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Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations

Author

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

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.

Suggested Citation

  • Maya N. Clark-Cutaia & Mary Ann Sevick & Jennifer Thurheimer-Cacciotti & Leslie A. Hoffman & Linda Snetselaar & Lora E. Burke & Susan L. Zickmund, 2019. "Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations," Clinical Nursing Research, , vol. 28(8), pages 1009-1029, November.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:8:p:1009-1029
    DOI: 10.1177/1054773818773364
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    References listed on IDEAS

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    1. Adam Drewnowski & Nicole Darmon, 2005. "Food choices and diet costs: an economic analysis," Post-Print hal-03759740, HAL.
    2. Blaylock, James & Smallwood, David & Kassel, Kathleen & Variyam, Jay & Aldrich, Lorna, 1999. "Economics, food choices, and nutrition," Food Policy, Elsevier, vol. 24(2-3), pages 269-286, May.
    3. Ella Walsh & Elaine Lehane, 2011. "An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end‐stage renal dise," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(3‐4), pages 331-340, February.
    4. Basiotis, P. P. & Carlson, A. & Gerrior, S. A. & Juan, W. Y. & Lino, M., 2002. "The Healthy Eating Index: 1999-2000," CNPP Reports 311367, United States Department of Agriculture, Center for Nutrition Policy and Promotion.
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    1. Sisook Kim & Hyunsook Zin Lee, 2023. "The Lived Self-Care Experiences of Patients Undergoing Long-Term Haemodialysis: A Phenomenological Study," IJERPH, MDPI, vol. 20(6), pages 1-10, March.

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