Can Using a Questionnaire for Assessment of Home Visits to Peritoneal Dialysis Patients Make a Difference to the Treatment Outcome?

Kazancıoğlu, Rümeyza; Öztürk, Savaş; Ekiz, Serpil; Yucel, Lamia; Dogan, Sevel

doi:10.1111/j.1755-6686.2008.00023.x

Cited by 23 publications

(46 citation statements)

References 8 publications

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“…These content areas included the functions of the kidney, treatment options for kidney failure, signs and symptoms of disease progression, medications of potential benefit or harm to the kidney, blood pressure targets, and other topics important to preserving kidney function. We conducted a content review of kidney knowledge questionnaires,18–19, 21, 32–37 patient perspectives on disease specific information needs,14, 22–25, 38–42 and convened experts in various areas of kidney disease care, including nephrologists (3), nurses (3), dieticians (2), research personnel (6), and a kidney disease educator (1). In addition, we solicited methodological input from experts (3) in health literacy, scale validation, and psychometric analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Research indicates more patient knowledge is associated with improved patient self management behaviors in patients receiving hemodialysis,14 improved glycemic control in patients with diabetes,15–16 and increased medication adherence in patients with HIV 17. Higher kidney disease specific knowledge is associated with lower rates of peritonitis in patients receiving peritoneal dialysis,18 and less use of catheters for vascular access in those receiving hemodialysis 19…”

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confidence: 99%

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Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKD

Wright

Wallston

Elasy

et al. 2011

American Journal of Kidney Diseases

179

214

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Background Little is known about disease specific knowledge in patients with chronic kidney disease (CKD). We developed and examined the results of a survey to characterize kidney disease knowledge. Design Survey about kidney disease knowledge, with questions developed by experts. Setting and Participants: 401 adult patients with CKD (Stages 1–5) attending a nephrology clinic from April to October 2009. Outcomes & Measurements We calculated survey reliability using the Kuder-Richardson-20 coefficient, and established construct validity by testing a priori hypotheses of associations between the survey and patient characteristics. We descriptively analyzed survey responses and applied linear regression analyses to evaluate associations with patient characteristics. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine. Results Participants median age was 58 (25th-75th percentile, 46–68) years, 83% were White, 18% had limited literacy, and 77% had CKD Stages 3–5. The 28 question knowledge survey had good reliability (KR-20=0.72), and mean (SD) knowledge score was 66% (15%). In support of construct validity of our knowledge survey, bivariate analysis shows that scores are associated with age (β, −0.01 per ten years; 95% CI, −0.02–−0.005; p=0.003), formal education (β, 0.09; 95% CI, 0.03–0.15; p=0.004), health literacy (β, 0.06; 95% CI, 0.03–0.10; p=0.001), kidney education class participation (β, 0.05; 95% CI, 0.01–0.09; p=0.009), knowing someone else with CKD (β, 0.05; 95% CI, 0.02–0.08; p=0.001), and awareness of one’s own CKD diagnosis (β, 0.07; 95% CI, 0.04–0.10; p<0.001). Findings were similar in adjusted analyses. Limitations Recruitment from one clinic limits generalizabilty of findings. Conclusions For patients with CKD, this kidney disease knowledge survey (KiKS) is reliable and valid, and identifies areas of and risk factors for poor kidney knowledge. Further study is needed to determine the impact of CKD knowledge on self-care behaviors and clinical outcomes.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKD

Wright

Wallston

Elasy

et al. 2011

American Journal of Kidney Diseases

179

214

View full text Add to dashboard Cite

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“…The need for a home visiting service to manage this program of self-care is widely acknowledged (1)(2)(3)(4)(5). The provision of specialist community care for CAPD patients was reported to be associated with significant reductions in infections and hospital admissions (1).…”

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confidence: 99%

Effect of the Patient's Knowledge on Peritonitis Rates in Peritoneal Dialysis

et al. 2013

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PD IN DEvELOPING HEALTH CARE SYSTEmS♦ Introduction: After a training period, patients maintained on continuous ambulatory peritoneal dialysis (CAPD) assume responsibility for their own treatment. With the aid of appropriate tools, home visits help with ongoing evaluation and training for these patients. ♦ Methods: We conducted a home visit survey of 50 patients maintained on CAPD in Sudan between April 2009 and June 2010. Housing conditions, home environment, and patient's or caregiver's knowledge about peritoneal dialysis and the exchange procedure were evaluated using structured data collection sheets. Scores were compared with infection rates in the patients before the home visit. ♦ Results: Patients were maintained on CAPD for a median duration of 11 months. Their mean age was 42 ± 23 years; 70% were male; and 14% had diabetes. Only 34% of patients had suitable housing conditions, and 56% required assisted PD. Of the autonomous patients and assisting family members, 11.6% were illiterate. The median achieved knowledge score was 11.

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“…Currently, no study about home visit programs has been performed to assess PD technique failure. Some studies have described home visit programs, but evaluated mainly patient compliance [12] and patients' environments and skills [10,13,14]; however, they did not consider the effect of such programs on preventing or delaying the shift to HD. In this regard, our results seem to be the missing link between the effort of home visit programs and the achievement of an incisive outcome like the prevention of PD technique failure.…”

Section: Discussionmentioning

confidence: 99%

Home Visit Program Improves Technique Survival in Peritoneal Dialysis

Martino¹,

Adibelli̇

Mason

et al. 2014

Blood Purif

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Background: Peritoneal dialysis (PD) is a home therapy, and technique survival is related to the adherence to PD prescription at home. The presence of a home visit program could improve PD outcomes. We evaluated its effects on clinical outcome during 1 year of follow-up. Methods: This was a case-control study. The case group included all 96 patients who performed PD in our center on January 1, 2013, and who attended a home visit program; the control group included all 92 patients who performed PD on January 1, 2008. The home visit program consisted of several additional visits to reinforce patients' confidence in PD management in their own environment. Outcomes were defined as technique failure, peritonitis episode, and hospitalization. Clinical and dialysis features were evaluated for each patient. Results: The case group was significantly older (p = 0.048), with a lower grade of autonomy (p = 0.033), but a better hemoglobin level (p = 0.02) than the control group. During the observational period, we had 11 episodes of technique failure. We found a significant reduction in the rate of technique failure in the case group (p = 0.004). Furthermore, survival analysis showed a significant extension of PD treatment in the patients supported by the home visit program (52 vs. 48.8 weeks, p = 0.018). We did not find any difference between the two groups in terms of peritonitis and hospitalization rate; however, trends toward a reduction of Gram-positive peritonitis rates as well as prevalence and duration of hospitalization related to PD problems were identified in the case group. The retrospective nature of the analysis was a limitation of this study. Conclusion: The home visit program improves the survival of PD patients and could reduce the rate of Gram-positive peritonitis and hospitalization. Video Journal Club “Cappuccino with Claudio Ronco” at http://www.karger.com/?doi=365168.

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Can Using a Questionnaire for Assessment of Home Visits to Peritoneal Dialysis Patients Make a Difference to the Treatment Outcome?

Cited by 23 publications

References 8 publications

Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKD

Development and Results of a Kidney Disease Knowledge Survey Given to Patients With CKD

Effect of the Patient's Knowledge on Peritonitis Rates in Peritoneal Dialysis

Home Visit Program Improves Technique Survival in Peritoneal Dialysis

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