Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations

Published on Nov 1, 2019in Clinical Nursing Research1.50
· DOI :10.1177/1054773818773364
Maya N. Clark-Cutaia3
Estimated H-index: 3
Mary Ann Sevick20
Estimated H-index: 20
(NYU: New York University)
+ 4 AuthorsSusan Zickmund19
Estimated H-index: 19
(UofU: University of Utah)
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 foo...
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