Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations

Maya Clark-Cutaia, Mary Ann Sevick, Jennifer Thurheimer-Cacciotti, Leslie A. Hoffman, Linda Snetselaar, Lora E. Burke, Susan L. Zickmund

Research output: Contribution to journalArticle

Abstract

Barriers to following dietary recommendations have been described; however, they remain poorly understood. The purpose of this qualitative study was to explore perceived barriers to adherence to dietary recommendations in a diverse hemodialysis patient population. Participants were eligible to participate in a semi-structured qualitative telephone interview prior to randomization for an ongoing clinical trial to evaluate the efficacy of an intervention designed to reduce dietary sodium intake. Interviews were digitally recorded, transcribed verbatim and coded using an iterative qualitative process. In total, 30 (37% females, 53% Caucasians) participants, 63.2 ± 13.3 years, were interviewed. Time, convenience, and financial constraints hindered dietary adherence. Dietary counseling efforts were rated positively but require individualization. Ability to follow recommended guidelines was challenging. Suggestions for addressing barriers include technology-based interventions that allow patients to improve food choices and real-time decision-making, and permit tailoring to individual barriers and preferences.

Original languageEnglish (US)
JournalClinical Nursing Research
DOIs
StateAccepted/In press - May 1 2018

Fingerprint

Renal Dialysis
Interviews
Dietary Sodium
Aptitude
Random Allocation
Counseling
Decision Making
Clinical Trials
Guidelines
Technology
Food
Population

Keywords

  • dietary restrictions
  • ESRD
  • health care disparities
  • patient adherence
  • vulnerable populations

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Clark-Cutaia, M., Sevick, M. A., Thurheimer-Cacciotti, J., Hoffman, L. A., Snetselaar, L., Burke, L. E., & Zickmund, S. L. (Accepted/In press). Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations. Clinical Nursing Research. https://doi.org/10.1177/1054773818773364

Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations. / Clark-Cutaia, Maya; Sevick, Mary Ann; Thurheimer-Cacciotti, Jennifer; Hoffman, Leslie A.; Snetselaar, Linda; Burke, Lora E.; Zickmund, Susan L.

In: Clinical Nursing Research, 01.05.2018.

Research output: Contribution to journalArticle

Clark-Cutaia, M, Sevick, MA, Thurheimer-Cacciotti, J, Hoffman, LA, Snetselaar, L, Burke, LE & Zickmund, SL 2018, 'Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations', Clinical Nursing Research. https://doi.org/10.1177/1054773818773364
Clark-Cutaia, Maya ; Sevick, Mary Ann ; Thurheimer-Cacciotti, Jennifer ; Hoffman, Leslie A. ; Snetselaar, Linda ; Burke, Lora E. ; Zickmund, Susan L. / Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations. In: Clinical Nursing Research. 2018.
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