiety, depressive disorders and so on. Hence the psychosocial assessment is very essential for transplant patients to cope up with the life after transplantation.
Psychiatric assessment in transplantation Avaliação psiquiátrica no transplante
The implementation of the presumptive donor law in Brazil is expected to increase the availability of organs for transplantation. As medical management of end-stage organ dysfunction continues to improve, increasing numbers of potential transplant recipients will be available to meet this supply. There is mounting evidence that supports the involvement of skilled psychiatric practitioners in the selection of transplant candidates. Data supporting the influence of psychosocial factors on compliance and therefore medical outcomes continues to grow. The literature review allows delineating the components and rationale for comprehensive psychosocial evaluations as a component of preoperative transplantation evaluation. Resumo A implementação da figura do doador presumido e as recentes mudanças na regulamentação do transplante no Brasil irão aumentar a disponibilidade de órgãos no País. O avanço no cuidado de doentes portadores de insuficiência grave de órgãos, por sua vez, irá aumentar ...
The Effect of Pre-Transplant Psychosocial Problems on Kidney Transplantation Outcomes
2021
Introduction: The present study aimed to evaluate the association between the pre-transplant psychosocial profile and kidney transplant candidates' clinical outcomes.Methods: The present study population included all patients assessed for kidney transplant candidacy in Sina Hospital, Tehran University of Medical Sciences. The 42 patients who were candidates for kidney transplantation were enrolled in the present study. The mental health was measured by psychosocial assessment of candidates for transplantation (PACT) questionnaire. A global score of equal or lower than 2 was categorized as a low PACT score and equal and higher than 3 was defined as a high score. PACT questionnaire was completed before the kidney transplantation for each patient. The outcomes of our study were post-transplant dialysis, time of dialysis, hospital stay after transplant, rejection after transplant, time of rejection after transplant, delayed graft function, re-hospitalization after transplant, and ti...
Swiss Medical Weekly
Various non-specific questionnaires were used to measure quality of life and psychological wellbeing of patients after organ transplantation. At present cross-organ studies dealing specifically with the psychological response to a transplanted organ are non-existent in Germanspeaking countries. Methods: The Transplant Effects Questionnaire TxEQ-D and the SF-36 Quality of Life Questionnaire were used to examine the psychological response and quality of life of 370 patients after heart, lung, liver or kidney transplantation. The organ groups were compared with regard to psychosocial parameters. Results: 72% of patients develop a feeling of responsibility for the received organ and its function. This feeling is even stronger towards the patient's key relationships i.e. family, friends, the treatment team and the donor. 11.6% worry about the transplanted organ. Heart and lung patients report significantly fewer concerns than liver and kidney patients. Overall, only a minority of patients report feelings of guilt towards the donor (2.7%), problems in disclosing their transplant to others (2.4%), or difficulties in complying with medical orders (3.5%). Lung transplant patients show significantly better adherence. Conclusions: A feeling of responsibility towards those one is close to and towards the donor is a common psychological phenomenon after transplantation of an organ. Conscious feelings of guilt and shame are harboured by only a minority of patients. The fact that heart and lung patients worry less about their transplant might have primarily to do with the greater medical and psychosocial support in this group.
2003
Patients were significantly more anxious at the post compared to the pretransplantation stage. Patients with a higher belief that one's health is determined by chance factors showed lower levels of anxiety. Male patients showed stronger agreement with statements:“Others will consider me as a different person” and “I will see myself as a different person after transplantation”. Patients scored higher than students on the MCQ. Implications are discussed. Key words: renal transplantation, anxiety