Provider Attitudes and Support of Patients’ Autonomy for Phosphate Binder Medication Adherence in ESRD

• Published in: Journal of patient experience Vol. 7; no. 5; pp. 708 - 712
• Main Authors: Umeukeje, Ebele M, Osman, Rabia, Nettles, Arie L, Wallston, Kenneth A, Cavanaugh, Kerri L
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.10.2020; Sage Publications Ltd; SAGE Publishing
• Subjects: Attitudes; Hemodialysis; Kidney diseases; Patient compliance; Patient Experience Research Brief; provider attitudes; autonomy support; medication adherence; end-stage renal disease
• ISSN: 2374-3735; 2374-3743
• DOI: 10.1177/2374373519883502

This cross-sectional study of 56 dialysis providers from 3 dialysis clinics examined providers’ attitudes and perception of autonomy support for patients’ medication adherence behaviors. Respondents completed surveys assessing attitudes and perception of autonomy support. Compared to all other provider types, physicians and nurse practitioners (MD/NP) thought it was “less true” that phosphate binder medications are very important for dialysis patients (MD/NP vs others: 5.1 [1.4] vs 6.1 [1.1]; P = 0.02). More dialysis technicians (19%) offered the highest level of support. Attitudes and perception of autonomy support for medication adherence are suboptimal, vary by dialysis provider type, and are targets for quality improvement in dialysis care. This study addresses critical gap in existing knowledge about these two novel provider-based psychosocial factors and their potential impact on phosphate binder medication adherence.