BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment

Kim Bul, Nithya Krishnan, Deborah Griggs, Kate McCharthy, Becky Whiteman, Ala Szczepura, Toshio Nomura

Research output: Contribution to conferencePoster

Abstract

Introduction
Treatment adherence in kidney transplant patients is particularly challenging during adolescence and young adulthood. This produces adverse consequences such as higher transplant failure, decreased quality of life and increased mortality. A novel qualitative creative problem-solving method (KJ Ho), widely used in Japan, has been applied in the United Kingdom (UK) to disentangle clinicians’ and young kidney transplant patients’ perspectives on this problem area. The study forms the first stage in the development of a user-driven digital intervention to improve long-term treatment adherence. KJ-Ho has contributed widely to clinical practice and knowledge in multiple contexts in Japan; our first application of this method in the UK should similarly contribute to improving post-transplant practice and knowledge.

Methods
KJ Ho is a Japanese creative problem solving method to organize qualitative research data. Clinicians were invited to take part in a two hour creative workshop. Data were analysed in a step-wise approach from which several overarching themes emerged. Similar workshops for patients (aged from 13 – 30 years) and their family members are being conducted. KJ Ho findings will be synthesized with two systematic literature reviews being undertaken in parallel.

Results
Six overarching themes were identified during the clinicians’ workshop: (1) non-adherence; (2) communication; (3) continuity in care; (4) values; (5) family; (6) patient-centred. Similar data concerning young kidney transplant patients’ needs is currently being collected and analysed. Triangulation of the KJ Ho data with standard systematic review outputs will provide a robust evidence base for intervention development.

Discussion
Integration of this original KJ Ho problem-solving method with standard Western systematic literature review methods can better identify factors currently influencing treatment adherence. This co-creation phase will be followed by a co-design stage to produce a digital intervention able to improve treatment adherence among young kidney transplant patients, which will be tested in a future large-scale trial.


LanguageEnglish
Number of pages1
Publication statusPublished - 16 Mar 2018
EventBTS Annual Congress 2018 - Brighton, Brighton, United Kingdom
Duration: 14 Mar 201816 Mar 2018
Conference number: 21
https://bts.org.uk/events-meetings/annual-congress-2018-2/

Conference

ConferenceBTS Annual Congress 2018
CountryUnited Kingdom
CityBrighton
Period14/03/1816/03/18
Internet address

Fingerprint

Transplants
Kidney
Education
Japan
Therapeutics
Continuity of Patient Care
Qualitative Research
Communication
Quality of Life
Mortality
United Kingdom

Keywords

  • kidney transplantion
  • KJ Ho
  • qualtative research
  • adolescents
  • creative problem-solving

Cite this

Bul, K., Krishnan, N., Griggs, D., McCharthy, K., Whiteman, B., Szczepura, A., & Nomura, T. (2018). BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment. Poster session presented at BTS Annual Congress 2018, Brighton, United Kingdom.

BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment. / Bul, Kim; Krishnan, Nithya; Griggs, Deborah; McCharthy, Kate ; Whiteman, Becky; Szczepura, Ala; Nomura, Toshio.

2018. Poster session presented at BTS Annual Congress 2018, Brighton, United Kingdom.

Research output: Contribution to conferencePoster

Bul, K, Krishnan, N, Griggs, D, McCharthy, K, Whiteman, B, Szczepura, A & Nomura, T 2018, 'BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment' BTS Annual Congress 2018, Brighton, United Kingdom, 14/03/18 - 16/03/18, .
Bul K, Krishnan N, Griggs D, McCharthy K, Whiteman B, Szczepura A et al. BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment. 2018. Poster session presented at BTS Annual Congress 2018, Brighton, United Kingdom.
Bul, Kim ; Krishnan, Nithya ; Griggs, Deborah ; McCharthy, Kate ; Whiteman, Becky ; Szczepura, Ala ; Nomura, Toshio. / BTS conference - Using the Japanese KJ Ho method as a qualitative creative problem solving technique to address clinicians’ and young kidney transplant patients’ needs concerning treatment. Poster session presented at BTS Annual Congress 2018, Brighton, United Kingdom.1 p.
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AU - Whiteman, Becky

AU - Szczepura, Ala

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N2 - Introduction Treatment adherence in kidney transplant patients is particularly challenging during adolescence and young adulthood. This produces adverse consequences such as higher transplant failure, decreased quality of life and increased mortality. A novel qualitative creative problem-solving method (KJ Ho), widely used in Japan, has been applied in the United Kingdom (UK) to disentangle clinicians’ and young kidney transplant patients’ perspectives on this problem area. The study forms the first stage in the development of a user-driven digital intervention to improve long-term treatment adherence. KJ-Ho has contributed widely to clinical practice and knowledge in multiple contexts in Japan; our first application of this method in the UK should similarly contribute to improving post-transplant practice and knowledge. Methods KJ Ho is a Japanese creative problem solving method to organize qualitative research data. Clinicians were invited to take part in a two hour creative workshop. Data were analysed in a step-wise approach from which several overarching themes emerged. Similar workshops for patients (aged from 13 – 30 years) and their family members are being conducted. KJ Ho findings will be synthesized with two systematic literature reviews being undertaken in parallel.Results Six overarching themes were identified during the clinicians’ workshop: (1) non-adherence; (2) communication; (3) continuity in care; (4) values; (5) family; (6) patient-centred. Similar data concerning young kidney transplant patients’ needs is currently being collected and analysed. Triangulation of the KJ Ho data with standard systematic review outputs will provide a robust evidence base for intervention development.DiscussionIntegration of this original KJ Ho problem-solving method with standard Western systematic literature review methods can better identify factors currently influencing treatment adherence. This co-creation phase will be followed by a co-design stage to produce a digital intervention able to improve treatment adherence among young kidney transplant patients, which will be tested in a future large-scale trial.

AB - Introduction Treatment adherence in kidney transplant patients is particularly challenging during adolescence and young adulthood. This produces adverse consequences such as higher transplant failure, decreased quality of life and increased mortality. A novel qualitative creative problem-solving method (KJ Ho), widely used in Japan, has been applied in the United Kingdom (UK) to disentangle clinicians’ and young kidney transplant patients’ perspectives on this problem area. The study forms the first stage in the development of a user-driven digital intervention to improve long-term treatment adherence. KJ-Ho has contributed widely to clinical practice and knowledge in multiple contexts in Japan; our first application of this method in the UK should similarly contribute to improving post-transplant practice and knowledge. Methods KJ Ho is a Japanese creative problem solving method to organize qualitative research data. Clinicians were invited to take part in a two hour creative workshop. Data were analysed in a step-wise approach from which several overarching themes emerged. Similar workshops for patients (aged from 13 – 30 years) and their family members are being conducted. KJ Ho findings will be synthesized with two systematic literature reviews being undertaken in parallel.Results Six overarching themes were identified during the clinicians’ workshop: (1) non-adherence; (2) communication; (3) continuity in care; (4) values; (5) family; (6) patient-centred. Similar data concerning young kidney transplant patients’ needs is currently being collected and analysed. Triangulation of the KJ Ho data with standard systematic review outputs will provide a robust evidence base for intervention development.DiscussionIntegration of this original KJ Ho problem-solving method with standard Western systematic literature review methods can better identify factors currently influencing treatment adherence. This co-creation phase will be followed by a co-design stage to produce a digital intervention able to improve treatment adherence among young kidney transplant patients, which will be tested in a future large-scale trial.

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