Research output: Contribution to journal › Review article
Nonadherence in dialysis patients : prevalence, measurement, outcome, and psychological determinants. / Clark, Sarah; Farrington, Ken; Chilcot, Joseph.
In: Seminars in Dialysis, Vol. 27, No. 1, 30.10.2013, p. 42-9.Research output: Contribution to journal › Review article
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TY - JOUR
T1 - Nonadherence in dialysis patients
T2 - prevalence, measurement, outcome, and psychological determinants
AU - Clark, Sarah
AU - Farrington, Ken
AU - Chilcot, Joseph
N1 - © 2013 Wiley Periodicals, Inc.
PY - 2013/10/30
Y1 - 2013/10/30
N2 - Nonadherence to aspects of the management of End-Stage Kidney Disease (ESKD) is common. Estimates of nonadherence vary with assessment method. Whilst readily available and free from report bias, physiological proxies-frequently used as measures of adherence-are often confounded by clinical factors including residual kidney function and dialysis adequacy. Despite variation in estimates of its prevalence, it is clear that suboptimal adherence to dialysis prescriptions, medication and diet can lead to adverse clinical outcomes. Several factors can help explain nonadherence in ESKD including mood, self-efficacy, social support, illness, and treatment perceptions. Psychological interventions have been shown to improve ESKD adherence, yet achieving long-term behavior change remains challenging. Identifying individuals who struggle to adhere to aspects of the dialysis regime, and tailoring theory-led interventions to improve and support adherence is a clear clinical need requiring further empirical enquiry.
AB - Nonadherence to aspects of the management of End-Stage Kidney Disease (ESKD) is common. Estimates of nonadherence vary with assessment method. Whilst readily available and free from report bias, physiological proxies-frequently used as measures of adherence-are often confounded by clinical factors including residual kidney function and dialysis adequacy. Despite variation in estimates of its prevalence, it is clear that suboptimal adherence to dialysis prescriptions, medication and diet can lead to adverse clinical outcomes. Several factors can help explain nonadherence in ESKD including mood, self-efficacy, social support, illness, and treatment perceptions. Psychological interventions have been shown to improve ESKD adherence, yet achieving long-term behavior change remains challenging. Identifying individuals who struggle to adhere to aspects of the dialysis regime, and tailoring theory-led interventions to improve and support adherence is a clear clinical need requiring further empirical enquiry.
KW - Attitude to Health
KW - Biomarkers
KW - Depression
KW - Health Behavior
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Kidney Failure, Chronic
KW - Patient Compliance
KW - Prevalence
KW - Renal Dialysis
KW - Self Efficacy
KW - Self Report
KW - Social Support
KW - Surveys and Questionnaires
KW - Journal Article
KW - Review
U2 - 10.1111/sdi.12159
DO - 10.1111/sdi.12159
M3 - Review article
C2 - 24164416
VL - 27
SP - 42
EP - 49
JO - Seminars in Dialysis
JF - Seminars in Dialysis
SN - 0894-0959
IS - 1
ER -