The Effect of Individualized Teach-Back Education Guided by the Roy Adaptation Model on Treatment Adherence and Coping Skills in Patients Receiving Hemodialysis: A Randomized Controlled Trial.

This randomized controlled trial evaluated the efficacy of an individualized, nurse-led, teach-back method of education intervention guided by the Roy Adaptation Model on treatment adherence and coping processes among adult patients on hemodialysis. Utilizing a parallel-group pretestposttest design,...

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Publicado en:Nephrology Nursing Journal Vol. 53; no. 3; pp. 245 - 259
Autores principales: Acar, Elif, Eroglu, Semiha Akin
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: American Nephrology Nurses' Association May/Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2026
      vid: 53
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      pub: American Nephrology Nurses' Association
      place: Pitman, New Jersey
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        195501851
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        10.37526/1526-744X.2026.53.3.245
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        atl: The Effect of Individualized Teach-Back Education Guided by the Roy Adaptation Model on Treatment Adherence and Coping Skills in Patients Receiving Hemodialysis: A Randomized Controlled Trial.
      aug:
        au:
          Acar, Elif
          Eroglu, Semiha Akin
        affil: Certified Hemodialysis Nurse, Istanbul Strait Command Primary Health Care Center, Istanbul, Türkiye
      sug:
        subj:
          Roy Adaptation Model
          Patient Compliance Education
          Coping Education
          Hemodialysis
          Teaching Methods
          Outcomes of Education Turkiye
          Nursing Role
          Health Education
          Human
          Randomized Controlled Trials
          Random Assignment
          Pretest-Posttest Design
          Outpatients
          Conceptual Framework
          Multicenter Studies
          Turkiye
          Adult
          Middle Age
          Tertiary Health Care
          Descriptive Statistics
          Mann-Whitney U Test
          Paired T-Tests
          Analysis of Variance
          Post Hoc Analysis
          Fisher's Exact Test
          Chi Square Test
          Wilcoxon Signed Rank Test
          Dialysis Patients
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: This randomized controlled trial evaluated the efficacy of an individualized, nurse-led, teach-back method of education intervention guided by the Roy Adaptation Model on treatment adherence and coping processes among adult patients on hemodialysis. Utilizing a parallel-group pretestposttest design, 42 outpatients were randomized into intervention (n = 21) or control (n = 21) groups. Data were collected using validated adherence and coping scales. The intervention group received three face-to-face education sessions delivered via the teach-back method. After adjusting for baseline scores, the intervention group demonstrated statistically significant and higher posttest adherence and coping scores compared with the control group. Retrospective analysis confirmed a robust post-hoc power of 0.92. This theoretically guided framework supports multidimensional treatment adherence and coping mechanisms in patients on hemodialysis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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