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Behavioral modeling to guide adherence to fluid control in hemodialysis patients.
J Ren Nutr. 2009 Mar; 19(2):153-60.JR

Abstract

OBJECTIVE

This study used the health belief model (HBM) and the transtheoretical model (TTM) to assess hemodialysis (HD) patients' readiness to comply with recommended fluid intake as it relates to their perceptions of therapy and disease.

DESIGN

This was a multicenter, cross-sectional study.

SETTING

The setting involved 3 hospital-based HD centers in Lebanon.

PATIENTS

Patients included 172 consenting HD patients who had been on HD for at least 3 months and were mentally stable.

INTERVENTION

Placement of patients into TTM stages was based on their readiness to comply with recommended fluid intake, as confirmed by 4-week interdialytic weight-gain measures, and taking into account their perceptions toward therapy (using HBM constructs).

MAIN OUTCOME MEASURES

Mean scores of HBM constructs for each patient were placed in one of the TTM stages of readiness to change.

RESULTS

This study included 54.1% males, the average age was 57.8 +/- 14.0 (SD) years, and average number of years on dialysis was 4.6 +/- 4.9. Regarding stages, 18.5% of participants were placed in precontemplation, 40.0% in contemplation, 38.1% in preparation, and 3.4% were in the action/maintenance stages. The HBM constructs were significantly associated with TTM (P < .01). Perceptions of benefits (P = .04) and self-efficacy (P < .01) were significantly associated with TTM.

CONCLUSION

Compliance is a multifaceted topic, essential for the survival and quality of life of HD patients. A better understanding of patients' beliefs and level of self-efficacy is a fundamental key to enhancing patients' compliance to therapy and achieving the required behavioral modifications.

Authors+Show Affiliations

Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon. sg16@aub.edu.lbNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

19218042

Citation

Ghaddar, Sana, et al. "Behavioral Modeling to Guide Adherence to Fluid Control in Hemodialysis Patients." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 19, no. 2, 2009, pp. 153-60.
Ghaddar S, Shamseddeen W, Elzein H. Behavioral modeling to guide adherence to fluid control in hemodialysis patients. J Ren Nutr. 2009;19(2):153-60.
Ghaddar, S., Shamseddeen, W., & Elzein, H. (2009). Behavioral modeling to guide adherence to fluid control in hemodialysis patients. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 19(2), 153-60. https://doi.org/10.1053/j.jrn.2008.08.011
Ghaddar S, Shamseddeen W, Elzein H. Behavioral Modeling to Guide Adherence to Fluid Control in Hemodialysis Patients. J Ren Nutr. 2009;19(2):153-60. PubMed PMID: 19218042.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Behavioral modeling to guide adherence to fluid control in hemodialysis patients. AU - Ghaddar,Sana, AU - Shamseddeen,Wael, AU - Elzein,Hafez, PY - 2008/01/31/received PY - 2009/2/17/entrez PY - 2009/2/17/pubmed PY - 2009/6/2/medline SP - 153 EP - 60 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 19 IS - 2 N2 - OBJECTIVE: This study used the health belief model (HBM) and the transtheoretical model (TTM) to assess hemodialysis (HD) patients' readiness to comply with recommended fluid intake as it relates to their perceptions of therapy and disease. DESIGN: This was a multicenter, cross-sectional study. SETTING: The setting involved 3 hospital-based HD centers in Lebanon. PATIENTS: Patients included 172 consenting HD patients who had been on HD for at least 3 months and were mentally stable. INTERVENTION: Placement of patients into TTM stages was based on their readiness to comply with recommended fluid intake, as confirmed by 4-week interdialytic weight-gain measures, and taking into account their perceptions toward therapy (using HBM constructs). MAIN OUTCOME MEASURES: Mean scores of HBM constructs for each patient were placed in one of the TTM stages of readiness to change. RESULTS: This study included 54.1% males, the average age was 57.8 +/- 14.0 (SD) years, and average number of years on dialysis was 4.6 +/- 4.9. Regarding stages, 18.5% of participants were placed in precontemplation, 40.0% in contemplation, 38.1% in preparation, and 3.4% were in the action/maintenance stages. The HBM constructs were significantly associated with TTM (P < .01). Perceptions of benefits (P = .04) and self-efficacy (P < .01) were significantly associated with TTM. CONCLUSION: Compliance is a multifaceted topic, essential for the survival and quality of life of HD patients. A better understanding of patients' beliefs and level of self-efficacy is a fundamental key to enhancing patients' compliance to therapy and achieving the required behavioral modifications. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/19218042/Behavioral_modeling_to_guide_adherence_to_fluid_control_in_hemodialysis_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(08)00395-6 DB - PRIME DP - Unbound Medicine ER -