Multidisciplinary education approach to optimize phosphate control among hemodialysis patients

Chan, Meei Wah; Cheah, Huey Miin; Padzil, Madihah Binti Mohd

doi:10.1007/s11096-019-00878-4

Cited by 7 publications

(13 citation statements)

References 17 publications

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“…T A B L E 3 Mean, standard deviation, mean percentage changes of all outcomes of two groups at each time point (n = 124) Our psychoeducational intervention had positive effects on treatment adherence attitudes (shown by the significant time effect in the intervention group). However, the findings in this study for treatment adherence behaviour were inconsistent with findings of previous studies (Alikari et al, 2019;Chan et al, 2019;Düzalan & Pakyüz, 2018;Griva, Mooppil, et al, 2018;Parker, 2019). Although the treatment adherence behaviour was not significant, our process evaluation of the intervention indicated that participants began recording and tracking down their medication, diet, fluid intake, body weight, blood pressure, and blood sugar level after receiving the intervention (Chen, 2018).…”

Section: Discussioncontrasting

confidence: 99%

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Chen

Zhu

Chan

et al. 2022

Int J of Nursing Practice

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Aim The aim of this work is to examine the effectiveness of a psychoeducational intervention on self‐efficacy (primary outcome), anxiety, depression, treatment adherence, and health‐related quality of life (HRQoL) of patients undergoing haemodialysis. Methods A two‐group randomized controlled trial of 124 patients (65 and 59 patients in the intervention and control groups, respectively) recruited from a tertiary hospital in Singapore was conducted. Data were collected from January 2015 to June 2016. Outcomes were measured at baseline and 1, 3, and 6 months after the intervention. General linear model was used to analyse data. Results Our findings showed significant group effect on HRQoL (effects of kidney disease on daily life; p = 0.041), time effect on all outcomes (p < 0.05; except for treatment adherence behaviours and HRQoL [burden of kidney disease]), and group * time interaction effect on anxiety (p = 0.040) and depression (p = 0.003), with the intervention group reporting better outcomes. Conclusions The positive effects of our intervention on patients' self‐efficacy, psychological well‐being, treatment adherence attitudes, and HRQoL implied its potential use in dialysis/renal centres to improve patients' self‐care and health outcomes.

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Section: Discussioncontrasting

confidence: 99%

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Chen

Zhu

Chan

et al. 2022

Int J of Nursing Practice

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“…The changes in albumin levels of the experimental and control groups did not show a significant difference, which was consistent with the results of a study that showed no effect on albumin after implementing nutrition education and regular exercise program for haemodialysis patients (Kim et al, 2013). No significant changes in albumin levels were found in another study using a multidisciplinary educational approach among haemodialysis patients (Chan et al, 2019) as well as in a randomised controlled trial using interdialytic combined resistance and aerobic exercise training (Frih et al, 2017). Because serum albumin level in haemodialysis patients indicates overall nutritional status and is an important factor in predicting mortality, nutritional supplements may be effective for patients with low serum albumin (Benner et al, 2018).…”

Section: Discussionmentioning

confidence: 96%

“…Most studies of haemodialysis self‐management have used lecture, individual education, video and booklet as education methods (Chan et al, 2019; Frih et al, 2017; Kim et al, 2013, 2015; Park & Kim, 2019; Ramezani et al, 2019), while there are several studies using smartphones for nursing students, nurses and general patients in Korea (Jeon, 2016; Kim & Park, 2019; Lee et al, 2011). As Korea ranks one in the world in smartphone usage rate (Pew Research Center, 2019) and as a smartphone can be used easily anytime and anywhere, it could be an appropriate medium for self‐care management of haemodialysis patients.…”

Section: Introductionmentioning

confidence: 99%

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Pack

Lee

2021

Journal of Clinical Nursing

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Aims and objectives To develop a smartphone application‐based dietary self‐management program for haemodialysis patients and to examine its effects on biochemical indicators, self‐efficacy and quality of life. Background Lack of dietary management in haemodialysis patients can lead to serious complications such as oedema, hyponatremia, hyperkalaemia, hypertension, uraemia and eventually death; however, studies using smartphone applications for dietary self‐management in haemodialysis patients are rare. Design A prospective, single‐blind, randomised, controlled design with repeated measures was followed with 75 haemodialysis patients at a haemodialysis centre. Data were collected from 10 January 2017–6 May 2018. The study applied the Consolidated Standards of Reporting Trials statement. Methods The 8‐week smartphone application‐based dietary self‐management program was developed through collaboration with a haemodialysis equipment company. The experimental group took this program while the control group took an 8‐week general program. Study variables were serum phosphorus, potassium and albumin, self‐efficacy and quality of life. They were measured at pretest, and 8 weeks and 12 weeks after the programs, and analysed using two‐way repeated measures analysis of variance. Findings The smartphone application‐based program significantly improved serum phosphorus, potassium, self‐efficacy and quality of life over time compared with the general program. There was no significant difference in albumin level changes between the groups. Conclusions The smartphone application‐based dietary self‐management program is an opportune and effective nursing intervention to lower serum phosphorus and potassium levels in haemodialysis patients over time. Trial registration was performed on http://www.cris.nih.go.kr (KCT0005366). Relevance to clinical practice Haemodialysis patients can easily use the smartphone application to manage their diet anytime and anywhere. They can get real‐time feedback and solutions to prevent haemodialysis complications. Nurses can provide tailored high‐quality care based on an individual's lifelog data from the smartphone application.

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“…The main three-strategy approach in hyperphosphatemia management requires integrated care from multidisciplinary health carers involving the pharmacist to address phosphate binder use and compliance, the dietitian to deliver the nutrition components of appropriate diets for the patient, and the nephrologist to address the optimization of dialytic procedures, binder dose, and choice [ 17 ]. Yet the reality of chronic care delivery for the CKD population globally is a severe shortage of health care personnel, and dietitian access, for which the latter is particularly in shortfall in many countries [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

A Mobile App for Triangulating Strategies in Phosphate Education Targeting Patients with Chronic Kidney Disease in Malaysia: Development, Validation, and Patient Acceptance

et al. 2022

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Hyperphosphatemia afflicts end-stage chronic kidney disease (CKD) patients, contributing to comorbidities and mortality. Management strategies are dialysis, phosphate binder, and limiting dietary phosphate intake, but treatment barriers are poor patient compliance and low health literacy arising from low self-efficacy and lack of educational resources. This study describes developing and validating a phosphate mobile application (PMA). The PMA development based on the seven-stage Precaution Adoption Process Model prioritized titrating dietary phosphate intake with phosphate binder dose supported by educational videography. Experts (n = 13) first evaluated the PMA for knowledge-based accuracy, mobile heuristics, and clinical value. Adult HD patients validated the improved PMA using the seven-point mHealth App Usability Questionnaire (MAUQ). Patient feedback (n = 139) indicated agreement for ease of use (69.2%), interface and satisfaction (69.0%), and usefulness (70.1%), while 72.7% said they would recommend this PMA. The expectation confirmation for 25 PMA features ranged from 92.1% (lifestyle) up to 100.0% (language option); and the utilization rate of each feature varied from 21.6% (goal setting and feature-based log) to 91.4% (information on dietary phosphate and phosphate binder). The Conclusions: MyKidneyDiet-Phosphate Tracker PMA was acceptable to adult Malaysian HD patients as part of clinical phosphate management in low-resource settings.

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Multidisciplinary education approach to optimize phosphate control among hemodialysis patients

Cited by 7 publications

References 17 publications

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

A Mobile App for Triangulating Strategies in Phosphate Education Targeting Patients with Chronic Kidney Disease in Malaysia: Development, Validation, and Patient Acceptance

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