Associations of Health Literacy With Dialysis Adherence and Health Resource Utilization in Patients Receiving Maintenance Hemodialysis

Green, Jamie A.; Mor, Maria K.; Shields, Andrew; Sevick, Mary Ann; Arnold, Robert M.; Palevsky, Paul M.; Fine, Michael J.; Weisbord, Steven D.

doi:10.1053/j.ajkd.2012.12.014

Cited by 117 publications

(115 citation statements)

References 46 publications

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“…Although an inappropriate level of FHL have been shown in studies with CKD patients in substitutive renal therapy, and its relation with low level of knowledge about the disease have already been highlighted (5) , such relation has not been observed in the results of the present study. The small number of participants and the fact that 100% of them present inappropriate FHL could justify the non association between the variables, however the statistical proximity found (p = 0.052) suggests this association.…”

Section: Discussioncontrasting

confidence: 63%

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Letramento funcional em saúde e conhecimento de doentes renais em tratamento pré-dialítico

et al. 2017

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Objective: to analyze the functional health literacy (FHL), i.e., understanding and knowledge about chronic renal disease of 60 patients in pre-dialytic treatment. Method: this is a cross-sectional study. FHL was measured by B-TOFHLA; and the knowledge, by questionnaire. Pearson correlation and Chi-square tests were carried out as well as linear regression models. Results: all respondents presented inadequate FHL, and most showed insuffi cient knowledge about the disease and treatment. Low schooling was a predictive factor for worst FHL scores. Insuffi cient knowledge was related to age and compromised cognition. Conclusion: although association between predictive variables has not been found, limited capability to obtain and use health-related information and insuffi cient knowledge about their own condition and treatment can contribute to worse outcomes for CKD. Appropriate intervention strategies are necessary to deal with limited FHL and also greater knowledge and ability of professionals to deal with the matter.

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Section: Discussioncontrasting

confidence: 63%

“…Among these goals, health education is considered the leading main point of pre-dialytic treatment (5) , and the most commonly actions taken are information through printed material, such as dietary guidelines and medicamental therapy.…”

Section: Introductionmentioning

confidence: 99%

Letramento funcional em saúde e conhecimento de doentes renais em tratamento pré-dialítico

et al. 2017

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“…These patients constitute 3 to 5% of the prevalent chronic hemodialysis (HD) patients in the USA (1). Both CKD and ESRD have a significant negative impact on survival as well as lifestyle and socioeconomic status (1,6,8).…”

Section: Comparison Of Survival Of Patients With Heart and Lung Transmentioning

confidence: 99%

Health Literacy in Patients on Maintenance Peritoneal Dialysis: Prevalence and Outcomes

et al. 2015

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“…It has been reported that risk factors for non-adherence includes health care system–related factors which have been neglected by most authors who assessed the subject [7, 36]. Since the healthcare system in Palestine and in the Arab region is different from that in the USA, Europe and in other developed countries, this necessitates the assessment of adherence among HD patients in Palestine and implementing the necessary changes and measures to overcome such a problem.…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

et al. 2017

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BackgroundAdherence to diet recommendations, fluid restriction, prescribed medications, and attendance at hemodialysis (HD) sessions are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Palestine. Therefore, this study was carried out to assess adherence to diet, fluid restriction, medications, and HD sessions.MethodsA cross-sectional study of HD patients at An-Najah National University Hospital was carried out during summer, 2016. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ). Predialytic serum levels of potassium and phosphate were obtained as clinical indicator of diet and medication adherence respectively. In addition, interdialytic body weight (IDW) was also obtained from medical records and analyzed in relation to reported adherence of fluid restriction.ResultsA total of 220 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.82 ± 14.51 years. Dietary adherence was observed in 24% while that of fluid restriction adherence was observed in 31% of studied patients. Reported adherence to HD sessions was 52% while that for medications was 81%. Overall, 122 (55.5%) patients had good adherence, 89 (40.5%) had moderate adherence, and 9 (4.1%) had poor adherence behavior. Male patients had significantly higher overall adherence scores than females (p = 0.034). A significant correlation between reported diet adherence and serum pre-HD potassium level (p < 0.01) was observed. A significant correlation between reported fluid restriction adherence and IDW (p < 0.01) was also found. However, no significant correlation between reported adherence and pre-HD phosphate level. There was significant correlation between overall perception and overall adherence score (p < 0.001). Counselling of patients regarding importance of adherence modalities was lowest for “staying for the entire dialysis time”. Multivariate analysis indicated that elderly male patients who were city residents had higher odds of having higher adherence score.ConclusionsThere was a good percentage of patients who had overall moderate or poor adherence. ESRD-AQ could be used to assess some aspects of HD adherence. Counselling and education of patients on HD are important to improve therapeutic outcome.Electronic supplementary materialThe online version of this article (doi:10.1186/s12882-017-0598-2) contains supplementary material, which is available to authorized users.

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Associations of Health Literacy With Dialysis Adherence and Health Resource Utilization in Patients Receiving Maintenance Hemodialysis

Cited by 117 publications

References 46 publications

Letramento funcional em saúde e conhecimento de doentes renais em tratamento pré-dialítico

Letramento funcional em saúde e conhecimento de doentes renais em tratamento pré-dialítico

Health Literacy in Patients on Maintenance Peritoneal Dialysis: Prevalence and Outcomes

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

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