Key result
Home dialysis interviews reveal themes of lacking decisional power, sustaining relationships, reducing disruption, and gaining confidence.
Why the study?
The uptake of home dialysis remains low worldwide, partly due to patients' lack of knowledge and barriers to shared and informed decision-making.
Population
43 adult patients with chronic kidney disease Stage 4-5D on dialysis less than 1 year and 9 caregivers in New Zealand
Comparison
Considering home dialysis as a treatment option
Design
Semi-structured interview study with thematic analysis
Authors
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Patient and caregiver perspectives on home dialysis barriers are hypothesis-generating; further trials needed before guiding policy or practice.
Observational (n=52)
Yes
Patient-focused educational programs addressing health literacy, cultural values, and financial burdens are needed to empower patients to consider home dialysis.
Walker et al. (2015) conducted an observational in chronic kidney disease Stage 4-5D (n=52). Home dialysis was evaluated on Themes related to patient and caregiver values, beliefs and experiences when considering home dialysis. Interviews with 43 patients and 9 caregivers identified 5 themes regarding home dialysis: lacking decisional power, sustaining relationships, reducing lifestyle disruption, and gaining confidence.
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