Abstract: TH-PO541
CKD Patient Characteristics and Attitudes Towards Kidney Disease Education
Session Information
- CKD: Health Services, Disparities, Prevention
November 02, 2017 | Location: Hall H, Morial Convention Center
Abstract Time: 10:00 AM - 10:00 AM
Category: Chronic Kidney Disease (Non-Dialysis)
- 307 CKD: Health Services, Disparities, Prevention
Authors
- Choudhury, Devasmita, Salem Veterans Affair Medical Center, Salem, Virginia, United States
- Dev, Urbi, Salem Veterans Affair Medical Center, Salem, Virginia, United States
- Mcneil, Lesley, Salem Veterans Affair Medical Center, Salem, Virginia, United States
- West, Suzanne T, Salem Veterans Affair Medical Center, Salem, Virginia, United States
Background
CKD education (CKD-Ed) is crucial to managing and improving CKD health outcomes. Patients (pts) often defer or miss CKD –Ed appointments. We compare characteristics and attitudes of pts who opt to receive education (R-Ed) to pts who decline (D-Ed).
Methods
A web-based CKD-Ed (VA-ekidneyclinic) education program designed at the 5th grade level was offered consecutively to 179 known CKD patients and their family members during CKD clinic appointments at Salem VAMC from 7/2016 to 5/2017 with continuing web-based home education as part of a study.
Results
R-Ed: 61/179 (34%); D-Ed: 118/179 (66%) patients. Reasons for declining education: 46% - no interest, 36% -no home web access, 12%- too busy, 5% live too far, 3% confused. See data table for age, ethnicity, CKD stage, number or medical problems, differences in education level between groups. 76% of “non-interested”, 82% of “no computer”, 100% “live too far” pts were from counties and cities with < 88% HS and higher education; 70% “too busy” pts came from >88% HS education counties and cities. 62% pts despite computer access declined both clinic and home CKD-Ed.
Conclusion
CKD patients who decline CKD education are more like to be older, male, from lower educated surroundings and interestingly fewer medical problems than those that opt to receive CKD education. Creative education tools and practices (eg: games, comics, jingles) need to be explored to motivate and educate a majority of CKD patient in order improve CKD health outcomes.
Demographics Data: Opting to Receive (R-Ed) vs Decline (D-Ed) CKD Education
| Grp/total number of patients in group/% | R-Ed/61/34 | D-Ed/118/66 | p |
| Age (years) (mean±SD) | 65 ±9 | 80±9 | 0.000 |
| Education (Ed) level | 89% ≥HS^ Ed | 75% reside in cty&cnty$ that report+ <89 % HS Ed level* 65% are in cnty&cty < US avg HS Ed level of 87%** | |
| Gender (M:F )% | 78:22 | 99:1 | |
| Ethnicity (%) | 71C 23AA,6 other | 71C, 23AA,6 other | No difference |
| CKD stage – 2/3/4/5 (%) | 2.5/85/12.5/0 | 8/62/23/6 | |
| No. of Medical Problems (mean±SD) | 23±8 | 21±8 | 0.000 |
| ^HS = high school No = number | $Cnty =county $Cty = city | * VA state avg Ed level 89% ** US avg 87% + https://literacyfacts.wordpress.com/ | C = Caucasian AA= African American |
Funding
- Private Foundation Support