Educational Needs for Blood Pressure Control in Chronic Kidney Disease

Jo, Mason; Stone, Margaret; Khunti, Kamlesh; Farooqi, Azhar; Carr, Sue

doi:10.1111/j.1755-6686.2007.tb00059.x

Cited by 10 publications

(17 citation statements)

References 5 publications

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“…Focus groups discussing education programs often reveal considerable consumer confusion about requisite components of an effective program (12). This survey points out that patients were quite clear regarding their expectations.…”

Section: Discussionmentioning

confidence: 95%

Satisfaction with Renal Replacement Therapy and Education

Fadem

Walker

Abbott

et al. 2011

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives This study was undertaken by the American Association of Kidney Patients (AAKP) to better understand ESRD patients' satisfaction with their current renal replacement therapy (RRT) and the education they received before initiating therapy.Design, setting, participants, & measurements In addition to an open invitation on the AAKP website, nearly 9000 ESRD patients received invitations to complete the survey, which consisted of 46 questions. Satisfaction was measured on a 1 (extremely dissatisfied) to 7 (extremely satisfied) scale.Results Survey respondents were younger, more highly educated, and more likely to be white as well as employed as compared with the U.S. dialysis population. A total of 977 patients responded. Overall patient satisfaction with current RRT treatment varied from a low of 4.5 for in-center hemodialysis (ICHD) to a high of 6.1 in transplant (TX) patients. Peritoneal dialysis (PD) and home hemodialysis (HHD) mean scores were 5.2 and 5.5, respectively. PD, HHD, and TX patients' satisfaction scores were significantly higher than those of ICHD patients (P Ͻ 0.05). Approximately 31% of respondents felt that the therapies were not equally and fairly presented as treatment options, and 32% responded that they were not educated regarding HHD.Conclusions ESRD patients are not uniformly advised about all possible treatment methods and hence were only moderately satisfied with their pretreatment education. Once on RRT, those on a home therapy or with a kidney TX are more satisfied than those with ICHD.

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Section: Discussionmentioning

confidence: 95%

Satisfaction with Renal Replacement Therapy and Education

Fadem

Walker

Abbott

et al. 2011

Clinical Journal of the American Society of Nephrology

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“…Content on the avoidance of nonsteroidal anti-inflammatory drugs and tobacco avoidance was absent from all reports. Previous reports indicate patients with CKD want more information about their disease and how the underlying condition affects kidney function (Costantini et al, 2008; Mason, Stone, Khunti, Farooqi, & Carr, 2007), strategies to prolong function (Schatell, Ellstrom-Calder, Alt, & Garland, 2003), dietary modifications (Lewis, Stabler, & Welch, 2010; Mason et al, 2007), medications that help or harm the kidney (Costantini et al, 2008; Lewis et al, 2010), and strategies for blood pressure control (Mason et al, 2007). Consistent and inclusive content is recommended in future work.…”

Section: Discussionmentioning

confidence: 99%

Self-Management Interventions in Stages 1 to 4 Chronic Kidney Disease

et al. 2014

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The prevalence, effect on health outcomes, and economic impact of chronic kidney disease (CKD) have created interest in self-management interventions to help slow disease progression to kidney failure. Seven studies were reviewed to identify knowledge gaps and future directions for research. All studies were published between 2010 and 2013; no investigations were conducted in the United States. Knowledge gaps included the focus on medical self-management tasks with no attention to role or emotional tasks, lack of family involvement during intervention delivery, and an inability to form conclusions about the efficacy of interventions because methodological rigor was insufficient. Educational content varied across studies. Strategies to improve self-management skills and enhance self-efficacy varied and were limited in scope. Further development and testing of theory-based interventions are warranted. There is a critical need for future research using well-designed trials with appropriately powered sample sizes, well-tested instruments, and clear and consistent reporting of results.

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“…Although a multitude of factors may pose barriers to achieving good blood pressure control [5], research indicates much opportunity exists to improve patient understanding about their therapeutic goals of treatment [6]. Patients with CKD perceive a lack of basic knowledge about hypertension diagnosis, and are confused about specific self-care behaviors required to optimally manage their health [6].…”

Section: 0 Introductionmentioning

confidence: 99%

“…Patients with CKD perceive a lack of basic knowledge about hypertension diagnosis, and are confused about specific self-care behaviors required to optimally manage their health [6]. Data suggest that health care providers often give patients general advice (e.g.…”

Section: 0 Introductionmentioning

confidence: 99%

Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease

Wright-Nunes

Luther

İkizler

et al. 2012

Patient Education and Counseling

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Objective-To describe patient hypertension knowledge and associations with blood pressure measurements.Methods-Patients with chronic kidney disease (CKD) were asked about the impact of high blood pressure on kidneys and their target blood pressure goal. Systolic blood pressure was measured using automated sphygmomanometers.Results-In 338 adults with hypertension and pre-dialysis CKD, the median [IQR] age was 59 [47, 68] years, 45% [n=152] were women, and 18% [n=62] were non-white. Lower systolic blood pressure (SBP) was associated with female sex (SBP mmHg median [IQR] 132 [117,149] women vs. 137 [124,152] men; p=0.04), less advanced CKD (SBP 134 [122,147] stages 1-2 vs. 132 [118,148] stage 3 vs. 140 [125,156] stages 4-5; p=0.01), and patient ability to correctly identify SBP goal (SBP 134 [119,150] correct vs. 141 [125,154] incorrect; p=0.05). In adjusted analysis, knowledge of blood pressure goal remained independently associated with lower SBP (−9.96 mmHg [−19.97, −1.95] in correct respondents vs. incorrect; p<0.001). Conclusion-Patient knowledge of goal blood pressure is independently associated with improved blood pressure control.Practice Implications-Interventions to improve patient knowledge of specific blood pressure targets may have an important role in optimizing blood pressure management. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Models of optimal care in chronic disease promote patient education and goal setting to improve outcomes [8][9][10]. Clinical benefits are observed in many chronic conditions when education programs include specific disease information and goal setting with patients [11,12]. However, there is little data available in patients with kidney disease, examining whether a relationship exists between clinical measures, specifically blood pressure control, and patient knowledge about goals of blood pressure treatment. NIH Public AccessWe examined associations between patient hypertension knowledge and systolic blood pressure (SBP) in patients with pre-dialysis CKD and hypertension. We chose to examine associations with systolic blood pressure because of its strong association with cardiovascular outcomes and mortality [13][14][15]. We hypothesized patient knowledge of specific blood pressure treatment goals would be associated with improved blood pressure control. Methods Study DesignThe study design was cross sectional, and part of a larger study of 100 questionnaire items to validate a survey of kidney disease specific knowledge in patients with pre-dialysis CKD [16]. Patients with established CKD stages 1-5 (per Na...

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Educational Needs for Blood Pressure Control in Chronic Kidney Disease

Cited by 10 publications

References 5 publications

Satisfaction with Renal Replacement Therapy and Education

Satisfaction with Renal Replacement Therapy and Education

Self-Management Interventions in Stages 1 to 4 Chronic Kidney Disease

Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease

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