Comparison of the Effect of Multimedia and Booklet Methods on Quality of Life of Kidney Transplant Patients: A Randomized Clinical Trial Study.
Parisa Mansouri, Roghayeh Sayari, Zahra Dehghani and 1 others
PMID 32039276WHAT IT FOUND
With phone follow-up, kidney transplant patients given a multimedia CD or a booklet at discharge had similar quality of life after two months.
Both groups improved, but neither method was better.
Key findings
01After the intervention, overall quality of life did not differ significantly between the booklet and multimedia groups.
02Both groups improved in overall quality of life, emotion, fatigue and uncertainty/fear, but not in physical symptoms or appearance.
03Participants received their assigned CD or booklet at discharge under researcher supervision and also had phone follow-up, so the education method cannot be separated from supervision and follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling in one centre. The participants may not represent all kidney transplant patients. Only 78 patients were analysed. The follow-up was only two months, and longer-term effects are unknown. The text describes the study as single-blind but does not say who was blinded. The outcome was a self-report questionnaire. Both groups also received researcher supervision and phone follow-up. The study cannot separate the effect of the CD or booklet from the effect of supervision and follow-up. There was no usual-care or no-education control group. The pre-post improvements cannot be compared with routine care alone. The sample required a home DVD player, Persian literacy and age 18 to 65. It may not apply to patients without these conditions. The authors noted limited time and personal, cultural, economic and physical differences as possible influences on results.
The easy way to misread this
Do not conclude that multimedia education is better than a booklet. The between-group quality of life scores after the intervention were not significantly different. Do not attribute the within-group improvement only to the CD or booklet. Both groups also received researcher supervision and phone follow-up.