The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease

Marcus G. Wild, Kenneth A. Wallston, Jamie A. Green, Lauren Brittany Beach, Ebele Umeukeje, Julie A. Wright Nunes, T. Alp Ikizler, Julia Steed, Kerri L. Cavanaugh*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Chronic Kidney Disease (CKD) is a major burden on patients and the health care system. Treatment of CKD requires dedicated involvement from both caretakers and patients. Self-efficacy, also known as perceived competence, contributes to successful maintenance of patient's CKD self-management behaviors such as medication adherence and dietary regulations. Despite a clear association between self-efficacy and improved CKD outcomes, there remains a lack of validated self-report measures of CKD self-efficacy. To address this gap, the Perceived Kidney/Dialysis Self-Management Scale (PKDSMS) was adapted from the previously validated Perceived Medical Condition Self-Management Scale. We then sought to validate this using data from two separate cohorts: a cross-sectional investigation of 146 patients with end-stage renal disease receiving maintenance hemodialysis and a longitudinal study of 237 patients with CKD not receiving dialysis. The PKDSMS was found to be positively and significantly correlated with self-management behaviors and medication adherence in both patient cohorts. The PKDSMS had acceptable reliability, was internally consistent, and exhibited predictive validity between baseline PKDSMS scores and self-management behaviors across multiple time points. Thus, the PKDSMS is a valid and reliable measure of CKD patient self-efficacy and supports the development of interventions enhancing perceived competence to improve CKD self-management.

Original languageEnglish (US)
Pages (from-to)972-978
Number of pages7
JournalKidney international
Volume92
Issue number4
DOIs
StatePublished - Oct 2017

Keywords

  • chronic kidney disease
  • perceived competence
  • self-efficacy
  • self-report
  • validation

ASJC Scopus subject areas

  • Nephrology

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