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Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice

AIM: To determine the relationship between chronic kidney disease (CKD) awareness (CKD-A), self-management behaviors (CKD-SMB) knowledge, performance of CKD-SMBs, health literacy (HL) and kidney function. METHODS: Participants were eligible patients attending an outpatient nephrology clinic. Partici...

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Autores principales: Devraj, Radhika, Borrego, Matthew E, Vilay, A Mary, Pailden, Junvie, Horowitz, Bruce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5760511/
https://www.ncbi.nlm.nih.gov/pubmed/29359119
http://dx.doi.org/10.5527/wjn.v7.i1.41
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author Devraj, Radhika
Borrego, Matthew E
Vilay, A Mary
Pailden, Junvie
Horowitz, Bruce
author_facet Devraj, Radhika
Borrego, Matthew E
Vilay, A Mary
Pailden, Junvie
Horowitz, Bruce
author_sort Devraj, Radhika
collection PubMed
description AIM: To determine the relationship between chronic kidney disease (CKD) awareness (CKD-A), self-management behaviors (CKD-SMB) knowledge, performance of CKD-SMBs, health literacy (HL) and kidney function. METHODS: Participants were eligible patients attending an outpatient nephrology clinic. Participants were administered: Newest Vital Sign to measure HL, CKD self-management knowledge tool (CKD-SMKT) to assess knowledge, past performance of CKD-SMB, CKD-A. Estimated GFR (eGFR) was determined using the MDRD-4 equation. Duration of clinic participation and CKD cause were extracted from medical charts. RESULTS: One-hundred-fifty patients participated in the study. eGFRs ranged from 17-152 mL/min per 1.73 m(2). Majority (83%) of respondents had stage 3 or 4 CKD, low HL (63%), and were CKD aware (88%). Approximately 40% (10/25) of patients in stages 1 and 2 and 6.4% (8/125) in stages 3 and 4 were unaware of their CKD. CKD-A differed with stage (P < 0.001) but not by HL level, duration of clinic participation, or CKD cause. Majority of respondents (≥ 90%) correctly answered one or more CKD-SMKT items. Knowledge of one behavior, “controlling blood pressure” differed significantly by CKD-A. CKD-A was associated with past performance of two CKD-SMBs, “controlling blood pressure” (P = 0.02), and “keeping healthy body weight” (P = 0.01). Adjusted multivariate analyses between CKD-A and: (1) HL; and (2) CKD-SMB knowledge were non-significant. However, there was a significant relationship between CKD-A and kidney function after controlling for demographics, HL, and CKD-SMB (P < 0.05). CONCLUSION: CKD-A is not associated with HL, or better CKD-SMBs. CKD-A is significantly associated with kidney function and substantially lower eGFR, suggesting the need for focused patient education in CKD stages 1.
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spelling pubmed-57605112018-01-22 Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice Devraj, Radhika Borrego, Matthew E Vilay, A Mary Pailden, Junvie Horowitz, Bruce World J Nephrol Observational Study AIM: To determine the relationship between chronic kidney disease (CKD) awareness (CKD-A), self-management behaviors (CKD-SMB) knowledge, performance of CKD-SMBs, health literacy (HL) and kidney function. METHODS: Participants were eligible patients attending an outpatient nephrology clinic. Participants were administered: Newest Vital Sign to measure HL, CKD self-management knowledge tool (CKD-SMKT) to assess knowledge, past performance of CKD-SMB, CKD-A. Estimated GFR (eGFR) was determined using the MDRD-4 equation. Duration of clinic participation and CKD cause were extracted from medical charts. RESULTS: One-hundred-fifty patients participated in the study. eGFRs ranged from 17-152 mL/min per 1.73 m(2). Majority (83%) of respondents had stage 3 or 4 CKD, low HL (63%), and were CKD aware (88%). Approximately 40% (10/25) of patients in stages 1 and 2 and 6.4% (8/125) in stages 3 and 4 were unaware of their CKD. CKD-A differed with stage (P < 0.001) but not by HL level, duration of clinic participation, or CKD cause. Majority of respondents (≥ 90%) correctly answered one or more CKD-SMKT items. Knowledge of one behavior, “controlling blood pressure” differed significantly by CKD-A. CKD-A was associated with past performance of two CKD-SMBs, “controlling blood pressure” (P = 0.02), and “keeping healthy body weight” (P = 0.01). Adjusted multivariate analyses between CKD-A and: (1) HL; and (2) CKD-SMB knowledge were non-significant. However, there was a significant relationship between CKD-A and kidney function after controlling for demographics, HL, and CKD-SMB (P < 0.05). CONCLUSION: CKD-A is not associated with HL, or better CKD-SMBs. CKD-A is significantly associated with kidney function and substantially lower eGFR, suggesting the need for focused patient education in CKD stages 1. Baishideng Publishing Group Inc 2018-01-06 2018-01-06 /pmc/articles/PMC5760511/ /pubmed/29359119 http://dx.doi.org/10.5527/wjn.v7.i1.41 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Observational Study
Devraj, Radhika
Borrego, Matthew E
Vilay, A Mary
Pailden, Junvie
Horowitz, Bruce
Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title_full Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title_fullStr Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title_full_unstemmed Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title_short Awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
title_sort awareness, self-management behaviors, health literacy and kidney function relationships in specialty practice
topic Observational Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5760511/
https://www.ncbi.nlm.nih.gov/pubmed/29359119
http://dx.doi.org/10.5527/wjn.v7.i1.41
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