Models and theories of care applicable to predicting and improving adherence behaviours among Chronic Kidney Disease (CKD) patients

Abstract

Introduction: Models which relate to cognitive variables and processes may apply to adherence behaviours in patients with chronic conditions. Management of Chronic Kidney Disease (CKD) requires incorporation of these models to facilitate the positive adherence behaviours among patients. Aim: This article critiques models and theories of care applicable to predicting and improving adherence behaviours among patients with chronic kidney disease (CKD). Methods: Medline, Ebsco, PubMed, Google Scholar, Cinahl and grey literature were used to identify the relevant articles from the years 1990-2018. A conclusive search was done using the following key words: Models OR 'Theories of care AND Prediction [tab]' AND Improving AND adherence behaviours AND Chronic Kidney Disease Results: The search identified 23 articles containing information on models and theories of care applicable to the management of CKD patients. The Common-Sense Model, Orem Self-care and Theory of Planned Behaviour Models were applied in predicting and improving adherence among CKD patients. Other identified possible models in predicting and improving adherence included Tran's Theoretical Model, the Theory of Reasoned Action, and the Social Cognitive and Health Belief Models. Conclusion: These theories and models provide a baseline assessment regarding predicting and improving adherence in chronic kidney disease patients. However, there is no model or theory which comprehensively explains an understanding of predicting and improving adherence of CKD patients to their management, hence the need to consider the available models/theories to effectively engage CKD patients with their integrated management to promote the highest level of adherent behaviour.

Factors related to treatment adherence behaviors among old-age hemodialysis patients in Hamadan, Iran: the application of the extended theory of planned behavior during Covid-19 pandemic

“…The current study utilized the ETPB framework to identify factors affecting treatment adherence behaviors among HD patients. It was shown that TPB could predict and improve adherence behaviors of chronic kidney [14].…”

“…The model-based approach assists in promoting or changing behavior by understanding adherence to health behavior. This approach includes the Health Belief Model, Theory of Planned Behavior (TPB), Theory of Reasoned Action, and other theories or models [ 14 ]. TPB is a social-cognitive approach that provides a useful framework for predicting and understanding health-related behaviors [ 15 , 16 ].…”

The Correlation of Self-Regulation Theory Constructs and the Incidence of Intradialytic Complications during Hemodialysis

“…This constructive coping will maximize the patient's potential for self-regulation. A study conducted by Chironda et al, (2019) identified information about models and theories of care for the management of patients with CKD (Chronic Kidney Disease) which could improve patient compliance. The advantage of the Common Sense Model (Self Regulation) theory is sourced from the theory of individuals who act to prevent, treat, cure or adapt to acute or chronic diseases experienced and a good self-regulation process will help individuals to manage the disease and this further improve compliance.…”

Compliance and adherence to drug treatment on patients with chronic kidney disease in high prevalence areas of North Central Province, Sri Lanka

“…15 Literature shows the evidence to prove that the dialysis, medication, dietary and fluid restriction among patients with CKD contributes to issues of non-adherence. 16 Personal beliefs, cultural and social characteristics, and drinking of water and certain fluids are factors influencing the treatment regimens. 17 There are several physical and emotional symptoms the CKD patients experience in the course of their treatment.…”