POS-348 Predicting difficulties with direct home discharge following hip fracture for patients living with CKD: Insights from a 6-year prospective study

Abstract

Thirty patients from across Canada participated in the pilot testing from April to May 2020. Approximately half were male (53%) and less than 50 years of age (40%). Approximately 40% had an estimated glomerular filtration rate (eGFR) <30mls/min/1.73m 2 , and the rest had an eGFR $30 mls/min/1.73m 2 or did not know their eGFR. Internal consistency reliability (Cronbach's alpha) was 0.915. Participants were satisfied with the content, wording and design. A common comment was need for a question that more explicitly addressed mental health; consequently, we included an additional item relating to mental health in the final instrument. Conclusions: We used self-management theories, patient-identified selfmanagement needs, expert review, and conducted preliminary psychometric testing to finalize an early-stage CKD self-management questionnaire (esCKD-SM). Results from stage 4 (additional internal consistency measurements, test-retest reliability, and convergent validity) will be available in February 2021. Once finalized, the esCKD-SM questionnaire has the potential to contribute to our understanding of self-management among those in the earliest stages of CKD.