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July 24, 2016Western Journal of Nursing Research

Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis

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Why the study?

Does an educative, self-regulation intervention improve blood pressure self-efficacy and self-care outcomes in adults receiving chronic hemodialysis?

Population

118 adults receiving chronic hemodialysis

Comparison

Educative, self-regulation intervention… vs Usual care

Design

RCT, Simple randomization at the hemodialysis unit level

Follow-up

12 weeks

Authors

ZKZorica Kauric-KleinKleijnen Systematic Reviews (United Kingdom)RPRosalind M. PetersHenry Ford Health SystemHYHossein YarandiWayne State University

Discussion

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Implication

Intervention failed to boost self-efficacy; observational links to better self-care and DBP support targeted research on self-efficacy in hemodialysis.

Structured PICO

Does an educative, self-regulation intervention improve blood pressure self-efficacy and self-care outcomes in adults receiving chronic hemodialysis?

P
Population
118 adults receiving chronic hemodialysis
I
Intervention
Educative, self-regulation intervention including blood pressure education sessions and 12 weeks of individual counseling on self-regulation of blood pressure, fluid, and salt intake
C
Comparator
Usual care
O
Outcome
Blood pressure self-efficacy at 12 weekspatient reported

An educative self-regulation intervention did not significantly improve blood pressure self-efficacy in hemodialysis patients, though higher self-efficacy was associated with better self-care behaviors and lower diastolic blood pressure.

Cite This Study

Kauric-Klein et al. (2016) studied this question.

synapsesocial.com/papers/6a78027ef6b553d308aeebe4https://doi.org/10.1177/0193945916661322

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence1986 · 5,386 citations
  2. 2Correlation between adherence rates measured by MEMS and self-reported questionnaires: a meta-analysis2010 · 180 citations
  3. 3The effects of a cognitive behavioural therapy programme for self‐care on haemodialysis patients2005 · 36 citations
  4. 4Social Desirability Bias and the Validity of Indirect Questioning1993 · 2,836 citations
  5. 5The Predictive Validity of Self-Efficacy in Training Performance: Little More Than Past Performance.2005 · 107 citations