Provider Attitudes and Support of Patients’ Autonomy for Phosphate Binder Medication Adherence in ESRD
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 provi...
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| Published in | Journal of patient experience Vol. 7; no. 5; pp. 708 - 712 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Los Angeles, CA
SAGE Publications
01.10.2020
Sage Publications Ltd SAGE Publishing |
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| Abstract | 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. |
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| AbstractList | 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. 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. 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]; = 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. 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.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. |
| Author | Osman, Rabia Nettles, Arie L Umeukeje, Ebele M Wallston, Kenneth A Cavanaugh, Kerri L |
| AuthorAffiliation | 2 Vanderbilt Center for Kidney Disease, Nashville, TN, USA 6 171881 Vanderbilt Institute for Medicine and Public Health , Nashville, TN, USA 5 Vanderbilt University School of Nursing, Nashville, TN, USA 1 Division of Nephrology & Hypertension, 12328 Vanderbilt University Medical Center , Nashville, TN, USA 3 2647 Ohio State University College of Medicine , Columbus, OH, USA 4 Department of Pediatrics, 12328 Vanderbilt University Medical Center , Nashville, TN, USA |
| AuthorAffiliation_xml | – name: 6 171881 Vanderbilt Institute for Medicine and Public Health , Nashville, TN, USA – name: 2 Vanderbilt Center for Kidney Disease, Nashville, TN, USA – name: 4 Department of Pediatrics, 12328 Vanderbilt University Medical Center , Nashville, TN, USA – name: 1 Division of Nephrology & Hypertension, 12328 Vanderbilt University Medical Center , Nashville, TN, USA – name: 5 Vanderbilt University School of Nursing, Nashville, TN, USA – name: 3 2647 Ohio State University College of Medicine , Columbus, OH, USA |
| Author_xml | – sequence: 1 givenname: Ebele M orcidid: 0000-0003-2070-6433 surname: Umeukeje fullname: Umeukeje, Ebele M email: ebele.m.umeukeje@vumc.org – sequence: 2 givenname: Rabia surname: Osman fullname: Osman, Rabia – sequence: 3 givenname: Arie L surname: Nettles fullname: Nettles, Arie L – sequence: 4 givenname: Kenneth A surname: Wallston fullname: Wallston, Kenneth A – sequence: 5 givenname: Kerri L surname: Cavanaugh fullname: Cavanaugh, Kerri L |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33294605$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_semnephrol_2021_10_002 crossref_primary_10_1155_2022_9457440 crossref_primary_10_2147_PPA_S371162 |
| Cites_doi | 10.2337/diacare.21.10.1644 10.1007/s10865-016-9745-7 10.1186/1471-2369-9-2 10.1007/s11606-010-1249-5 10.1097/MLR.0b013e31819a5acc 10.1159/000438463 10.2147/PPA.S145648 10.1097/01.mlr.0000173566.01877.ac 10.7326/M17-2640 10.1186/1471-2369-14-153 10.1016/0277-9536(84)90326-5 10.1037/0022-3514.70.1.115 10.2337/diacare.21.9.1391 10.1053/j.jrn.2015.03.001 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2019 The Author(s) 2019. The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s) 2019 2019 Association for Patient Experience |
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| Keywords | provider attitudes autonomy support medication adherence end-stage renal disease |
| Language | English |
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| References | Larme, Pugh 1998; 21 Ketteler, Block, Evenepoel, Fukagawa, Herzog, McCann 2018; 168 Weinberger, Cohen, Mazzuca 1984; 19 Williams, Grow, Freedman, Ryan, Deci 1996; 70 Williams, Freedman, Deci 1998; 21 Meredith, Yano, Hickey, Sherman 2005; 43 Christensen, Howren, Hillis, Kaboli, Carter, Cvengros 2010; 25 Karamanidou, Clatworthy, Weinman, Horne 2008; 9 Umeukeje, Mixon, Cavanaugh 2018; 12 Covic, Rastogi 2013; 14 Zolnierek, Dimatteo 2009; 47 Umeukeje, Merighi, Browne, Wild, Alsmaan, Umanath 2016; 39 Umeukeje, Merighi, Browne, Victoroff, Umanath, Lewis 2015; 25 Gander, Browne, Plantinga, Pastan, Sauls, Krisher 2015; 41 bibr4-2374373519883502 bibr7-2374373519883502 bibr13-2374373519883502 bibr9-2374373519883502 bibr15-2374373519883502 bibr12-2374373519883502 bibr5-2374373519883502 bibr10-2374373519883502 bibr1-2374373519883502 bibr3-2374373519883502 bibr14-2374373519883502 bibr8-2374373519883502 bibr6-2374373519883502 bibr11-2374373519883502 bibr2-2374373519883502 |
| References_xml | – volume: 12 start-page: 1175 year: 2018 end-page: 91 article-title: Phosphate-control adherence in hemodialysis patients: current perspectives publication-title: Patient Prefer Adherence contributor: fullname: Cavanaugh – volume: 41 start-page: 504 year: 2015 end-page: 11 article-title: Dialysis facility transplant philosophy and access to kidney transplantation in the southeast publication-title: Am J Nephrol contributor: fullname: Krisher – volume: 21 start-page: 1391 year: 1998 end-page: 6 article-title: Attitudes of primary care providers toward diabetes: barriers to guideline implementation publication-title: Diabetes Care contributor: fullname: Pugh – volume: 9 start-page: 2 year: 2008 article-title: A systematic review of the prevalence and determinants of nonadherence to phosphate binding medication in patients with end-stage renal disease publication-title: BMC Nephrol contributor: fullname: Horne – volume: 25 start-page: 397 year: 2010 end-page: 402 article-title: Patient and physician beliefs about control over health: association of symmetrical beliefs with medication regimen adherence publication-title: J Gen Intern Med contributor: fullname: Cvengros – volume: 14 start-page: 153 year: 2013 article-title: Hyperphosphatemia in patients with ESRD: assessing the current evidence linking outcomes with treatment adherence publication-title: BMC Nephrol contributor: fullname: Rastogi – volume: 19 start-page: 965 year: 1984 end-page: 69 article-title: The role of physicians’ knowledge and attitudes in effective diabetes management publication-title: Soc Sci Med contributor: fullname: Mazzuca – volume: 43 start-page: 929 year: 2005 end-page: 34 article-title: Primary care provider attitudes are associated with smoking cessation counseling and referral publication-title: Med Care contributor: fullname: Sherman – volume: 70 start-page: 115 year: 1996 end-page: 26 article-title: Motivational predictors of weight loss and weight-loss maintenance publication-title: J Pers Soc Psychol contributor: fullname: Deci – volume: 168 start-page: 422 year: 2018 end-page: 30 article-title: Diagnosis, evaluation, prevention, and treatment of chronic kidney disease–mineral and bone disorder: synopsis of the kidney disease: improving global outcomes 2017 clinical practice guideline update publication-title: Ann Intern Med contributor: fullname: McCann – volume: 39 start-page: 1104 year: 2016 end-page: 14 article-title: Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease publication-title: J Behav Med contributor: fullname: Umanath – volume: 25 start-page: 433 year: 2015 end-page: 39 article-title: Self-motivation is associated with phosphorus control in end-stage renal disease publication-title: J Ren Nutr contributor: fullname: Lewis – volume: 21 start-page: 1644 year: 1998 end-page: 51 article-title: Supporting autonomy to motivate patients with diabetes for glucose control publication-title: Diabetes Care contributor: fullname: Deci – volume: 47 start-page: 826 year: 2009 end-page: 34 article-title: Physician communication and patient adherence to treatment: a meta-analysis publication-title: Med Care contributor: fullname: Dimatteo – ident: bibr5-2374373519883502 doi: 10.2337/diacare.21.10.1644 – ident: bibr4-2374373519883502 doi: 10.1007/s10865-016-9745-7 – ident: bibr2-2374373519883502 doi: 10.1186/1471-2369-9-2 – ident: bibr8-2374373519883502 doi: 10.1007/s11606-010-1249-5 – ident: bibr6-2374373519883502 doi: 10.1097/MLR.0b013e31819a5acc – ident: bibr12-2374373519883502 doi: 10.1159/000438463 – ident: bibr14-2374373519883502 doi: 10.2147/PPA.S145648 – ident: bibr13-2374373519883502 doi: 10.1097/01.mlr.0000173566.01877.ac – ident: bibr10-2374373519883502 doi: 10.7326/M17-2640 – ident: bibr1-2374373519883502 doi: 10.1186/1471-2369-14-153 – ident: bibr11-2374373519883502 doi: 10.1016/0277-9536(84)90326-5 – ident: bibr9-2374373519883502 doi: 10.1037/0022-3514.70.1.115 – ident: bibr15-2374373519883502 doi: 10.2337/diacare.21.9.1391 – ident: bibr7-2374373519883502 – ident: bibr3-2374373519883502 doi: 10.1053/j.jrn.2015.03.001 |
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| Snippet | This cross-sectional study of 56 dialysis providers from 3 dialysis clinics examined providers’ attitudes and perception of autonomy support for patients’... This cross-sectional study of 56 dialysis providers from 3 dialysis clinics examined providers' attitudes and perception of autonomy support for patients'... |
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| SubjectTerms | Attitudes Hemodialysis Kidney diseases Patient compliance Patient Experience Research Brief |
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| Title | Provider Attitudes and Support of Patients’ Autonomy for Phosphate Binder Medication Adherence in ESRD |
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