title: The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis.
abstract: Reported treatment adherence rates of patients with end stage renal disease (ESRD) have been extremely varied due to lack of reliable and valid measurement tools. This study was conducted to develop and test an instrument to measure treatment adherence to hemodialysis (HD) attendance, medications, fluid restrictions, and diet prescription among patients with ESRD. This article describes the methodological approach used to develop and test the psychometric properties (such as reliability and validity) of the 46-item ESRD-Adherence Questionnaire (ESRD-AQ) in a cohort of patients receiving maintenance HD at dialysis centers in Los Angeles County. The ESRD-AQ is the first self-report instrument to address all components of adherence behaviors of patients with ESRD. The findings support that the instrument is reliable and valid and is easy to administer. Future studies are needed in a larger sample to determine whether additional modifications are needed.
authors.affiliation: Division of Nephrology and Hypertension, Harbor-UCLA Medical Center, Torrance, CA, USA. youngkim234@gmail.com
authors.forename: Youngmee
authors.initials: Y
authors.lastname: Kim
authors.forename: Lorraine S
authors.initials: LS
authors.lastname: Evangelista
authors.forename: Linda R
authors.initials: LR
authors.lastname: Phillips
authors.forename: Carol
authors.initials: C
authors.lastname: Pavlish
authors.forename: Joel D
authors.initials: JD
authors.lastname: Kopple
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015438:Health Behavior; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D011594:Psychometrics; D006435:Renal Dialysis / Q000523:psychology*; D012648:Self Care / Q000523:psychology; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires / Q000592:standards*