Literacy Enhancement Program among Older People Receiving Hemodialysis: Feasibility and Acceptability

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Krit Boonasa
Ladawan Panpanit
Samoraphop Banharak
Nutda Kumniyom
Sutin Chanaboon


              The prevalence of chronic kidney disease is higher in older people. Hemodialysis helps reduce complications and extends life for people with chronic kidney disease, however several adverse effects occur frequently, varying from discomfort to life-threatening events. Though these effects can be reduced with appropriate self-care, older people receiving hemodialysis have limited self-care behaviors and health literacy. This study used a one-group pretest–posttest design aimed to examine the feasibility and acceptability of a health literacy enhancement program and the effects of the program on health literacy and self-care behaviors in older people with chronic kidney disease receiving hemodialysis. Eighteen participants receiving hemodialysis at a district hospital in Thailand were recruited. The program was developed based on the Model of Health Literacy. Data were collected from April to July 2020. The feasibility and acceptability of the program were determined by retention of study participants and improvement of outcomes. Comparisons of dependent variables, before and after the intervention, were analyzed using Wilcoxon Signed Rank Test.
             Results revealed that the program was feasible and acceptable. A significant improvement in outcomes, including health literacy scores, overall self-care behavior scores, and all seven dimensions of self-care behavior scores, occurred after the intervention (30 minutes per session, for four consecutive weeks). Findings suggest that the program is feasible and acceptable. However, whilst this program needs to be further tested using a randomized controlled trial, it has potential for nurses to promote health literacy and self-care behaviors of older people with chronic kidney disease receiving hemodialysis.

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Krit Boonasa, Ladawan Panpanit, Samoraphop Banharak, Nutda Kumniyom, Sutin Chanaboon. Literacy Enhancement Program among Older People Receiving Hemodialysis: Feasibility and Acceptability. PRIJNR [Internet]. 2022 May 27 [cited 2023 Jan. 31];26(3):474-87. Available from:
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