Psychosocial barriers and facilitators for adherence to a healthy lifestyle among patients with chronic kidney disease

Psychosocial barriers and facilitators for adherence to a healthy lifestyle among patients with chronic kidney disease: a focus group study

Cardol, Cinderella K. (Universiteit Leiden)
Boslooper-Meulenbelt, Karin (University Medical Center Groningen)
van Middendorp, Henriët (Universiteit Leiden)
Meuleman, Yvette (Leiden University Medical Center)
Evers, A.W.M. (TU Delft Applied Ergonomics and Design; Universiteit Leiden)
van Dijk, Sandra (Universiteit Leiden)

2022

Background: Progression of chronic kidney disease (CKD) may be delayed if patients engage in healthy lifestyle behaviors. However, lifestyle adherence is very difficult and may be influenced by problems in psychosocial functioning. This qualitative study was performed to gain insights into psychosocial barriers and facilitators for lifestyle adherence among patients with CKD not receiving dialysis. Methods: Eight semi-structured focus groups were conducted with a purposive sample of 24 patients and 23 health care professionals from four Dutch medical centers. Transcripts were analyzed using thematic analysis. Subsequently, the codes from the inductive analysis were deductively mapped onto the Theoretical Domains Framework (TDF). Results: Many psychosocial barriers and facilitators for engagement in a healthy lifestyle were brought forward, such as patients’ knowledge and intrinsic motivation, emotional wellbeing and psychological distress, optimism, and disease acceptance. The findings of the inductive analysis matched all fourteen domains of the TDF. The most prominent domains were ‘social influences’’and ‘environmental context and resources’, reflecting how patients’ environments hinder or support engagement in a healthy lifestyle. Conclusions: The results indicate a need for tailored behavioral lifestyle interventions to support disease self-management. The TDF domains can guide development of adequate strategies to identify and target individually experienced psychosocial barriers and facilitators.

Chronic kidney disease (CKD)
Focus groups
Lifestyle adherence
Psychosocial determinants
Qualitative research
Self-management interventions
Thematic analysis
Theoretical Domains Framework (TDF)

http://resolver.tudelft.nl/uuid:232956e7-2f10-401c-9730-2503fb2058bb

https://doi.org/10.1186/s12882-022-02837-0

BMC Nephrology, 23 (1)

Institutional Repository

journal article

© 2022 Cinderella K. Cardol, Karin Boslooper-Meulenbelt, Henriët van Middendorp, Yvette Meuleman, A.W.M. Evers, Sandra van Dijk