ArticleClinical kidney journal2026
A new self-management engagement scale for haemodialysis patients (PRIESM CKD-HD): development and validation.
Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Self-management should be better defined within kidney research and clinical practice. A focus on dialysis related tasks and adherence continues to be central to current measures. PRIESM CKD-HD (Patient Reported Instrument for Engagement in Self-Management for people with Chronic Kidney Disease, receiving Haemodialysis) aligns with a biopsychosocial model and measures engagement in self-management by people receiving haemodialysis (HD). This provides the opportunity to identify gaps and foster discussion about targeted support. Methods: Scale development was undertaken using a sequential mixed-methods approach, comprising literature review, qualitative interviews with HD patients ( Results: PRIESM CKD-HD is a valid and reliable measurement. Exploratory factor analysis indicated a three-factor model consisting of daily managing and impact (α = 0.91), communication (α = 0.84) and clinical care (α = 0.66). Model statistics, χ Conclusions: PRIESM CKD-HD is the first measure of self-management that reframes the concept from the patient perspective and incorporates the psychosocial aspects of treatment impact and daily managing for HD patients. Findings suggest the perception that not all individuals wish to self-manage should be refuted.
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