A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals

Marco D Boonstra; Sijmen A Reijneveld; Ralf Westerhuis; Janne M Tullius; Johanna P M Vervoort; Gerjan Navis; Andrea F de Winter

doi:10.1016/j.pec.2021.05.016

A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals

Marco D Boonstra, Sijmen A Reijneveld, Ralf Westerhuis, Janne M Tullius, Johanna P M Vervoort, Gerjan Navis, Andrea F de Winter

Rijksuniversiteit Groningen, Universitair Medisch Centrum Groningen

Onderzoeksoutput: Article › Academic › peer review

Samenvatting

OBJECTIVES: Limited health literacy (LHL) is associated with faster kidney deterioration. Health care professionals (HCPs) promote self-management to maintain kidney function, which is difficult for patients with LHL. Evidence lacks on perceived barriers and best strategies to optimize their self-management. Our study aims to explore experiences with and barriers for self-management from the perspectives of LHL patients and HCPs to identify strategies to optimize self-management.

METHODS: We performed a longitudinal qualitative study with semi-structured in-depth interviews and focus group discussions among CKD patients and LHL (n = 24) and HCPs (n = 37) from general practices and hospitals.

RESULTS: Four themes arose among patients: (1) CKD elusiveness, (2) suboptimal intake of knowledge (3) not taking a front-seat role, and (4) maintaining change. Among HCPs, three themes emerged: (1) not recognizing HL problems, (2) lacking effective strategies, and (3) health care barriers.

CONCLUSION: We suggest three routes to optimize self-management: providing earlier information, applying person-centered strategies to maintain changes, and improving competencies of HCPs.

PRACTICE IMPLICATIONS: HCPs need to explain CKD self-management better to prevent kidney deterioration. New interventions, based on behavioral approaches, are needed to optimize self-management. HCPs need training to improve recognition and support of LHL patients.

Originele taal-2	English
Pagina's (van-tot)	88-104
Aantal pagina's	17
Tijdschrift	Patient Education and Counseling
Volume	105
Nummer van het tijdschrift	1
DOI's	https://doi.org/10.1016/j.pec.2021.05.016
Status	Published - jan. 2022
Extern gepubliceerd	Ja

Keywords

gezondheidsgeletterdheid
gezondheidspersoneel/educatie
mensen
kwalitatief onderzoek
nierinsufficiëntie, chronisch/therapie
zelfmanagement

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Boonstra, M. D., Reijneveld, S. A., Westerhuis, R., Tullius, J. M., Vervoort, J. P. M., Navis, G., & de Winter, A. F. (2022). A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals. Patient Education and Counseling, 105(1), 88-104. https://doi.org/10.1016/j.pec.2021.05.016

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abstract = "OBJECTIVES: Limited health literacy (LHL) is associated with faster kidney deterioration. Health care professionals (HCPs) promote self-management to maintain kidney function, which is difficult for patients with LHL. Evidence lacks on perceived barriers and best strategies to optimize their self-management. Our study aims to explore experiences with and barriers for self-management from the perspectives of LHL patients and HCPs to identify strategies to optimize self-management.METHODS: We performed a longitudinal qualitative study with semi-structured in-depth interviews and focus group discussions among CKD patients and LHL (n = 24) and HCPs (n = 37) from general practices and hospitals.RESULTS: Four themes arose among patients: (1) CKD elusiveness, (2) suboptimal intake of knowledge (3) not taking a front-seat role, and (4) maintaining change. Among HCPs, three themes emerged: (1) not recognizing HL problems, (2) lacking effective strategies, and (3) health care barriers.CONCLUSION: We suggest three routes to optimize self-management: providing earlier information, applying person-centered strategies to maintain changes, and improving competencies of HCPs.PRACTICE IMPLICATIONS: HCPs need to explain CKD self-management better to prevent kidney deterioration. New interventions, based on behavioral approaches, are needed to optimize self-management. HCPs need training to improve recognition and support of LHL patients.",

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Boonstra, MD, Reijneveld, SA, Westerhuis, R, Tullius, JM, Vervoort, JPM, Navis, G & de Winter, AF 2022, 'A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals', Patient Education and Counseling, vol. 105, nr. 1, blz. 88-104. https://doi.org/10.1016/j.pec.2021.05.016

A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals. / Boonstra, Marco D; Reijneveld, Sijmen A; Westerhuis, Ralf et al.
In: Patient Education and Counseling, Vol. 105, Nr. 1, 01.2022, blz. 88-104.

Onderzoeksoutput: Article › Academic › peer review

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T2 - Perspectives of patients and health care professionals

AU - Boonstra, Marco D

AU - Reijneveld, Sijmen A

AU - Westerhuis, Ralf

AU - Tullius, Janne M

AU - Vervoort, Johanna P M

AU - Navis, Gerjan

AU - de Winter, Andrea F

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N2 - OBJECTIVES: Limited health literacy (LHL) is associated with faster kidney deterioration. Health care professionals (HCPs) promote self-management to maintain kidney function, which is difficult for patients with LHL. Evidence lacks on perceived barriers and best strategies to optimize their self-management. Our study aims to explore experiences with and barriers for self-management from the perspectives of LHL patients and HCPs to identify strategies to optimize self-management.METHODS: We performed a longitudinal qualitative study with semi-structured in-depth interviews and focus group discussions among CKD patients and LHL (n = 24) and HCPs (n = 37) from general practices and hospitals.RESULTS: Four themes arose among patients: (1) CKD elusiveness, (2) suboptimal intake of knowledge (3) not taking a front-seat role, and (4) maintaining change. Among HCPs, three themes emerged: (1) not recognizing HL problems, (2) lacking effective strategies, and (3) health care barriers.CONCLUSION: We suggest three routes to optimize self-management: providing earlier information, applying person-centered strategies to maintain changes, and improving competencies of HCPs.PRACTICE IMPLICATIONS: HCPs need to explain CKD self-management better to prevent kidney deterioration. New interventions, based on behavioral approaches, are needed to optimize self-management. HCPs need training to improve recognition and support of LHL patients.

AB - OBJECTIVES: Limited health literacy (LHL) is associated with faster kidney deterioration. Health care professionals (HCPs) promote self-management to maintain kidney function, which is difficult for patients with LHL. Evidence lacks on perceived barriers and best strategies to optimize their self-management. Our study aims to explore experiences with and barriers for self-management from the perspectives of LHL patients and HCPs to identify strategies to optimize self-management.METHODS: We performed a longitudinal qualitative study with semi-structured in-depth interviews and focus group discussions among CKD patients and LHL (n = 24) and HCPs (n = 37) from general practices and hospitals.RESULTS: Four themes arose among patients: (1) CKD elusiveness, (2) suboptimal intake of knowledge (3) not taking a front-seat role, and (4) maintaining change. Among HCPs, three themes emerged: (1) not recognizing HL problems, (2) lacking effective strategies, and (3) health care barriers.CONCLUSION: We suggest three routes to optimize self-management: providing earlier information, applying person-centered strategies to maintain changes, and improving competencies of HCPs.PRACTICE IMPLICATIONS: HCPs need to explain CKD self-management better to prevent kidney deterioration. New interventions, based on behavioral approaches, are needed to optimize self-management. HCPs need training to improve recognition and support of LHL patients.

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KW - kwalitatief onderzoek

KW - nierinsufficiëntie, chronisch/therapie

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Boonstra MD, Reijneveld SA, Westerhuis R, Tullius JM, Vervoort JPM, Navis G et al. A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: Perspectives of patients and health care professionals. Patient Education and Counseling. 2022 jan.;105(1):88-104. doi: 10.1016/j.pec.2021.05.016