The trigger-information-response model: Exploring health literacy during the first six months following a kidney transplantation.

Kari Gire Dahl, Eivind Engebretsen, Marit Helen Andersen, Kristin Hjorthaug Urstad, Astrid Klopstad Wahl
Author Information
  1. Kari Gire Dahl: Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway. ORCID
  2. Eivind Engebretsen: Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
  3. Marit Helen Andersen: Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
  4. Kristin Hjorthaug Urstad: Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
  5. Astrid Klopstad Wahl: Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.

Abstract

The main objective of this study was to explore how kidney transplant recipients find, understand, and use health information, and make decisions about their health-also known as health literacy. Kidney transplant recipients must take an active part in their health following the transplantation, since a new organ requires new medication and focus on lifestyle to prevent side-effects and signs of organ rejection. Consequently, it is of major clinical relevance to explore how kidney transplant recipients understand and relate to health literacy. Ten kidney transplant recipients were interviewed at three weeks and again at six months post-transplantation. Design and analysis were inspired by constructivist grounded theory. The results of the study are presented through a model consisting of three phases: the trigger phase, the information phase, and the response phase. The participants were influenced by context and personal factors as they moved between three phases, as information seekers, recipients, and sharers. This study illustrates health literacy as an active process. It gives new insight into what motivates kidney recipients to find, share, and receive information, and how a hierarchy of resources is built and used.

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MeSH Term

Adult
Aged
Female
Health Care Surveys
Health Literacy
Humans
Kidney Transplantation
Male
Middle Aged
Models, Theoretical

Word Cloud

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