TABLE 2.
SIPAT Analysis Comparing Patients Declined for LT to Other Patients*
| SIPAT Domain | Declined for LT | Not Declined for LT | P Value † |
|---|---|---|---|
| Mean (SD) | Mean (SD) | ||
| A. Patient’s readiness level | |||
| I. Knowledge and understanding of medical illness process | 1.56 (0.79) | 1.59 (0.82) | 0.91 |
| II. Knowledge and understanding of the process of transplantation | 1.73 (0.69) | 1.74 (0.75) | 0.98 |
| III. Willingness/desire for treatment (transplant) | 1.22 (0.73) | 1.15 (0.78) | 0.75 |
| IV. Treatment compliance/adherence | 3.48 (2.02) | 2.56 (1.71) | 0.06 |
| V. Lifestyle factors (diet, exercise, fluid restrictions, habits according to organ) | 1.21 (0.85) | 1.20 (0.83) | 0.96 |
| B. Social support system | |||
| VI. Availability of social support system | 2.78 (1.78) | 1.74 (1.31) | 0.01 |
| VII. Functionality of social support system | 2.52 (1.83) | 1.69 (1.42) | 0.05 |
| VIII. Appropriateness of physical living space and environment | 0.65 (0.93) | 0.67 (0.62) | 0.94 |
| C. Psychological stability and psychopathology | |||
| IX. Presence of psychopathology (mood, anxiety, psychosis, others) | 3.12 (1.79) | 2.20 (1.82) | 0.06 |
| IXa. Assessment of depression | 1.52 (0.79) | 1.15 (0.93) | 0.12 |
| IXb. Assessment of anxiety | 1.13 (0.62) | 0.89 (0.88) | 0.27 |
| X. History of organic psychopathology or neurocognitive impairment | 0.56 (1.04) | 0.23 (0.48) | 0.09 |
| Xa. Assessment of current cognitive functioning | 0.13 (0.46) | 1.1 (0.38) | 0.79 |
| XI. Influence of personality traits versus disorder | 0 (0‐0.5) | 0 (0‐0) | 0.39 |
| XII. Effect of truthfulness versus deceptive behavior in presentation | 1.17 (1.87) | 1.20 (1.97) | 0.95 |
| XIII. Overall risk for psychopathology | 1.96 (1.15) | 1.67 (1.47) | 0.42 |
| D. Lifestyle and effect of substance use | |||
| XIV. Alcohol use/abuse/dependance | 4.09 (2.66) | 3.49 (1.99) | 0.32 |
| XV. Alcohol use/abuse/dependence: risk for recidivism | 2 (1.31) | 1.67 (1.06) | 0.28 |
| XVI. Substance use/abuse/dependance, including prescribed and illicit substances | 1 (1.24) | 0.87 (1.57) | 0.74 |
| XVII. Substance use/abuse/dependance, including prescribed and illicit substances: risk for recidivism | 0.56 (0.51) | 0.74 (0.71) | 0.29 |
| XVIII. Nicotine use/abuse/dependence | 1 (1.21) | 0.74 (1.31) | 0.45 |
Performed for the 62 patients in our cohort with a reported SIPAT score. Score interpretation per domain: I. 1, good understanding; 2, moderate understanding. II. 1, good understanding; 2, moderate understanding. III. 1, good; 2, moderate. IV. 2, good; 4, moderate. V. 1, patient is responsive to recommended changes; 2, patient is reluctant but compliant with recommended changes after much prompting and encouragement from support and transplant team. VI. 0, excellent; 2, good; 4, moderate. VII. 0, excellent; 2, good; 4, moderate. VIII. 0, excellent; 1, good. IX. 2, mild psychopathology; 4, moderate psychopathology. IXa. 1, mild; 2, moderate. IXb. 0, no; 1, mild; 2, moderate. X. 0, none; 1, mild organic psychopathology. Xa. 0, cognitive functioning with normal limits; 1, borderline; 2, impaired. XI. 0, none; 1, minimal. XII. 0, no evidence of deceptive behavior in history or present; 2, patient has not volunteered some negative information but truthfully answered on direct questioning. XIII. 1, minimal; 2, mild. XIV. 2, alcohol use without abuse; 4, moderate alcohol abuse. XV. 1, low risk; 2, moderate risk. XVI. 0, none; 1, history of minimal substance abuse. XVII. 0, none; 1, low risk. XVIII. 0, none; 1, past use.
P < 0.05 is considered significant.