ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2020
Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers.
Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 65 citations in OpenAlex.
- Family-centered empowerment approach to optimize phosphate management among hemodialysis patients: an experimental study.BMC nephrology · 2023Trial
- Development and validation of a nomogram for peritoneal dialysis-associated peritonitis.Renal failure · 2026Article
- Predictors of poor medication adherence in patients undergoing peritoneal dialysis: a LASSO-based risk model from a cross-sectional study in Xinjiang, China.Renal failure · 2026Article
- Understanding Patients' Experiences and Adherence Challenges with Dietary and Fluid Restriction in End-Stage Kidney Disease: A Qualitative Study.Patient preference and adherence · 2026Article
- The Decision-Making Experience of Self-Management Behaviors in Home Peritoneal Dialysis for Patients with Diabetic Nephropathy: A Qualitative Study Using the Theory of Planned Behavior.Patient preference and adherence · 2025Article
- Barriers and facilitators for the adoption of peritoneal dialysis: protocol for a systematic review of qualitative studies.BMJ open · 2024Article
- Assisted peritoneal dialysis in Europe: a strategy to increase and maintain home dialysis.Clinical kidney journal · 2024Article
- Functionality and Usability of mHealth Apps in Patients with Peritoneal Dialysis: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Advances in Human-Centered Care to Address Contemporary Unmet Needs in Chronic Dialysis.International journal of nephrology and renovascular disease · 2024Review
- Partnering with patients and caregivers to enrich research and care in kidney disease: values and strategies.Clinical kidney journal · 2023Review
- A learning process to deliver virtual staff training involving patients in shared haemodialysis care.Clinical kidney journal · 2023Review
- Choice of the Dialysis Modality: Practical Considerations.Journal of clinical medicine · 2023Review
- Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability.Renal failure · 2022Article
- Perspectives on ability to work from patients' receiving dialysis and caregivers: analysis of data from the global SONG initiative.Journal of nephrology · 2022Article
- Living Well with Kidney Disease by Patient and Care-Partner Empowerment: Kidney Health for Everyone Everywhere.Kidney diseases (Basel, Switzerland) · 2021Article
- Living Well with Kidney Disease by patient and care-partner empowerment: Kidney Health for Everyone Everywhere.Journal of nephrology · 2021Article
- Living Well With Kidney Disease by Patient and Care Partner Empowerment: Kidney Health for Everyone Everywhere.Kidney international reports · 2021Article
- Living well with kidney disease by patient and care partner empowerment: kidney health for everyone everywhere.Clinical kidney journal · 2021Article
- Living Well With Kidney Disease by Patient and Care-Partner Empowerment: Kidney Health for Everyone Everywhere.Canadian journal of kidney health and disease · 2021Article
- Living Well with Kidney Disease by Patient and Care-Partner Empowerment: Kidney Health for Everyone Everywhere.American journal of nephrology · 2021Article
Corrections and comments
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Authors and funding
26 authors at 16 institutions in 9 countries.
Funding
Abstract
backgroundWhile peritoneal dialysis (PD) can offer patients more independence and flexibility compared with in-center hemodialysis, managing the ongoing and technically demanding regimen can impose a burden on patients and caregivers. Patient empowerment can strengthen capacity for self-management and improve treatment outcomes. We aimed to describe patients' and caregivers' perspectives on the meaning and role of patient empowerment in PD.
methodsAdult patients receiving PD (n = 81) and their caregivers (n = 45), purposively sampled from nine dialysis units in Australia, Hong Kong and the USA, participated in 14 focus groups. Transcripts were thematically analyzed.
resultsWe identified six themes: lacking clarity for self-management (limited understanding of rationale behind necessary restrictions, muddled by conflicting information); PD regimen restricting flexibility and freedom (burden in budgeting time, confined to be close to home); strength with supportive relationships (gaining reassurance with practical assistance, comforted by considerate health professionals, supported by family and friends); defying constraints (reclaiming the day, undeterred by treatment, refusing to be defined by illness); regaining lost vitality (enabling physical functioning, restoring energy for life participation); and personal growth through adjustment (building resilience and enabling positive outlook, accepting the dialysis regimen).
conclusionsUnderstanding the rationale behind lifestyle restrictions, practical assistance and family support in managing PD promoted patient empowerment, whereas being constrained in time and capacity for life participation outside the home undermined it. Education, counseling and strategies to minimize the disruption and burden of PD may enhance satisfaction and outcomes in patients requiring PD.
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