The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis: Results from a randomized controlled trial

Howren, M. Bryant; Cozad, Ashley J; Christensen, Alan J.

doi:10.1177/1359105316631813

Cited by 6 publications

(6 citation statements)

References 32 publications

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“…No differences regarding adherence to antihypertensive or PO 4 lowering medication and the psychological variables measured were observed. A more recent study provides important findings around perceived (“Internal”) control and adherence to fluid restriction (Howren et al, 2016a). This study examined patients participating in a randomized trial of behavioral self-regulation in 119 HD patients who were not fluid adherent.…”

Section: Discussionmentioning

confidence: 99%

“…The recent study (Howren et al, 2016a) of fluid adherence suggests that those patients who believe health-related outcomes are a function of their own behaviors and that they have the opportunity to exert control could be most adherent to complex regimes. But the difficulty remains – how to influence and modulate behavior with interventions in patients with a wide range of beliefs about perceived locus of control.…”

Section: Discussionmentioning

confidence: 99%

“…The Multidimensional Health Locus of Control 18-item Form C is specifically designed for use in patient populations suffering from chronic medical conditions (Wallston et al, 1994), and has recently been linked to fluid adherence in HD patients (Howren et al, 2016a). The scales measure four types of beliefs about health locus of control, i.e., where in their internal and external psychosocial world the patient believes control over their health outcome lies: Internal control (perceived self-control; items 1, 6, 8, 12, 13, 17; e.g., “I am directly responsible for my condition getting better or worse.”); Chance (2, 4, 9, 11, 15, 16; e.g., “Most things that affect my condition happen to me by chance.”); Doctors (3, 5, 14; e.g., “Following doctor’s orders to the letter is the best way to keep my condition from getting any worse.”); Other people (7, 10, 18; e.g., “The type of help I receive from other people determines how soon my condition improves.”).…”

Section: Methodsmentioning

confidence: 99%

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Differences in Knowledge, Stress, Sensation Seeking, and Locus of Control Linked to Dietary Adherence in Hemodialysis Patients

et al. 2016

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Patients with chronic kidney disease (CKD) often require regular hemodialysis (HD) to prolong life. However, between HD sessions, patients have to restrict their diets carefully to avoid excess accumulation of potassium, phosphate, sodium, and fluid, which their diseased kidneys can no longer regulate. Failure to adhere to their renal dietary regimes can be fatal; nevertheless, non-adherence is common, and yet little is known about the psychological variables that might predict this dietary behavior. Thus, this study aimed to assess whether dietary adherence might be affected by a variety of psychological factors including stress, personality, and health locus of control, as well as dietary knowledge, in chronic HD patients. Fifty-one patients (30 men; age range 25–85) who had undergone HD for at least 3 months and had been asked to restrict at least one of potassium, phosphate or fluid, were recruited from a hospital renal unit. Measures of adherence to each of potassium, phosphate, and fluid were derived from standard criteria for these physiological indices in renal patients. Knowledge of food/drink sources of these dietary factors, and their medical implications in relation to HD and CKD were assessed by a bespoke questionnaire. Psychological factors including stress, personality and health locus of control beliefs were measured by standardized questionnaires. Having to restrict a particular nutrient was associated with better knowledge of both food sources and medical complications for that nutrient; however, greater dietary knowledge was not linked to adherence, and knowledge of medical complications tended to be associated with poorer adherence to potassium and phosphate levels. Adherence to these two nutrient requirements was also associated with lower reported stress in the past week. Adherence was associated with differences in locus of control: these differences varied across indices although there was a tendency to believe in external loci. For potassium, phosphate, and fluid restriction, adherers were less likely to be sensation seekers but did not differ from non-adherers on impulsivity, anxiety sensitivity, or hopelessness. In conclusion, the links between dietary adherence and stress, locus of control and personality suggests that screening for such psychological factors may assist in managing adherence in HD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Differences in Knowledge, Stress, Sensation Seeking, and Locus of Control Linked to Dietary Adherence in Hemodialysis Patients

et al. 2016

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“…Previous studies found that the factors affecting fluid restriction in HD patients include age, sex, lack of knowledge, family support, thirst, and dietary salt intake (Gibson et al, 2016; Howren et al, 2017). Furthermore, factors such as high-sodium content in processed foods, social and cultural backgrounds, and policy support have also been related to fluid management of patients with CKD (Bossola et al, 2018; Hong et al, 2017; Y.…”

Section: Introductionmentioning

confidence: 99%

Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study

2020

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Introduction: To reduce morbidity and mortality rates, hemodialysis patients are advised to restrict their fluid intake. However, fluid restriction is the biggest stressor for the patients. This study explored the barriers and facilitators of fluid restriction among Korean hemodialysis patients. Method: This qualitative descriptive study was guided by the ecological model of health behavior. This study involved five focus group (23 patients) and individual interviews (4 patients) at two hospitals in Korea. Audio-recorded transcripts were analyzed using qualitative content analysis. Results: Six intrapersonal, three interpersonal, and four organization factors affecting fluid restriction adherence were identified. Barriers included physiological symptoms, lack of self-control, social relationships, social stigma, lack of practical education, Korean food culture, and lack of public health and policy support. Facilitators included risk perception, self-assessment, knowledge, stimulated sweating, and social support. Discussion: The findings suggest that socioecological factors should be considered when designing fluid restriction programs for hemodialysis patients.

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“…Some women would prefer to have decisions made by competent medical professionals. It is actually the mismatch between desire for control and actual perceived control over healthcare processes that can result in poorer health outcomes (Arora, Weaver, Clayman, Oakley-Girvan, & Potosky, 2009;Benyamini, Nouman, & Alkalay, 2016;Christensen et al, 2010;Howren, Cozad, & Christensen, 2017;Wallston et al, 1987). Understanding the role of perceived control requires application of a person-environment fit model such that the degree of "fit" between women's desire for control of healthcare processes during childbirth and the extent to which those desires were matched by experience is directly related to optimal maternal health outcomes (Reich, Zautra, & Manne, 1993).…”

mentioning

confidence: 99%

Factors associated with women's desire for control of healthcare during childbirth: Psychometric analysis and construct validation

Stevens

Adams

Wallston

et al. 2019

Research in Nursing & Health

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The desire for control of healthcare is a significant moderator of outcomes related to childbirth. Researchers have shown that a sense of control of healthcare during childbirth is strongly correlated with postpartum maternal well‐being. The aims of this study were to examine (a) the psychometric characteristics of an instrument to assess women's desire for control of healthcare during childbirth, and (b) examine desire for control in relation to parity, medical complications of pregnancy, and women's choices of childbirth providers and setting. The study design was cross‐sectional using two different samples totaling 385 pregnant women. In Sample 1, (n = 193) we conducted an exploratory factor analysis to reduce the initial item pool. In Sample 2, (n = 192) we conducted a confirmatory factor analysis (CFA) of the final 12‐item instrument and examined factors related to the desire for control. Results of the analysis in Sample 1 were supportive of a single‐factor structure reflecting women's desire to influence the childbirth healthcare environment and decision‐making. The final 12‐item instrument had high internal consistency reliability (Cronbach's alpha = 0.93). CFA in Sample 2 was supportive of the single‐factor structure with good model fit. The desire for control was directly correlated with an internal locus of control. Nulliparous women reported a lower desire for control compared with multiparous women. The desire for control among women with self‐reported medical complications of pregnancy was comparable to that among women without pregnancy complications. The desire for control was a predictor of choosing midwives (vs. obstetricians), home or birth center (vs. hospitals), and professional labor support (e.g., doulas). Implications for future research on the impact of desire for control on maternal health outcomes are discussed.

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The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis: Results from a randomized controlled trial

Cited by 6 publications

References 32 publications

Differences in Knowledge, Stress, Sensation Seeking, and Locus of Control Linked to Dietary Adherence in Hemodialysis Patients

Differences in Knowledge, Stress, Sensation Seeking, and Locus of Control Linked to Dietary Adherence in Hemodialysis Patients

Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study

Factors associated with women's desire for control of healthcare during childbirth: Psychometric analysis and construct validation

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