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Behavioral Modeling to Guide Adherence to Fluid Control in Hemodialysis Patients

Show simple item record Ghaddar S. Shamseddeen W. Elzein H.
dc.contributor.editor 2009 2017-10-05T15:37:37Z 2017-10-05T15:37:37Z 2009
dc.identifier 10.1053/j.jrn.2008.08.011
dc.identifier.issn 10512276
dc.description.abstract Objective: This study used the health belief model (HBM) and the transtheoretical model (TTM) to assess hemodialysis (HD) patients' readiness to comply with recommended fluid intake as it relates to their perceptions of therapy and disease. Design: This was a multicenter, cross-sectional study. Setting: The setting involved 3 hospital-based HD centers in Lebanon. Patients: Patients included 172 consenting HD patients who had been on HD for at least 3 months and were mentally stable. Intervention: Placement of patients into TTM stages was based on their readiness to comply with recommended fluid intake, as confirmed by 4-week interdialytic weight-gain measures, and taking into account their perceptions toward therapy (using HBM constructs). Main Outcome Measures: Mean scores of HBM constructs for each patient were placed in one of the TTM stages of readiness to change. Results: This study included 54.1percent males, the average age was 57.8 ± 14.0 (SD) years, and average number of years on dialysis was 4.6 ± 4.9. Regarding stages, 18.5percent of participants were placed in precontemplation, 40.0percent in contemplation, 38.1percent in preparation, and 3.4percent were in the action-maintenance stages. The HBM constructs were significantly associated with TTM (P .01). Perceptions of benefits (P = .04) and self-efficacy (P .01) were significantly associated with TTM. Conclusion: Compliance is a multifaceted topic, essential for the survival and quality of life of HD patients. A better understanding of patients' beliefs and level of self-efficacy is a fundamental key to enhancing patients' compliance to therapy and achieving the required behavioral modifications. © 2009 National Kidney Foundation, Inc.
dc.format.extent Pages: (153-160)
dc.language English
dc.publisher PHILADELPHIA
dc.relation.ispartof Publication Name: Journal of Renal Nutrition; Publication Year: 2009; Volume: 19; no. 2; Pages: (153-160);
dc.source Scopus
dc.title Behavioral Modeling to Guide Adherence to Fluid Control in Hemodialysis Patients
dc.type Article
dc.contributor.affiliation Ghaddar, S., Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Shamseddeen, W., Residence, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Elzein, H., Faculty of Medicine, American University of Beirut, Beirut, Lebanon
dc.contributor.authorAddress Ghaddar, S.; Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Ghaddar, S
dc.contributor.authorInitials Shamseddeen, W
dc.contributor.authorInitials Elzein, H
dc.contributor.authorReprintAddress Ghaddar, S (reprint author), Amer Univ Beirut, Fac Agr and Food Sci, Bliss St, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 7
dc.description.citedTotWOSCount 6
dc.description.citedWOSCount 4
dc.format.extentCount 8
dc.identifier.pubmedID 19218042
dc.identifier.scopusID 60649108838
dc.publisher.address 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899 USA
dc.relation.ispartOfISOAbbr J. Renal Nutr.
dc.relation.ispartOfIssue 2
dc.relation.ispartofPubTitle Journal of Renal Nutrition
dc.relation.ispartofPubTitleAbbr J. Renal Nutr.
dc.relation.ispartOfVolume 19
dc.source.ID WOS:000264559500004
dc.type.publication Journal
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex analysis of variance
dc.subject.otherIndex article
dc.subject.otherIndex attitude to health
dc.subject.otherIndex chronic kidney failure
dc.subject.otherIndex clinical trial
dc.subject.otherIndex cross-sectional study
dc.subject.otherIndex drinking
dc.subject.otherIndex electrolyte balance
dc.subject.otherIndex female
dc.subject.otherIndex hospitalization
dc.subject.otherIndex human
dc.subject.otherIndex male
dc.subject.otherIndex methodology
dc.subject.otherIndex middle aged
dc.subject.otherIndex multicenter study
dc.subject.otherIndex patient compliance
dc.subject.otherIndex physiology
dc.subject.otherIndex psychological aspect
dc.subject.otherIndex renal replacement therapy
dc.subject.otherIndex self concept
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Aged, 80 and over
dc.subject.otherIndex Analysis of Variance
dc.subject.otherIndex Attitude to Health
dc.subject.otherIndex Cross-Sectional Studies
dc.subject.otherIndex Drinking
dc.subject.otherIndex Female
dc.subject.otherIndex Health Knowledge, Attitudes, Practice
dc.subject.otherIndex Humans
dc.subject.otherIndex Kidney Failure, Chronic
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Patient Compliance
dc.subject.otherIndex Renal Dialysis
dc.subject.otherIndex Self Efficacy
dc.subject.otherIndex Severity of Illness Index
dc.subject.otherIndex Water-Electrolyte Balance
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus DIETARY
dc.subject.otherKeywordPlus STAGE
dc.subject.otherKeywordPlus NONCOMPLIANCE
dc.subject.otherWOS Nutrition and Dietetics
dc.subject.otherWOS Urology and Nephrology

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