The Effects of Self-management Support Programs on Chronic Kidney Disease Prevention Behaviors among Risk Groups in Community
Keywords:chronic kidney disease, prevention behavior, risk group
Introduction: Chronic Kidney Disease (CKD) was a major public health problem in Thailand and worldwide. The major risk factors for CKD include diabetes, high blood pressure, and unhealthy behaviors such as unhealthy food consumption and improper use of medication. Research objectives: To examine the effects of self-management support programs on CKD preventive behaviors among risk groups in community dwellers living with stage 1-3 kidney impaired disease. Research methodology: This quasi-experimental study used a 2-group pretest-posttest design and was guided by a health belief model and 5 A technique model. Sixty participants were purposively selected and assigned to experimental group (n=30) and control group (n=30). The control group received regularly care and the experimental group received the CKD prevention program with 5As behavior change technique. Data were collected from control group and experimental group at a first week and twelfth week. A set of questionnaires were used to collect data including 1) Knowledge about CKD with reliable KR-20 of 0.77; 2) Perceived health belief on CKD with reliable Cronbach’s alpha of 0.80; and 3) Prevention behaviors on CKD with reliable Cronbach’s alpha of 0.80. Two clinical outcomes were measured namely serum creatinine (Scr) and estimated glomerular filtration rate (eGFR). Both of them were validated according to a hospital standard. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. Results: Results revealed that in the experimental group, means score of knowledge, perceives of health belief on CKD, and CKD prevention behavior were found to be significantly higher than the control group (p< .05). Also, there were significant differences for clinical outcomes (Scr levels and eGFR values) between the two groups (p< .05). Conclusions: The self-managements support program was guided by the concept of health beliefs with 5A technique. By implementing this program, the risk groups reported a better perception of their health beliefs resulting in a change in health-related behavior of CKD prevention and good clinical outcomes. Implications: The community health care sectors could apply this program to promote self-management behavior of risk group in community to delay CKD progression.
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