The Swiss Transplant Cohort Study's framework for assessing lifelong psychosocial factors in solid-organ transplants

De Geest, Sabina and Burkhalter, Hanna and Berben, Lut and Bogert, Laura Jane and Denhaerynck, Kris and Glass, Tracy R. and Goetzmann, Lutz and Kirsch, Monika and Kiss, Alexander and Koller, Michael T. and Piot-Ziegler, Chantal and Schmidt-Trucksäss, Arno and Psychosocial Interest Group, and Swiss Transplant Cohort Study, . (2013) The Swiss Transplant Cohort Study's framework for assessing lifelong psychosocial factors in solid-organ transplants. Progress in Transplantation, 23 (3). pp. 235-246.

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Official URL: https://edoc.unibas.ch/60841/

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Understanding outcomes after transplant requires a biopsychosocial model that includes biomedical and psychosocial factors. The latter, to date, are assessed only in a limited way as part of transplant registries or cohort studies. The Swiss Transplant Cohort Study (STCS) is a nationwide open cohort study (starting May 2008) to systematically and prospectively assess psychosocial factors. This article describes the framework underpinning STCS's psychosocial assessment.; The STCS framework was adapted from the multidimensional conceptual perspective of Dew et al to describe transplant psychosocial domains and specific outcomes by adding a time perspective, a system perspective, and interaction among domains.; We propose a multidimensional, multilevel biopsychosocial framework representing mutually influencing domains from before to after transplant, and exemplify each domain by factors included in STCS and their measurement. The transplant patient, centrally positioned, is described by clinical and sociodemographic characteristics (eg, socioeconomic status, educational, professional, and relationship status). The following psychosocial domains further describe the patient: (1) physical/functional (eg, perceived health status, sleep quality, daytime sleepiness), (2) psychological (eg, depression, stress), (3) behavioral (eg, medication adherence, smoking, drug use, physical activity, sun protection), (4) social (eg, work capacity/return to work), and (5) global quality of life. Factors associated with health care system level (eg, trust in transplant team) are also included in the model.; The STCS's psychosocial framework provides a basis for studying the interplay of biomedical, sociodemographic, psychosocial, behavioral, and health care system factors in view of transplant outcomes and therefore has the potential to guide biopsychosocial transplant research.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:De Geest, Sabina M. and Burkhalter, Hanna and Denhaerynck, Kris
Item Type:Article, refereed
Article Subtype:Research Article
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:16 Jul 2020 12:47
Deposited On:16 Jul 2020 12:47

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