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Adherence in Kidney Disease

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108 papers 25 to 100 followers
By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
Nguyet Thi Nguyen, Clint Douglas, Ann Bonner
AIMS: To examine the effectiveness of a self-management intervention compared with usual care in adults with chronic kidney disease on self-management, knowledge, self-efficacy, health-related quality of life and blood pressure. DESIGN: A parallel group randomized controlled trial. METHODS: Patients aged ≥ 18 years with chronic kidney disease stages 3-5 were recruited between November 2015 - June 2016. Participants were randomly allocated into either the intervention (N = 68) or control group (N = 67)...
December 10, 2018: Journal of Advanced Nursing
Charan Bale, Alexandra Douglas, Dev Jegatheesan, Linh Pham, Sonny Huynh, Atul Mulay, Dwarakanathan Ranganathan
Aim. This study seeks to review the psychosocial factors affecting patients with end-stage kidney disease (ESKD) from a tertiary hospital in Australia. Methods. We audited patients with ESKD, referred to social work services from January 2012 to December 2014. All patients underwent psychosocial assessments by one, full-time renal social worker. Patient demographics, cumulative social issues, and subsequent interventions were recorded directly into a database. Results. Of the 244 patients referred, the majority were >60 years (58...
2016: International Journal of Nephrology
Fahad Dakheel Alosaimi, Mohammed Asiri, Saleh Alsuwayt, Tariq Alotaibi, Mohammed Bin Mugren, Abdulmalik Almufarrih, Saad Almodameg
BACKGROUND: A number of reports suggest a link between depression and nonadherence to recommended management for end-stage renal disease (ESRD) patients on maintenance dialysis. However, the relationship between nonadherence and other psychosocial factors have been inadequately examined. OBJECTIVES: To examine the prevalence of psychosocial factors including depression, anxiety, insecure attachment style, as well as cognitive impairment and their associations with adherence to recommended management of ESRD...
2016: International Journal of Nephrology and Renovascular Disease
Lauren Galbraith, Brenda Hemmelgarn, Braden Manns, Susan Samuel, Joanne Kappel, Nadine Valk, Paul Ronksley
BACKGROUND: Health behaviour change is an important component of management for patients with chronic kidney disease (CKD); however, the optimal method to promote health behaviour change for self-management of CKD is unknown. The See Kidney Disease (SeeKD) targeted screening programme screened Canadians at risk for CKD and promoted health behaviour change through individual counselling and goal setting. OBJECTIVES: The objectives of this study are to determine the effectiveness of individual counselling sessions for eliciting behaviour change and to describe participant characteristics associated with behaviour change...
2016: Canadian Journal of Kidney Health and Disease
Jennifer A Pooler, Mithuna Srinivasan
Importance: Understanding if the association of social programs with health care access and utilization, especially among older adults with costly chronic medical conditions, can help in improving strategies for self-management of disease. Objective: To examine whether participation in the Supplemental Nutrition Assistance Program (SNAP) is associated with a reduced likelihood of low-income older adults with diabetes (aged ≥65 years) needing to forgo medications because of cost...
November 19, 2018: JAMA Internal Medicine
Robert G Nelson, V Shane Pankratz, Donica M Ghahate, Jeanette Bobelu, Thomas Faber, Vallabh O Shah
BACKGROUND AND OBJECTIVES: The burden of CKD is greater in ethnic and racial minorities and persons living in rural communities, where access to care is limited. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A 12-month clinical trial was performed in 98 rural adult Zuni Indians with CKD to examine the efficacy of a home-based kidney care program. Participants were randomized by household to receive usual care or home-based care. After initial lifestyle coaching, the intervention group received frequent additional reinforcement by community health representatives about adherence to medicines, diet and exercise, self-monitoring, and coping strategies for living with stress...
November 15, 2018: Clinical Journal of the American Society of Nephrology: CJASN
Ian A Scott, Paul Scuffham, Deepali Gupta, Tanya M Harch, John Borchi, Brent Richards
Objective Smartphone health applications (apps) are being increasingly used to assist patients in chronic disease self-management. The effects of such apps on patient outcomes are uncertain, as are design features that maximise usability and efficacy, and the best methods for evaluating app quality and utility. Methods In assessing efficacy, PubMed, Cochrane Library and EMBASE were searched for systematic reviews (and single studies if no systematic review was available) published between January 2007 and January 2018 using search terms (and synonyms) of 'smartphone' and 'mobile applications', and terms for each of 11 chronic diseases: asthma, chronic obstructive lung disease (COPD), diabetes, chronic pain, serious mental health disorders, alcohol and substance addiction, heart failure, ischaemic heart disease, cancer, cognitive impairment, chronic kidney disease (CKD)...
November 13, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Alexander James Hamilton, Fergus J Caskey, Anna Casula, Carol D Inward, Yoav Ben-Shlomo
BACKGROUND AND OBJECTIVES: Young adults receiving kidney replacement therapy (KRT) have impaired quality of life and may exhibit low medication adherence. We tested the hypothesis that wellbeing and medication adherence are associated with psychosocial factors. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a cross-sectional online survey for young adults on KRT. Additional clinical information was obtained from the UK Renal Registry. We compared outcomes by treatment modality using age- and sex-adjusted regression models, having applied survey weights to account for response bias by sex, ethnicity, and socioeconomic status...
October 16, 2018: Clinical Journal of the American Society of Nephrology: CJASN
Amanda Grandinetti
No abstract text is available yet for this article.
October 16, 2018: Clinical Journal of the American Society of Nephrology: CJASN
X F Xu, Y T Feng, Y F Tian, H Y Wang
BACKGROUND: A variety of complex drug regimens are offered to kidney transplant recipients after transplantation. This study aimed to evaluate the behavioral and physiological outcomes of pharmaceutical care in this population. METHODS: A cross-sectional prospective study was conducted, which collected and categorized kidney transplant recipients according to pharmaceutical care. In the IR group, patients had received irregular pharmaceutical care after transplantation, and in the RE group, patients had received regular intervention...
October 2018: Transplantation Proceedings
Tiffany R Washington, Debra J Hain, Sheryl Zimmerman, Iris Carlton-LaNey
Controlled fluid intake is an important aspect of living with end stage renal disease (ESRD), and is complicated by depression, the most common mental health issue affecting individuals with ESRD. Factors that mitigate the deleterious effects of depression are underexplored. This study sought to identify potential mediators between depression and fluid adherence in 107 individuals with ESRD aged 50 years and older by comparing four logistic regression models. Age was associated with an increase in fluid adherence (adjusted odds ratio [AOR]=1...
May 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Alexander J Hamilton, Fergus J Caskey, Anna Casula, Yoav Ben-Shlomo, Carol D Inward
RATIONALE & OBJECTIVE: Patients in late adolescence and early adulthood receiving renal replacement therapy (RRT) face disruption to normal activities, which affects well-being. We aimed to define psychosocial and lifestyle outcomes for young adults on RRT compared to the general population. STUDY DESIGN: We undertook a cross-sectional survey (the SPEAK [Surveying Patients Experiencing Young Adult Kidney Failure] Study) using validated measures and general population comparator data from the Health Survey for England and Avon Longitudinal Study of Parents and Children...
October 4, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Cyd K Eaton, Michelle N Eakin, Shayna Coburn, Cozumel S Pruette, Tammy M Brady, Barbara A Fivush, Susan Mendley, Shamir Tuchman, Kristin A Riekert
Objective: To investigate longitudinal associations of health beliefs, which included self-efficacy, outcome expectancies, and perceived barriers, and demographic risk factors (i.e., age, gender, race, and family income) with antihypertensive medication adherence in adolescents with chronic kidney disease (CKD) over 24 months. Method: The sample included 114 adolescents (M age = 15.03 years, SD = 2.44) diagnosed with CKD. Adolescents reported their self-efficacy for taking medications, medication outcome expectancies, and barriers to adherence at baseline and 12 and 24 months after baseline...
September 24, 2018: Journal of Pediatric Psychology
Carlo Alfieri, Anna Regalia, Francesca Zanoni, Simone Vettoretti, Mario Cozzolino, Piergiorgio Messa
Secondary hyperparathyroidism (SHPT) is a frequent condition in the presence of chronic kidney disease (CKD). In CKD patients, SHPT is reported to increase both morbidity and mortality, especially cardiovascular. The difficulty in the treatment of SHPT in clinical practice is frequently encountered from a not always adequate conduct of the clinicians and a common non-compliance to the therapy of CKD patients. In this review, the greatest difficulties from clinicians and CKD-patients' point of view in the treatment of SHPT will be addressed, with particular attention to those related to dialysis features, nutritional habits, and medical therapy...
September 17, 2018: Blood Purification
Geldine Chironda, Busisiwe Rosemary Bhengu
The integrated management of chronic kidney disease (CKD) demands significant changes, as patients need to adhere to dialysis, medication, and dietary and fluid restrictions. Therefore, there is a need to identify the motivators of adherence to improve the quality of life of these patients. The aim of the present study was to explore the motivators of adherence to integrated management among patients with CKD in South Africa. A phenomenological design was used. A sample size of 12 participants was selected according to data saturation...
September 7, 2018: Nursing & Health Sciences
A Jakubowska-Winecka, M Biernacka
The objective of the study was to determine the connection between parental attitudes and medication adherence and the selected aspects of treatment in groups of adolescents after kidney and liver transplantations, in comparison with adolescents with diabetes and inflammatory bowel disease. Attitudes were assessed using M. Plopa's Parental Attitudes Scale, which distinguishes 5 types of attitudes. Medication adherence was evaluated on the basis of the Morisky Medication Adherence Scale (MMAS-8), used with the author's consent...
September 2018: Transplantation Proceedings
Catherine M Sullivan, Kitty V Barnswell, Kate Greenway, Cindy M Kamps, Derrick Wilson, Jeffrey M Albert, Jacqueline Dolata, Anne Huml, Julie A Pencak, John T Ducker, Roberto Gedaly, Christopher M Jones, Todd Pesavento, Ashwini R Sehgal
BACKGROUND AND OBJECTIVES: Many patients with ESKD face barriers in completing the steps required to obtain a transplant. These eight sequential steps are medical suitability, interest in transplant, referral to a transplant center, first visit to center, transplant workup, successful candidate, waiting list or identify living donor, and receive transplant. This study sought to determine the effect of navigators on helping patients complete these steps. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Our study was a cluster randomized, controlled trial involving 40 hemodialysis facilities and four transplant centers in Ohio, Kentucky, and Indiana from January 1, 2014 to December 31, 2016...
October 8, 2018: Clinical Journal of the American Society of Nephrology: CJASN
Shu-Li Wang, Yi-Wen Chiu, Lan-Fang Kung, Tzu-Hui Chen, Shih-Ming Hsiao, Pei-Ni Hsiao, Shang-Jyh Hwang, Hui-Min Hsieh
AIM: Self-care behavior represents the "action" element of self-management. This study aimed to use the Chronic Kidney Disease Self-Care (CKDSC) scale to examine factors associated with self-care and aspects of self-care deficits among patients with CKD stages in Taiwan. METHODS: A cross-sectional investigation was conducted using the CKDSC scale with a total of 449 CKD patients in Taiwan. The CKDSC is a 16-item questionnaire with five subscales, including medication adherence, diet control, exercise, smoking behaviors, and blood pressure monitoring...
August 20, 2018: Nephrology
Cozumel S Pruette, Shayna S Coburn, Cyd K Eaton, Tammy M Brady, Shamir Tuchman, Susan Mendley, Barbara A Fivush, Michelle N Eakin, Kristin A Riekert
BACKGROUND: Medical provider assessment of nonadherence is known to be inaccurate. Researchers have suggested using a multimethod assessment approach; however, no study has demonstrated how to integrate different measures to improve accuracy. This study aimed to determine if using additional measures improves the accurate identification of nonadherence beyond provider assessment alone. METHODS: Eighty-seven adolescents and young adults (AYAs), age 11-19 years, with chronic kidney disease (CKD) [stage 1-5/end-stage renal disease (ESRD)] and prescribed antihypertensive medication, their caregivers, and 17 medical providers participated in the multisite study...
January 2019: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Kunal Yadav, David M Vock, Arthur J Matas, William N Robiner, Thomas E Nevins
Background: Nonadherence to posttransplant immunosuppressive medication is associated with increased rates of rejection and graft loss, yet it is unknown to what degree ideal adherence is associated with the sequelae of overimmunosuppression. Specifically, we questioned whether excellent adherence increased the posttransplant cancer risk. Methods: Between August 1998 and August 2006, 195 consenting kidney transplant recipients had electronic monitoring of theirimmunosuppressive medication adherence...
August 8, 2018: Nephrology, Dialysis, Transplantation
2018-08-18 14:47:42
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