Observational studyBMC nephrology2018
Patient and treatment characteristics associated with patient activation in patients undergoing hemodialysis: a cross-sectional study.
Observational study in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Survey of hemodialysis patients' knowledge of their infection risk and acceptability of an intranasal decolonization intervention.Infection control and hospital epidemiology · 2026Trial
- Home-based exercise for people living with frailty and chronic kidney disease: A mixed-methods pilot randomised controlled trial.PloS one · 2021Trial
- Patient activation and its influencing factors among maintenance hemodialysis patients: a cross-sectional study in China.BMC nephrology · 2026Article
- Patient Activation Among Individuals with Chronic Illness: A Cross-Sectional Study from Jordan.Healthcare (Basel, Switzerland) · 2026Article
- Understanding patients' self-management after enterostomy: knowledge, attitudes, and practices in a cross-sectional study.Frontiers in public health · 2026Article
- The relationship between social support, psychological distress, and patient activation in peritoneal dialysis patients: a cross-sectional study.BMC nephrology · 2025Article
- Attitudes and practices toward anxiety among haemodialysis patients: a multicentre cross-sectional study in Qingdao, China.BMJ open · 2025Article
- Factors associated with patient activation among patients with diabetes on hemodialysis: a multicenter cross-sectional study from a developing country.BMC nephrology · 2024Article
- Patient activation in advanced chronic kidney disease: a cross-sectional study.Journal of nephrology · 2024Article
- Digital health interventions to promote healthy lifestyle in hemodialysis patients: an interventional pilot study.Scientific reports · 2024Article
- Observational
- Patient Activation: The Cornerstone of Effective Self-Management in Chronic Kidney Disease?Kidney and dialysis · 2022Article
- Patient activation and its association with symptom burden and quality of life across the spectrum of chronic kidney disease stages in England.BMC nephrology · 2022Article
- Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study.Journal of patient experience · 2022Article
- Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus.Journal of public health research · 2021Article
- Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2021Article
- Factors of Anti-Vascular Endothelial Growth Factor Therapy Withdrawal in Patients with Neovascular Age-Related Macular Degeneration: Implications for Improving Patient Adherence.Journal of clinical medicine · 2021Article
- Determinants of patient activation and its association with cardiovascular disease risk in chronic kidney disease: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Measuring Patient Activation as Part of Kidney Disease Policy: Are We There Yet?Journal of the American Society of Nephrology : JASN · 2020Article
- Interventions Incorporating Therapeutic Alliance to Improve Hemodialysis Treatment Adherence in Black Patients with End-Stage Kidney Disease (ESKD) in the United States: A Systematic Review.Patient preference and adherence · 2020Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient activation is associated with better outcomes and lower costs. Although the concept is widely investigated, little attention was given to patient activation and its predictors in patients undergoing hemodialysis. Hence, we aimed to investigate the level of patient activation and aimed to determine patient- and treatment-related predictors of activation in patients undergoing hemodialysis.
methodsThis cross-sectional observational study recruited patients undergoing hemodialysis in three Flemish hospitals. Participants were questioned about patient characteristics (i.e., age, sex, education, employment, children, social support, leisure-time, living condition, and care at home), treatment- and health-related characteristics (i.e., hospital, time since first dialysis, transplantation, self-reported health (EQ-VAS) and depressive symptoms (PHQ-2)), and patient activation (PAM-13). Univariate and multiple linear regression analyses with dummy variables were conducted to investigate the associations between the independent variables and patient activation.
resultsThe average patient activation-score was 51. Of 192 patients, 44% patients did not believe they had an important role regarding their health. Multiple linear regression showed that older patients, who reported being in bad health, treated in a particular hospital, without leisure-time activities, and living in a residential care home, had lower patient activation. These variables explained 31% of the variance in patient activation. Based on literature, we found that activation of patients on hemodialysis is low, compared to that of other chronic patient groups.
conclusionIt could be useful to implement patient activation monitoring, since the level of activation is low in patients undergoing hemodialysis. Older patients, who reported being in bad health, treated in a particular hospital, without leisure-time activities, living in a residential care home, are at higher risk for lower activation.
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