{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:54:33Z","timestamp":1781495673338,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":120,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients on hemodialysis need to have sufficient knowledge, skill, and ability to carry out their treatment regimen. The aim of this study was to identify factors that affect adherence to hemodialysis and to assess the role of a structured teaching program on self\u2010care in terms of knowledge and practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a pre\u2010experimental one\u2010group pre\u2010test post\u2010test design study conducted at a tertiary care center in India, from January 10, 2022, to March 30, 2022, involving 50 participants by convenience sampling. Electronic training (self\u2010care structured teaching program), structured knowledge interview, ESRD\u2010AQ tool, and structured 4\u2010point Likert\u2010practice rating scale were implied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most patients (38\/50; 76%) were non\u2010adherent. Educational status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0002), occupation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0006), monthly income (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0017), dialysis frequency (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019), transportation mode (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0003), education frequencies (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0006), and perceived relative importance of hemodialysis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001) were statistically significantly associated with adherence. The mean pre\u2010test knowledge score was 10.82 while the mean post\u2010test knowledge score was 19.50. The mean difference between the pre\u2010test and post\u2010test score was 8.68\u2009\u00b1\u20090.12 and the difference was clinically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Similarly, the mean pre\u2010test practice rating scale was 23.70 while the mean post\u2010test practice rating scale was 42.36. The mean difference between the pre\u2010test and post\u2010test score was 18.66\u2009\u00b1\u20090.95 and the difference was clinically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). There was a significant association between the post\u2010test knowledge and practice scores on the self\u2010care and educational status of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most patients were non\u2010adherent and were deficient in knowledge and practices regarding self\u2010care. Patient education and self\u2010care teaching are beneficial in improving adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sdi.70013","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:19:32Z","timestamp":1767161972000},"page":"347-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hemodialysis Patients' Needs for Self\u2010Care Structured Teaching Programs: A Pre\u2010 and Post\u2010Test Study"],"prefix":"10.1111","volume":"38","author":[{"given":"Radhe","family":"Shyam","sequence":"first","affiliation":[{"name":"RAK College of Nursing, Lajpat Nagar  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Nephrology VMMC &amp; Safdarjung Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisy","family":"Thomas","sequence":"additional","affiliation":[{"name":"RAK College of Nursing, Lajpat Nagar  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harindarjeet","family":"Goyal","sequence":"additional","affiliation":[{"name":"RAK College of Nursing, Lajpat Nagar  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2513-5131","authenticated-orcid":false,"given":"Sourabh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Nephrology VMMC &amp; Safdarjung Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010059305"},{"key":"e_1_2_11_3_1","first-page":"587","volume-title":"Handbook for Brunner & Suddarth's Textbook of Medical\u2010Surgical Nursing","author":"Johnson J. Y.","year":"2010"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.5339\/qmj.2024.12"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987120904770"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.07680715"},{"issue":"12","key":"e_1_2_11_7_1","article-title":"Interventions for Improving Health Literacy in People With Chronic Kidney Disease","volume":"12","author":"Campbell Z. C.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1429"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/4295613"},{"issue":"4","key":"e_1_2_11_10_1","first-page":"377","article-title":"The End\u2010Stage Renal Disease Adherence Questionnaire (ESRD\u2010AQ): Testing the Psychometric Properties in Patients Receiving In\u2010Center Hemodialysis","volume":"37","author":"Kim Y.","year":"2010","journal-title":"Nephrology Nursing Journal"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000309"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/4372716"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.21767\/2471\u2010299X.1000038"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcli.2019.04.028"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2012.42.7.1070"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010018\u20101989\u2010y"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/2277\u20109531.145899"}],"container-title":["Seminars in Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.70013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sdi.70013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.70013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:30:33Z","timestamp":1781494233000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sdi.70013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":16,"journal-issue":{"issue":"5-6","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/sdi.70013"],"URL":"https:\/\/doi.org\/10.1111\/sdi.70013","archive":["Portico"],"relation":{},"ISSN":["0894-0959","1525-139X"],"issn-type":[{"value":"0894-0959","type":"print"},{"value":"1525-139X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2024-11-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}