The impact of education on chronic kidney disease patients' plans to initiate dialysis with self-care dialysis: A randomized trial

Manns, Braden; Taub, Ken; VanderStraeten, Carmen; Jones, Heather L.; Mills, Cynthia; Visser, Marilyn; McLaughlin, Kevin

doi:10.1111/j.1523-1755.2005.00594.x

Cited by 240 publications

(194 citation statements)

References 22 publications

Supporting

Mentioning

174

Contrasting

Unclassified

Order By: Relevance

“…It is likely that the system in Singapore-in which most medical services, including pre-dialysis education, are mostly feefor-service, with only limited financial support from the government-may be hindering well-informed decisions. As shown in other settings, implementation of reimbursement is likely to improve patient knowledge of dialysis, thus helping to achieve an informed patient decision for a dialysis modality, which is linked to improved rates of PD uptake (14,47,49,50,53). However, more work is needed to document pre-dialysis education utilization rates in relation to PD uptake and penetration rates.…”

Section: Discussionmentioning

confidence: 99%

“…Carefully planned and timed pre-dialysis education is therefore critical in clarifying the misconceptions (46)(47)(48)(49)(50)(51). It is imperative to revisit or review how to best cater for the decisional support needs of patients and then to design patient resources and pre-dialysis programs that are sufficiently proactive to engage patients in making informed decisions about dialysis modality, while eliciting and targeting misperceptions and misunderstandings.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Griva

Lai

et al. 2012

Perit Dial Int

View full text Add to dashboard Cite

♦ Objectives: This study explored the factors influencing decision-making about dialysis modality, integrating the perspectives of patients, their families, and health care professionals within an Asian population. The study further sought to understand the low penetration rate of peritoneal dialysis (PD) in Singapore. ♦ Methods: A sample of 59 participants comprising pre-dialysis patients, dialysis patients, caregivers, and health care professionals (HCPs) participated in semistructured interviews to explore the decision-making process and their views about various dialysis modalities. Data were thematically analyzed using NVivo9 (QSR International, Doncaster, Australia) to explore barriers to and facilitators of various dialysis modalities and decisional support needs. ♦ Results: Fear of infection, daily commitment to PD, and misperceptions of PD emerged as barriers to PD. Side effects, distance to dialysis centers, and fear of needling and pain were barriers to hemodialysis (HD). The experiences of other patients, communicated informally or opportunistically, influenced the preferences and choices of patients and family members for a dialysis modality. Patients and families value input from HCPs and yet express strong needs to discuss subjective experiences of life on dialysis (PD or HD) with other patients before making a decision about dialysis modality. ♦ Conclusions: Pre-dialysis education should expand its focus on the family as the unit of care and should provide opportunities for interaction with dialysis patients and for peer-led learning. Barriers to PD, especially misperceptions and misunderstandings, can be targeted to improve PD uptake.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Griva

Lai

et al. 2012

Perit Dial Int

View full text Add to dashboard Cite

show abstract

“…Education is generally withheld for medical reasons. Predialysis education has been shown to increase patients' intentions to commence home dialysis (32). ANZDATA does not record any data on education provided to patients about dialysis modalities.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Differences in the Uptake of Home Dialysis

Grace

Clayton

Gray

et al. 2014

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

Background and objectives Home dialysis creates fewer lifestyle disruptions while providing similar or better outcomes than in-center hemodialysis. Socioeconomically advantaged patients are more likely to commence home dialysis (peritoneal dialysis and home hemodialysis) in many developed countries. This study investigated associations between socioeconomic status and uptake of home dialysis in Australia, a country with universal access to health care and comparatively high rates of home dialysis.

show abstract

“…Once eligible patients are offered a modality choice, most studies suggest that approximately half will select PD (15)(16)(17)(18), and the question of how to define the modality chosen arises.…”

Section: Step 4: Patient Choicementioning

confidence: 99%

Peritoneal Dialysis and the Process of Modality Selection

2012

View full text Add to dashboard Cite

The process of modality selection and how it works is a critical determinant of peritoneal dialysis (PD) utilization. This very complex process has not been well analyzed. Here, we break it down into 6 steps and point out how problems at each step can significantly reduce the proportion of endstage renal disease patients initiating PD. It is important that any program wising it to grow its use of PD understand the steps and the points at which problems may be arising. Examples are presented. Perit Dial Int

show abstract

The impact of education on chronic kidney disease patients' plans to initiate dialysis with self-care dialysis: A randomized trial

Abstract: A two-phase educational intervention can increase the proportion of patients who intend to initiate dialysis with self-care dialysis.

Cited by 240 publications

References 22 publications

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Socioeconomic Differences in the Uptake of Home Dialysis

Peritoneal Dialysis and the Process of Modality Selection

Contact Info

Product

Resources

About