Feasibility and Acceptability of a mHealth Self-Management Intervention for Pediatric Transplant Families.

The study was designed for feasibility and acceptability, and the small sample did not allow adequate power to examine efficacy of post-discharge outcomes. Five family members were lost to follow-up, including two allocated to intervention who did not receive it, leaving 20 myFAMI and 21 control family members for analysis. Randomization was not stratified by transplant center, transplant type, race/ethnicity, or income because of the small sample. The sample was mostly white, female, and married, which limits understanding of the intervention in other populations. The control group did not have daily comparison data for symptoms, coping difficulty, medication difficulty, appointment difficulty, or contact with the transplant team. The self-efficacy measure was not an established instrument. Self-management outcomes relied on family report of missed medications and appointments, not reconciliation with the medical record.

Publication types include Research Support, N.I.H., Extramural. The supplied text does not include an author conflict-of-interest statement.

Do not read the lower coping scores or fewer readmissions as proof that myFAMI works. The main coping outcome was not statistically significant, the study was underpowered, and the intervention included standard care, app monitoring, and nurse calls together.