Effects of helping relationships on health-promoting lifestyles among patients with chronic kidney disease: A randomized controlled trial.

Citation metadata

Publisher: Elsevier B.V.
Document Type: Report
Length: 518 words

Document controls

Main content

Abstract :

Keywords chronic kidney insufficiency; healthy lifestyle; helping behavior; transtheoretical model Abstract Background Healthy behaviors can slow the progression of chronic kidney disease. Professional healthcare providers deliver education, physical exercise programs, motivation consultations, and stage-tailored strategies for improving health behaviors, but their effectiveness reported mixed. The helping relationships of significant others based on the transtheoretical model have been shown to be beneficial in facilitating and practicing health-promoting behaviors. However, few studies have examined the effects of helping relationships on health-promoting behaviors among patients with chronic kidney disease. Objectives The aim of this study was to examine the effects of the intervention strategies of significant others in their helping relationships with patients to advance stages of exercise and diet behaviors, and to improve health-promoting lifestyles. Design A randomized controlled study. Settings Two outpatient nephrology clinics in southern Taiwan. Participants Sixty participants in each of the two groups. Methods Patients were randomly assigned to either the intervention group (n = 60) whose significant others received strategies for helping relationships for 12 months, or the control group (n = 60). The Stage of Change of Exercise and Diet Behaviors, and Health Promoting Lifestyle Profile-II Chinese version were assessed at baseline and 3, 6, 9, and 12 months after receiving the helping relationship interventions tailored to stage of change from significant others. Results Generalized estimating equation analyzes revealed that the intervention group, when compared to the control group, had significantly advanced stages of change in exercise and diet, and improvement in health-promoting lifestyle over time. Adult children and spouses were the most common significant others to help patients practice healthy behaviors, compared to previous studies where professional healthcare providers were the significant others. Conclusions Individualized plans for healthy behaviors should take into consideration patients' readiness for adopting stage-tailored strategies of helping relationships of significant others to adhere to the health-promoting lifestyle. To promote a healthier lifestyle, significant others, such as spouses and adult children, should be included in treatment programs. GEE, (Generalized estimating equations) Author Affiliation: (a) Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan (b) Department of Nursing, College of Medicine, and Associate Vice President, Office of International Affairs, National Cheng Kung University 701, Tainan City, Taiwan (c) Department of Health-Business Administration, Fooyin University, 151 Chin-Hsueh Rd., Ta-Liao District, Kaohsiung City, 83102, Taiwan, R.O.C., Tel: 886-7-7811151 ext: 6120, Fax: 886-7-7824739 (d) Professor of Medicine, Attending Staff of Renal Division, Deputy Chief, Dept. of Internal Medicine, National Cheng Kung University Hospital (e) Deputy Chairman, Dept. of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan (f) School of Medicine, College of Medicine, I-Shou University/ Division of Nephrology, Department of Internal Medicine, E-DA Hospital, Kaohsiung, Taiwan (g) Postdoctoral Assistant Research Fellow, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan (h) Lecturer; Faculty of Nursing, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia * Corresponding author. Article History: Received 22 October 2020; Revised 17 September 2021; Accepted 6 November 2021 Byline: Shu-Mei Chao [smchao125@gmail.com] (a), Miaofen Yen [miaofen@mail.ncku.edu.tw] (b,*), Huey-Shyan Lin [sc035@fy.edu.tw] (c), Junne-Ming Sung [jmsung@mail.ncku.edu.tw] (d,e), Shih-Yuan Hung [ed100367@edah.org.tw] (f), Dhea Natashia [natashia_dhea@umj.ac.id] (g,h)

Source Citation

Source Citation   

Gale Document Number: GALE|A689867778