Model of Self-management Behavior in People Experiencing Early Stage Chronic Kidney Disease
Keywords:
Chronic kidney disease, Family functioning, Health literacy, Self efficacy, Self management, Social supportAbstract
There are growing numbers of person with chronic kidney disease globally, including in Thailand. To slow progression of chronic kidney disease, self-management is essential. However, there are few studies that explore self-management behavior of persons experiencing early stages of chronic kidney disease. This study contributes a causal model to enhance the understanding of the pattern of relationships of factors influence self-management behaviors is necessary. A total of 275 participants receiving treatment at two tertiary hospitals in Bangkok were recruited using cluster random sampling. Data collection used seven self-administered questionnaires including; a demographic data form, Chronic Kidney Disease Self-Efficacy Questionnaire, Brief Illness Perception Questionnaire, Social Support Questionnaire, Health Literacy Scale-14, Chulalongkorn Family Inventory, and Chronic Kidney Disease Self-management. Structural equation modeling was used to test the model.
The result showed that the final model fitted the empirical data, in which health literacy, family functioning, and social support variables explained 31% of total variance in self-management behaviors. Health literacy and social support had a direct effect on self-management behaviors. Family functioning had indirect effect on self-management behavior through social support and direct effect on only self-efficacy. These findings suggest that nurses can positively influence self-management behaviors through nursing interventions that encourage health literacy and effective family functioning, and provide social support for persons with chronic kidney disease.
References
1. Ministry of Public Health. Thailand health Profile Report 2008-2010. 2012 [cited 2012 October 10]. Available from https://eng.moph.go.th/index.php/health-situationrend/103-thailand-health-profile-report-2008-2010. [In Thai].
2. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. 2012 [cited 2014
3. June 18]. Available from https://www.thelancet.com/ journals/lancet/article/PIIS0140-736(12)617280(2012).
4. Chuasuwan A, Praditpornsilpa K. Thailand renal replacement therapy year 2014. 2016 [cited 2018 February 3]. Available from https://nephrothai.org/images/10-11-2016/1. TRT-report-2014-3-11-59-final.pdf.
5. Kidney International Supplement. Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int Suppl. 2017; 7: 1-59.
6. Curtin BR, Walters AJ, Schatell D, Pennell P, Wise M, Klicko K. Self-Efficacy and Self-Management Behaviors in Patients with Chronic Kidney Disease. Adv Chronic Kidney Dis 2008; 15(2): 191-205.
7. Novak M, Costantini L, Schneider S, Beanlands H. Approaches to self-management in chronic illness. Semin Dia J. 2013; 26(2):188-94.
8. Futrakul N, Futrakul P. Improved vascular repair is relevant to enhanced renal function with vasodilators in early stage of chronic kidney disease. Asian Biomed 2010; 4: 153-7.
9. Plantinga CL, Tuot SD, Powe RN. Awareness of Chronic Kidney Disease among Patients and Providers. Adv Chronic Kidney Dis 2010; 17(3): 225-36.
10. James TM, Hemmelgarn RB, Tonelli M. Early recognition and prevention of chronic kidney disease. 2010 [cited 2015 June 16]. Available from www.thelancet.com/journals/ lancet/article/PIIS0141-6736(10)61107-5.
11. Lin CC, Tsai FM, Lin HS, Hwang SJ, Chen HC. Effects of self- management program on patients with early-stage chronic kidney disease: A pilot study. Appl Nurs Res. 2013; 26(3): 151-6.
12. Chen HS, Tsai YF, Sun CY, Wu W, Lee CC, Wu MS. The impact of self- management support on the progression of chronic kidney disease: A prospective randomized controlled trial. Nephrol Dial Transplant. 2011; 26: 3560-66.
13. Timmerman GM, Tahir MJ, Lewis RM, Samoson D, Temple H, Forman MR. Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease. J Behav Med. 2017; 40(5): 702-11.
14. Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, et al. A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions. Health Serv Deliv Res 2014;2(53).
15. Ryan PA, Sawin KJ. The individual and family self-management theory: Background and perspectives on context, process, and outcomes. Nurs Outlook. 2009; 57(4): 217-25.
16. Ryan PA, Sawin KJ. Individual and Family Self-Management Theory (Revised Figure). 2014 [cited 2015 Oct 10]. Available from https://www4.uwm.edu/nursing/about/ centers-institutes/self-management/theory.cfm.
17. Jansen DL, Heijmans WM, Rijken M, Spreeuwenberg P, Grootendorst DC, Dekker FW. et al. Illness perceptions and treatment perceptions of patients with chronic kidney disease: different phases, different perceptions? Br J Health Psychol. 2013; 18(2): 244-62.
18. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67: 2072-8.
19. Trangkasombat U. Family functioning in the families of psychiatric patients: a comparison with nonclinical families. J Med Assoc Thai. 2006 Nov; 89(11):1946-53.
20. Bandura A. Health Promotion by Social Cognitive Means. Health Educ Behav. 2004 April; 31(2): 143-64.
21. Wu VS. Prediction of self-care behaviour on the basis of knowledge about chronic kidney disease using self-efficacy as a mediator. J Clin Nurs. 2016; 25(17): 2609-18.
22. Costantini L, Beanlands H, McCay E, Cattran D, Hladunewich M, Francis D. The self-management experience of people with mild to moderate chronic kidney disease. Nephrology Nursing Journal 2008; 35(2):147-55.
23. Rosland AM, Heisler M, Choi HJ, Silveira MJ, Piette JD. Family Influences on Self-Management Among Functionally Independent Adults with Diabetes or Heart Failure: Do Family Members Hinder As Much As They Help? J Chronic Dis 2010; 6(1): 22-33.
24. Dunbar BS, Clark CP, Stamp DK, Reilly MC, Garg AR, Higgins M, et al. Family partnership and education interventions to reduce dietary sodium by patients with heart failure differ by family functioning. Heart & Lung. 2016; 1-8.
25. Leventhal H, Brissete I, Leventhal EA. The common- sense model of self-regulation of health and illness. In L.D. Cameron & H. Leventhal (Eds.). The self-regulation of health and illness behaviour. London: Routledge; 2003.
26. Pagels AA. Living with chronic kidney disease: Perceptions of illness and health-related quality of life. [homepage on the Internet]. 2012. No date [cited 2014 Feb 7]. Available from: https:/ publica tions. ki.se/ xmlui/bitstream/handle/ 10616/ 41246/ Thesis_Agneta_Pagels. pdf?sequence=1
27. Timmers L, Thong M, Dekker FW, Boeschoten EW, Heijmans M, Rijken M, et al. Kaptein For the Netherlands Cooperative Study on the Adequacy of Dialysis (NECOSAD) Study Group. Illness perceptions in dialysis patients and their association with quality of life. Psychol Health. 2008; 23(6): 679-90.
28. World Health Organization. Jakarta Declaration on Leading Health Promotion into the 21st Century. Geneva: World Health Organization; 1997.
29. Devraj R, Borrego M, Vilay AM, Gordon EJ, Pailden J, Horowitz B. Relationship between Health Literacy and Kidney Function. Nephrology (Carlton). 2015; 20:360-7.
30. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 7th ed. New Jersey: Pearson Education International; 2010.
31. Lin CC, Wu CC, Wu LM, Chen HM, Chang SC. Psychometric evaluation of a new instrument to measure disease selfmanagement of the early stage chronic kidney disease patients. J Clin Nurs. 2013; 22(7): 1073-9.
32. Lin CC, Wu CC, Anderson MR, Chang SC, Chang CS, Hwang JS, et al. The chronic kidney disease self-efficacy (CKD-SE) instrument: Development and psychometric evaluation. Nephrol Dial Transplant. 2012; 27(10): 3828-34.
33. Broadbent E, Petriea KJ, Maina J, Weinman J. The Brief Illness Perception Questionnaire. J Psychosom Res. 2006; 60: 631- 7.
34. Thepphawan P, Watthnakitkrileart D, Pongthavornkamol K, Dumavibhat C. Cognitive Representation, Emotional Responses and Hospitalization Experience in Predicting Decision Making for Receiving Treatment Among Patients with Acute Coronary Syndrome. J Nurs Sci. 2011; 29(2): 111-9.
35. Thotankham S. Effects of the self-efficacy and social support enhancement program on disease control behaviors and serum creatinine levels among elders with chronic renal failure. [Unpublished master’s thesis]. Chiang Mai, Thailand: Chiang Mai University; 2008. [in Thai].
36. Sritarapipat P, Pothiborn L, Panuthai S, Lumlertgul D, Nanasilp P. Causal Model of elderly Thais’ self-management behaviors of pre-dialysis chronic kidney disease. Pac Rim Int J Nurs Res Thai. 2012; 16(4): 277-92.
37. Suka M, Odajima T, Kasai M, Garashi A, Ishikawa H, Kusama M, et al. The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med. 2014; 18: 407-15.
38. Brislin RW. The wording and translation of research instrument. In Lonner WJ, Berry JW. (Eds). Field methods in cross-cultural research (pp.137-164). Beverly Hills CA: Sage; 1986.
39. Cha ES, Kim KH, Erlen JA. Translation of scales in crosscultural research: Issues and techniques. J Adv Nurs. 2007; 58(4): 386-95.
40. Schumacker RE. Lomax RG. A Beginner’s Guide to Structural. 3rd ed. New York: Taylor and Francis Group; 2010.
41. Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and selfmanagement behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns. 2013; 91: 221-7.
42. Kauric-Klein Z, Peters MR, Yarandi NH. Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis. West J Nurs Res. 2017; 39(7): 886-905.
2. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. 2012 [cited 2014
3. June 18]. Available from https://www.thelancet.com/ journals/lancet/article/PIIS0140-736(12)617280(2012).
4. Chuasuwan A, Praditpornsilpa K. Thailand renal replacement therapy year 2014. 2016 [cited 2018 February 3]. Available from https://nephrothai.org/images/10-11-2016/1. TRT-report-2014-3-11-59-final.pdf.
5. Kidney International Supplement. Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int Suppl. 2017; 7: 1-59.
6. Curtin BR, Walters AJ, Schatell D, Pennell P, Wise M, Klicko K. Self-Efficacy and Self-Management Behaviors in Patients with Chronic Kidney Disease. Adv Chronic Kidney Dis 2008; 15(2): 191-205.
7. Novak M, Costantini L, Schneider S, Beanlands H. Approaches to self-management in chronic illness. Semin Dia J. 2013; 26(2):188-94.
8. Futrakul N, Futrakul P. Improved vascular repair is relevant to enhanced renal function with vasodilators in early stage of chronic kidney disease. Asian Biomed 2010; 4: 153-7.
9. Plantinga CL, Tuot SD, Powe RN. Awareness of Chronic Kidney Disease among Patients and Providers. Adv Chronic Kidney Dis 2010; 17(3): 225-36.
10. James TM, Hemmelgarn RB, Tonelli M. Early recognition and prevention of chronic kidney disease. 2010 [cited 2015 June 16]. Available from www.thelancet.com/journals/ lancet/article/PIIS0141-6736(10)61107-5.
11. Lin CC, Tsai FM, Lin HS, Hwang SJ, Chen HC. Effects of self- management program on patients with early-stage chronic kidney disease: A pilot study. Appl Nurs Res. 2013; 26(3): 151-6.
12. Chen HS, Tsai YF, Sun CY, Wu W, Lee CC, Wu MS. The impact of self- management support on the progression of chronic kidney disease: A prospective randomized controlled trial. Nephrol Dial Transplant. 2011; 26: 3560-66.
13. Timmerman GM, Tahir MJ, Lewis RM, Samoson D, Temple H, Forman MR. Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease. J Behav Med. 2017; 40(5): 702-11.
14. Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, et al. A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions. Health Serv Deliv Res 2014;2(53).
15. Ryan PA, Sawin KJ. The individual and family self-management theory: Background and perspectives on context, process, and outcomes. Nurs Outlook. 2009; 57(4): 217-25.
16. Ryan PA, Sawin KJ. Individual and Family Self-Management Theory (Revised Figure). 2014 [cited 2015 Oct 10]. Available from https://www4.uwm.edu/nursing/about/ centers-institutes/self-management/theory.cfm.
17. Jansen DL, Heijmans WM, Rijken M, Spreeuwenberg P, Grootendorst DC, Dekker FW. et al. Illness perceptions and treatment perceptions of patients with chronic kidney disease: different phases, different perceptions? Br J Health Psychol. 2013; 18(2): 244-62.
18. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67: 2072-8.
19. Trangkasombat U. Family functioning in the families of psychiatric patients: a comparison with nonclinical families. J Med Assoc Thai. 2006 Nov; 89(11):1946-53.
20. Bandura A. Health Promotion by Social Cognitive Means. Health Educ Behav. 2004 April; 31(2): 143-64.
21. Wu VS. Prediction of self-care behaviour on the basis of knowledge about chronic kidney disease using self-efficacy as a mediator. J Clin Nurs. 2016; 25(17): 2609-18.
22. Costantini L, Beanlands H, McCay E, Cattran D, Hladunewich M, Francis D. The self-management experience of people with mild to moderate chronic kidney disease. Nephrology Nursing Journal 2008; 35(2):147-55.
23. Rosland AM, Heisler M, Choi HJ, Silveira MJ, Piette JD. Family Influences on Self-Management Among Functionally Independent Adults with Diabetes or Heart Failure: Do Family Members Hinder As Much As They Help? J Chronic Dis 2010; 6(1): 22-33.
24. Dunbar BS, Clark CP, Stamp DK, Reilly MC, Garg AR, Higgins M, et al. Family partnership and education interventions to reduce dietary sodium by patients with heart failure differ by family functioning. Heart & Lung. 2016; 1-8.
25. Leventhal H, Brissete I, Leventhal EA. The common- sense model of self-regulation of health and illness. In L.D. Cameron & H. Leventhal (Eds.). The self-regulation of health and illness behaviour. London: Routledge; 2003.
26. Pagels AA. Living with chronic kidney disease: Perceptions of illness and health-related quality of life. [homepage on the Internet]. 2012. No date [cited 2014 Feb 7]. Available from: https:/ publica tions. ki.se/ xmlui/bitstream/handle/ 10616/ 41246/ Thesis_Agneta_Pagels. pdf?sequence=1
27. Timmers L, Thong M, Dekker FW, Boeschoten EW, Heijmans M, Rijken M, et al. Kaptein For the Netherlands Cooperative Study on the Adequacy of Dialysis (NECOSAD) Study Group. Illness perceptions in dialysis patients and their association with quality of life. Psychol Health. 2008; 23(6): 679-90.
28. World Health Organization. Jakarta Declaration on Leading Health Promotion into the 21st Century. Geneva: World Health Organization; 1997.
29. Devraj R, Borrego M, Vilay AM, Gordon EJ, Pailden J, Horowitz B. Relationship between Health Literacy and Kidney Function. Nephrology (Carlton). 2015; 20:360-7.
30. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 7th ed. New Jersey: Pearson Education International; 2010.
31. Lin CC, Wu CC, Wu LM, Chen HM, Chang SC. Psychometric evaluation of a new instrument to measure disease selfmanagement of the early stage chronic kidney disease patients. J Clin Nurs. 2013; 22(7): 1073-9.
32. Lin CC, Wu CC, Anderson MR, Chang SC, Chang CS, Hwang JS, et al. The chronic kidney disease self-efficacy (CKD-SE) instrument: Development and psychometric evaluation. Nephrol Dial Transplant. 2012; 27(10): 3828-34.
33. Broadbent E, Petriea KJ, Maina J, Weinman J. The Brief Illness Perception Questionnaire. J Psychosom Res. 2006; 60: 631- 7.
34. Thepphawan P, Watthnakitkrileart D, Pongthavornkamol K, Dumavibhat C. Cognitive Representation, Emotional Responses and Hospitalization Experience in Predicting Decision Making for Receiving Treatment Among Patients with Acute Coronary Syndrome. J Nurs Sci. 2011; 29(2): 111-9.
35. Thotankham S. Effects of the self-efficacy and social support enhancement program on disease control behaviors and serum creatinine levels among elders with chronic renal failure. [Unpublished master’s thesis]. Chiang Mai, Thailand: Chiang Mai University; 2008. [in Thai].
36. Sritarapipat P, Pothiborn L, Panuthai S, Lumlertgul D, Nanasilp P. Causal Model of elderly Thais’ self-management behaviors of pre-dialysis chronic kidney disease. Pac Rim Int J Nurs Res Thai. 2012; 16(4): 277-92.
37. Suka M, Odajima T, Kasai M, Garashi A, Ishikawa H, Kusama M, et al. The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med. 2014; 18: 407-15.
38. Brislin RW. The wording and translation of research instrument. In Lonner WJ, Berry JW. (Eds). Field methods in cross-cultural research (pp.137-164). Beverly Hills CA: Sage; 1986.
39. Cha ES, Kim KH, Erlen JA. Translation of scales in crosscultural research: Issues and techniques. J Adv Nurs. 2007; 58(4): 386-95.
40. Schumacker RE. Lomax RG. A Beginner’s Guide to Structural. 3rd ed. New York: Taylor and Francis Group; 2010.
41. Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and selfmanagement behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns. 2013; 91: 221-7.
42. Kauric-Klein Z, Peters MR, Yarandi NH. Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis. West J Nurs Res. 2017; 39(7): 886-905.
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2018-09-28
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Photharos N, Wacharasin C, Duongpaeng S. Model of Self-management Behavior in People Experiencing Early Stage Chronic Kidney Disease. PRIJNR [Internet]. 2018 Sep. 28 [cited 2024 Nov. 16];22(4):360-71. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/85799
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