A cognitive-control model predicted fluid compliance but failed to explain dietary and medication compliance among 85 end-stage renal disease patients.
Observational (n=85)
Does a cognitive-control model predict dietary and medication compliance in ESRD patients?
A cognitive-control model predicts fluid compliance but not dietary or medication compliance in ESRD patients, highlighting differences in compliance behaviors across regimens.
Abstract The purpose of this prospective study was two-fold. First, three modes of compliance assessment were used to examine whether renal dialysis patients comply consistently across medical regimens (fluid, potassium, phosphorous, protein) and whether compliance is consistent across mode of assessment (patient self assessment, medical staff ratings, physiological data). Second. a cognitive model predicting fluid compliance was tested to see if it would generalize to predict dietary compliance and medication taking. Patients' self-control perceptions of compliance, staff assessments of compliance, and physiological data were collected prospectively for 85 end-stage renal disease (ESRD) patients. Results indicated substantial consistency across medical regimen depending on the mode of assessment; staff assessment showed the most consistency, followed by patients' self-assessments and lastly by physiological data. Despite this consistency across medical regimens, the cognitive-control model only predicted fluid compliance; the model failed to explain dietary and medication compliance. Reasons and implications for these results are discussed.
Eitel et al. (1998) conducted an observational in End-stage renal disease (ESRD) (n=85). Cognitive-control model was evaluated on Consistency across medical regimens and prediction of compliance by a cognitive-control model. A cognitive-control model predicted fluid compliance but failed to explain dietary and medication compliance among 85 end-stage renal disease patients.