Effect of mHealth Training on Treatment Adherence in Hemodialysis Patients.

Background: Technological advancements and ease of communicating with and educating patients with kidney failure using various technologies have facilitated the achievement of treatment goals. Objectives: The present study aimed to examine the effect of mHealth training on treatment adherence in hem...

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Published in:Medical-Surgical Nursing Journal Vol. 11; no. 3; pp. 1 - 9
Main Authors: Saadatifar, Benyamin, Sharifi, Simin, Faghihi, Hamed, Googhary, Narjeskhatoun Sadeghi
Format: research tables/charts randomized controlled trial Journal Article
Published: Brieflands Aug2022
Online Access:View this record in EBSCOhost
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      dt: Aug2022
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        atl: Effect of mHealth Training on Treatment Adherence in Hemodialysis Patients.
      aug:
        au:
          Saadatifar, Benyamin
          Sharifi, Simin
          Faghihi, Hamed
          Googhary, Narjeskhatoun Sadeghi
        affil: Medical-Surgical Nursing Department, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
      sug:
        subj:
          Telehealth Education
          Patient Compliance Evaluation
          Hemodialysis
          Dialysis Patients Education
          Outcomes of Education
          Human
          Quasi-Experimental Studies
          Iran
          Academic Medical Centers Iran
          Convenience Sample
          Mobile Applications
          Questionnaires
          Data Analysis Software
          T-Tests
          Chi Square Test
          Analysis of Covariance
          Descriptive Statistics
          Randomized Controlled Trials
          Random Assignment
          Male
          Female
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Patient Education
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Technological advancements and ease of communicating with and educating patients with kidney failure using various technologies have facilitated the achievement of treatment goals. Objectives: The present study aimed to examine the effect of mHealth training on treatment adherence in hemodialysis patients in Zahedan. Methods: This quasi-experimental study was conducted on 80 hemodialysis patients admitted to teaching hospitals in Zahedan in 2022. The participants were selected using convenience sampling and were divided into two intervention and control groups by allocation with permutation blocks. In addition to routine training, the participants in the intervention group received mHealth training in five areas of treatment adherence using a smartphone application (My Dialysis) developed by the researcher. The participants in the control group received only routine training. The data were collected by a demographic information form, the Media Literacy Questionnaire, and the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) in both groups before and three months after the intervention. The collected data were analyzed with SPSS (version 26) using the paired and independent samples t-test, chi-square test, and analysis of covariance (ANCOVA) at the significance level of less than 0.05 (P < 0.05). Results: The mean treatment adherence score for the patients in the control group increased from 1011.87 ± 150.96 before the intervention to 1110.62 ± 86.95 after the intervention, showing a significant increase (P < 0.001). Besides, the mean treatment adherence score for the patients in the intervention group increased significantly from 1067.50 ± 122.24 before the intervention to 1161.25 ± 49.98 after the intervention (P > 0.001). The results of ANCOVA to control for the significant effect of the pretest scores and the disease duration showed that the patients’ mean treatment adherence scores in the two groups significantly differed after the intervention (P < 0.05). Conclusions: This study confirmed the significant positive effects of mHealth training on the treatment adherence of dialysis patients. Thus, considering the effectiveness of routine training, mHealth training can be used with routine training in treatment programs for hemodialysis patients to improve their treatment adherence.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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