Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials
Background Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self‐management interventions are frequently used to improve adherence to treatment in hemodialysis patients. Objectives To synthesize a comparison of the effect of educational...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-05, Vol.75 (5), p.e13842-n/a |
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| creator | Yangöz, Şefika Tuğba Özer, Zeynep Boz, İlkay |
| description | Background
Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self‐management interventions are frequently used to improve adherence to treatment in hemodialysis patients.
Objectives
To synthesize a comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients in randomized controlled trials.
Methods
Systematic searches were conducted using 11 multidisciplinary databases in June 2020. The PRISMA checklist was used. The subgroup analysis was used to compare the effect of educational and self‐management interventions on adherence to fluid intake, diet, and drug management.
Results
In the included studies, educational interventions were performed ranging from 15 to 60 minutes, in 1‐72 sessions. Self‐management interventions were performed ranging from 10 to 120 minutes, in 1‐84 sessions. The overall effect of educational interventions was small on adherence to fluid intake (P = .019, Hedges’ g = −0.39), diet in serum phosphorus level (P = .001, Hedges’ g = −0.35), drug management (P = .002, Hedges’ g = −0.44), and not significant on adherence to diet in serum potassium level (P = .181). The overall effect of self‐management interventions was small on adherence to fluid intake (P = .001, Hedges’ g = −0.19) and diet in serum phosphorus level (P |
| doi_str_mv | 10.1111/ijcp.13842 |
| format | Article |
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Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self‐management interventions are frequently used to improve adherence to treatment in hemodialysis patients.
Objectives
To synthesize a comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients in randomized controlled trials.
Methods
Systematic searches were conducted using 11 multidisciplinary databases in June 2020. The PRISMA checklist was used. The subgroup analysis was used to compare the effect of educational and self‐management interventions on adherence to fluid intake, diet, and drug management.
Results
In the included studies, educational interventions were performed ranging from 15 to 60 minutes, in 1‐72 sessions. Self‐management interventions were performed ranging from 10 to 120 minutes, in 1‐84 sessions. The overall effect of educational interventions was small on adherence to fluid intake (P = .019, Hedges’ g = −0.39), diet in serum phosphorus level (P = .001, Hedges’ g = −0.35), drug management (P = .002, Hedges’ g = −0.44), and not significant on adherence to diet in serum potassium level (P = .181). The overall effect of self‐management interventions was small on adherence to fluid intake (P = .001, Hedges’ g = −0.19) and diet in serum phosphorus level (P < .001, Hedges’ g = −0.42). Additionally, the overall effect of self‐management interventions was moderate on adherence to diet in serum potassium level (P = .002, Hedges’ g = −0.75) and drug management (P < .001, Hedges’ g = −0.55). There was no difference between the educational and self‐management interventions on adherence to fluid intake, diet, and drug management (P > .05).
Conclusions
The analysis shows that educational and self‐management interventions had a beneficial effect on adherence to fluid intake, diet, and drug management and no difference between these interventions. Therefore, these interventions can be used by healthcare professionals. It is also recommended that these interventions be well defined and transferable to routine clinical practice.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.13842</identifier><identifier>PMID: 33220132</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Clinical trials ; Diet ; Fluid intake ; Hemodialysis ; Humans ; Management ; Meta-analysis ; Patient compliance ; Patients ; Phosphorus ; Plant growth ; Potassium ; Randomized Controlled Trials as Topic ; Renal Dialysis ; Self-Management ; Systematic review</subject><ispartof>International journal of clinical practice (Esher), 2021-05, Vol.75 (5), p.e13842-n/a</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-a40c57ef15df427f75f47e1c92a1ab29baf20086bbd4d25fe44e357ca9df07563</citedby><cites>FETCH-LOGICAL-c3932-a40c57ef15df427f75f47e1c92a1ab29baf20086bbd4d25fe44e357ca9df07563</cites><orcidid>0000-0001-8405-1208 ; 0000-0002-3529-9351 ; 0000-0001-9711-2620</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.13842$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.13842$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33220132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yangöz, Şefika Tuğba</creatorcontrib><creatorcontrib>Özer, Zeynep</creatorcontrib><creatorcontrib>Boz, İlkay</creatorcontrib><title>Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Background
Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self‐management interventions are frequently used to improve adherence to treatment in hemodialysis patients.
Objectives
To synthesize a comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients in randomized controlled trials.
Methods
Systematic searches were conducted using 11 multidisciplinary databases in June 2020. The PRISMA checklist was used. The subgroup analysis was used to compare the effect of educational and self‐management interventions on adherence to fluid intake, diet, and drug management.
Results
In the included studies, educational interventions were performed ranging from 15 to 60 minutes, in 1‐72 sessions. Self‐management interventions were performed ranging from 10 to 120 minutes, in 1‐84 sessions. The overall effect of educational interventions was small on adherence to fluid intake (P = .019, Hedges’ g = −0.39), diet in serum phosphorus level (P = .001, Hedges’ g = −0.35), drug management (P = .002, Hedges’ g = −0.44), and not significant on adherence to diet in serum potassium level (P = .181). The overall effect of self‐management interventions was small on adherence to fluid intake (P = .001, Hedges’ g = −0.19) and diet in serum phosphorus level (P < .001, Hedges’ g = −0.42). Additionally, the overall effect of self‐management interventions was moderate on adherence to diet in serum potassium level (P = .002, Hedges’ g = −0.75) and drug management (P < .001, Hedges’ g = −0.55). There was no difference between the educational and self‐management interventions on adherence to fluid intake, diet, and drug management (P > .05).
Conclusions
The analysis shows that educational and self‐management interventions had a beneficial effect on adherence to fluid intake, diet, and drug management and no difference between these interventions. Therefore, these interventions can be used by healthcare professionals. It is also recommended that these interventions be well defined and transferable to routine clinical practice.</description><subject>Clinical trials</subject><subject>Diet</subject><subject>Fluid intake</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Management</subject><subject>Meta-analysis</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Phosphorus</subject><subject>Plant growth</subject><subject>Potassium</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Renal Dialysis</subject><subject>Self-Management</subject><subject>Systematic review</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhiMEoqWw4QGQJTYVUoqvkwm7asSlqBIsYB059jHjURwH22k1rHgE3or34Ek40wwsWOCNj48-f8fWX1VPGb1guF76nZkumFhLfq86ZY3kNeOS3cdarNa1ooKdVI9y3lHKlVrTh9WJEJxTJvhp9XMTw6STz3Ek0ZGyBQLOgSmHE9jZ6OLjqAeiR0syDO7X9x9Bj_oLBBgL8WOBdIMVQpmgQ9stJBgNkBJJSaDLkSNbCNF6Peyzz2RCLfbzK3JJ8j4XCNgwJMGNh9u7WQGKxlk4armBz0nYj8F_A0tMHEuKw4BlSSjNj6sHDjd4ctzPqs9vXn_avKuvP7y92lxe10a0gtdaUqMacExZJ3njGuVkA8y0XDPd87bXjlO6XvW9lZYrB1KCUI3RrXW0UStxVp0v3inFrzPk0gWfDQyDHiHOueNyJRgVqED0-T_oLs4J_4OUYqptGsEYUi8WyqSYcwLXTckHnfYdo90h3u4Qb3cXL8LPjsq5D2D_on_yRIAtwK0fYP8fVXf1fvNxkf4Gej-3Iw</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Yangöz, Şefika Tuğba</creator><creator>Özer, Zeynep</creator><creator>Boz, İlkay</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8405-1208</orcidid><orcidid>https://orcid.org/0000-0002-3529-9351</orcidid><orcidid>https://orcid.org/0000-0001-9711-2620</orcidid></search><sort><creationdate>202105</creationdate><title>Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials</title><author>Yangöz, Şefika Tuğba ; Özer, Zeynep ; Boz, İlkay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-a40c57ef15df427f75f47e1c92a1ab29baf20086bbd4d25fe44e357ca9df07563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical trials</topic><topic>Diet</topic><topic>Fluid intake</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Management</topic><topic>Meta-analysis</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Phosphorus</topic><topic>Plant growth</topic><topic>Potassium</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Renal Dialysis</topic><topic>Self-Management</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yangöz, Şefika Tuğba</creatorcontrib><creatorcontrib>Özer, Zeynep</creatorcontrib><creatorcontrib>Boz, İlkay</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yangöz, Şefika Tuğba</au><au>Özer, Zeynep</au><au>Boz, İlkay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2021-05</date><risdate>2021</risdate><volume>75</volume><issue>5</issue><spage>e13842</spage><epage>n/a</epage><pages>e13842-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Background
Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self‐management interventions are frequently used to improve adherence to treatment in hemodialysis patients.
Objectives
To synthesize a comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients in randomized controlled trials.
Methods
Systematic searches were conducted using 11 multidisciplinary databases in June 2020. The PRISMA checklist was used. The subgroup analysis was used to compare the effect of educational and self‐management interventions on adherence to fluid intake, diet, and drug management.
Results
In the included studies, educational interventions were performed ranging from 15 to 60 minutes, in 1‐72 sessions. Self‐management interventions were performed ranging from 10 to 120 minutes, in 1‐84 sessions. The overall effect of educational interventions was small on adherence to fluid intake (P = .019, Hedges’ g = −0.39), diet in serum phosphorus level (P = .001, Hedges’ g = −0.35), drug management (P = .002, Hedges’ g = −0.44), and not significant on adherence to diet in serum potassium level (P = .181). The overall effect of self‐management interventions was small on adherence to fluid intake (P = .001, Hedges’ g = −0.19) and diet in serum phosphorus level (P < .001, Hedges’ g = −0.42). Additionally, the overall effect of self‐management interventions was moderate on adherence to diet in serum potassium level (P = .002, Hedges’ g = −0.75) and drug management (P < .001, Hedges’ g = −0.55). There was no difference between the educational and self‐management interventions on adherence to fluid intake, diet, and drug management (P > .05).
Conclusions
The analysis shows that educational and self‐management interventions had a beneficial effect on adherence to fluid intake, diet, and drug management and no difference between these interventions. Therefore, these interventions can be used by healthcare professionals. It is also recommended that these interventions be well defined and transferable to routine clinical practice.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33220132</pmid><doi>10.1111/ijcp.13842</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0001-8405-1208</orcidid><orcidid>https://orcid.org/0000-0002-3529-9351</orcidid><orcidid>https://orcid.org/0000-0001-9711-2620</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Clinical trials Diet Fluid intake Hemodialysis Humans Management Meta-analysis Patient compliance Patients Phosphorus Plant growth Potassium Randomized Controlled Trials as Topic Renal Dialysis Self-Management Systematic review |
| title | Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials |
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