title: Self-efficacy and long-term medication use in patients with chronic kidney disease.
abstract: BACKGROUND
  Long-term medication use in patients with chronic kidney disease is necessary to prevent further kidney damage. Medication adherence is positively influenced by high self-efficacy ratings.
  
  
  OBJECTIVE
  To determine if by discussing self-efficacy scores, leads to higher self-efficacy scores, regarding long-term medication use by patients with chronic kidney disease.
  
  
  METHODS
  A total of 54 patients, randomised to a control or intervention group, rated their self-efficacy using the Long-Term Medication Behaviour Self-Efficacy Scale (LTMBSES). Their scores were only discussed in the intervention group. Self-efficacy enhancing interventions were used to influence self-efficacy scores.
  
  
  RESULTS
  The intervention group had significant higher self-efficacy scores at posttest (p = 0.013). Transplantation had no effect on the mean self-efficacy. Patients ≤ 55 years had significant higher self-efficacy scores than patients > 55 years (p = 0.015).
  
  
  CONCLUSIONS
  Discussing self-efficacy scores can lead to increased self-efficacy scores in patients with chronic kidney disease.
authors.affiliation: University Medical Center, Department of Nephrology Utrecht, The Netherlands. jwstudie@planet.nl
authors.forename: Judith
authors.initials: J
authors.lastname: Wierdsma
authors.forename: Arjan
authors.initials: A
authors.lastname: van Zuilen
authors.forename: Jaap
authors.initials: J
authors.lastname: van der Bijl
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010353:Patient Education as Topic; D051436:Renal Insufficiency, Chronic / Q000188:drug therapy* / Q000523:psychology*; D020377:Self Efficacy