Provider Attitudes and Support of Patients’ Autonomy for Phosphate Binder Medication Adherence in ESRD

Author:

Umeukeje Ebele M12ORCID,Osman Rabia3,Nettles Arie L4,Wallston Kenneth A56,Cavanaugh Kerri L12

Affiliation:

1. Division of Nephrology & Hypertension, Vanderbilt University Medical Center, Nashville, TN, USA

2. Vanderbilt Center for Kidney Disease, Nashville, TN, USA

3. Ohio State University College of Medicine, Columbus, OH, USA

4. Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA

5. Vanderbilt University School of Nursing, Nashville, TN, USA

6. Vanderbilt Institute for Medicine and Public Health, Nashville, TN, USA

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.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases

Office of Research on Women’s Health

National Center for Advancing Translational Sciences

Vanderbilt Center for Kidney Disease

Publisher

SAGE Publications

Subject

Health Policy,Health (social science),Leadership and Management

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