Limited health literacy (LHL) has profound implications on measured transplant outcomes as it is associated with higher incidence of graft loss, organ rejection, decreased immunosuppression medication adherence, and increased hospital re-admissions. Identification of patients with limited health literacy allows for opportunities to provide targeted medication education that allows patients to become more active participants in their care while increasing their transplant medication education knowledge and self-efficacy. The aims of this DNP projects were to develop and implement a medication education intervention algorithm that incorporates health literacy scores and evidenced based educational interventions amongst kidney transplant recipients (initial transplants and re-admissions) and evaluate what effect medication education interventions have on transplant medication knowledge and medication self-efficacy. Fifty-percent of participants who underwent health literacy screening were found to be at risk for LHL and a significant difference was found in overall transplant medication education scores and SEAMS assessment scores post intervention. These results reinforces that there is a need for health literacy screening to identify patients who may require additional educational intervention. The improvement seen in overall transplant medication education scores and SEAMS assessment scores post-intervention aligns with the existing literature on health literacy, which is that intervention leads to improved health literacy and improved patient behaviors.
","abstract_html":"<p>Limited health literacy (LHL) has profound implications on measured transplant outcomes as it is associated with higher incidence of graft loss, organ rejection, decreased immunosuppression medication adherence, and increased hospital re-admissions. Identification of patients with limited health literacy allows for opportunities to provide targeted medication education that allows patients to become more active participants in their care while increasing their transplant medication education knowledge and self-efficacy. The aims of this DNP projects were to develop and implement a medication education intervention algorithm that incorporates health literacy scores and evidenced based educational interventions amongst kidney transplant recipients (initial transplants and re-admissions) and evaluate what effect medication education interventions have on transplant medication knowledge and medication self-efficacy. Fifty-percent of participants who underwent health literacy screening were found to be at risk for LHL and a significant difference was found in overall transplant medication education scores and SEAMS assessment scores post intervention. These results reinforces that there is a need for health literacy screening to identify patients who may require additional educational intervention. The improvement seen in overall transplant medication education scores and SEAMS assessment scores post-intervention aligns with the existing literature on health literacy, which is that intervention leads to improved health literacy and improved patient behaviors.</p>","abstract_has_math":false,"creators":["Karkhang, Colleen Chime"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Laura Andrews","Joanne Iennaco"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-01-01T08:00:00Z","date_published":"2023-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["ESRD, health literacy, kidney transplant, medication adherence, medication knowledge, transplant surgery"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1153","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Laura Andrews","Joanne Iennaco"]},{"key":"dc:creator","label":"Author","values":["Karkhang, Colleen Chime"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["ESRD, health literacy, kidney transplant, medication adherence, medication knowledge, transplant surgery"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1153"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Limited health literacy (LHL) has profound implications on measured transplant outcomes as it is associated with higher incidence of graft loss, organ rejection, decreased immunosuppression medication adherence, and increased hospital re-admissions. Identification of patients with limited health literacy allows for opportunities to provide targeted medication education that allows patients to become more active participants in their care while increasing their transplant medication education knowledge and self-efficacy. The aims of this DNP projects were to develop and implement a medication education intervention algorithm that incorporates health literacy scores and evidenced based educational interventions amongst kidney transplant recipients (initial transplants and re-admissions) and evaluate what effect medication education interventions have on transplant medication knowledge and medication self-efficacy. Fifty-percent of participants who underwent health literacy screening were found to be at risk for LHL and a significant difference was found in overall transplant medication education scores and SEAMS assessment scores post intervention. These results reinforces that there is a need for health literacy screening to identify patients who may require additional educational intervention. The improvement seen in overall transplant medication education scores and SEAMS assessment scores post-intervention aligns with the existing literature on health literacy, which is that intervention leads to improved health literacy and improved patient behaviors.
"]},{"key":"dc:title","label":"Title","values":["Increasing Transplant Medication Knowledge Through Implementation Of A Medication Education Intervention Algorithm"]}]}],"canonical_facts":{"dc:contributor":["Laura Andrews","Joanne Iennaco"],"dc:creator":["Karkhang, Colleen Chime"],"dc:description.abstract":["Limited health literacy (LHL) has profound implications on measured transplant outcomes as it is associated with higher incidence of graft loss, organ rejection, decreased immunosuppression medication adherence, and increased hospital re-admissions. Identification of patients with limited health literacy allows for opportunities to provide targeted medication education that allows patients to become more active participants in their care while increasing their transplant medication education knowledge and self-efficacy. The aims of this DNP projects were to develop and implement a medication education intervention algorithm that incorporates health literacy scores and evidenced based educational interventions amongst kidney transplant recipients (initial transplants and re-admissions) and evaluate what effect medication education interventions have on transplant medication knowledge and medication self-efficacy. Fifty-percent of participants who underwent health literacy screening were found to be at risk for LHL and a significant difference was found in overall transplant medication education scores and SEAMS assessment scores post intervention. These results reinforces that there is a need for health literacy screening to identify patients who may require additional educational intervention. The improvement seen in overall transplant medication education scores and SEAMS assessment scores post-intervention aligns with the existing literature on health literacy, which is that intervention leads to improved health literacy and improved patient behaviors.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1153"],"dc:subject":["ESRD, health literacy, kidney transplant, medication adherence, medication knowledge, transplant surgery"],"dc:title":["Increasing Transplant Medication Knowledge Through Implementation Of A Medication Education Intervention Algorithm"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}