{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:29:50Z","timestamp":1773286190162,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Global Health"],"published-print":{"date-parts":[[2023,3,31]]},"abstract":"<jats:p>Purpose. The purpose of the study was to assess the impact of an educational intervention on the level of knowledge and adherence to the treatment regimen among hemodialysis (HD) patients as well as to describe the association between these variables. Methods. In this randomized controlled trial, 160 HD patients at an HD centre of a 2030-bed tertiary teaching hospital in Southern India were randomly assigned into intervention (N\u2009=\u200980, received education and a booklet) and control (N\u2009=\u200980, received standard care) groups. Knowledge and adherence were measured preintervention and postintervention using a validated questionnaire for knowledge and the ESRD-AQ (End-Stage Renal Disease Questionnaire) for the level of adherence. The statistical analysis of the data was performed with the help of the Statistical Program SPSS version 19.0. The statistical significance level was set at 0.05. Results. The increase in knowledge on disease management, fluid adherence, and dietary adherence in the intervention group was significantly higher compared to the control group. There was no significant correlation between knowledge and adherence. Adherence improved for all the domains, i.e., dialysis attendance, episodes of shortening, adherence to medication, fluid restriction, and dietary restriction. Adherence to fluid and dietary restriction was statistically significant. This trail is registered with https:\/\/clinicaltrials.gov\/ct2\/show\/CTRI\/2018\/05\/014166.<\/jats:p>","DOI":"10.1155\/2023\/4295613","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T16:09:22Z","timestamp":1680278962000},"page":"1-9","source":"Crossref","is-referenced-by-count":32,"title":["Effect of Educational Intervention on Knowledge and Level of Adherence among Hemodialysis Patients: A Randomized Controlled Trial"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8153-9694","authenticated-orcid":true,"given":"Brayal","family":"Dsouza","sequence":"first","affiliation":[{"name":"Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5980-7197","authenticated-orcid":true,"given":"Ravindra","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0892-8551","authenticated-orcid":true,"given":"B.","family":"Unnikrishnan","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India"}]},{"given":"Sudarshan","family":"Ballal","sequence":"additional","affiliation":[{"name":"Manipal Hospitals, Manipal Health Enterprises Pvt Ltd, Bengaluru, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3266-2677","authenticated-orcid":true,"given":"Suneel C.","family":"Mundkur","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-3075","authenticated-orcid":true,"given":"Varalakshmi","family":"Chandra Sekaran","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3152-6956","authenticated-orcid":true,"given":"Avinash","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3644-1022","authenticated-orcid":true,"given":"Paulo","family":"Moreira","sequence":"additional","affiliation":[{"name":"International Healthcare Management Research and Development Center (IHM-RDC), Shandong Qianfoshan Provincial Hospital, Shandong Medical University, Jinan, Shandong, China"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.07680715"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-14-230"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2010.00462.x"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.00064.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.2147\/ppa.s304530"},{"issue":"3","key":"6","first-page":"55","article-title":"The impact of educational interventions on hemodialysis patients\u2019 adherence to fluid and sodium restrictions","volume":"5","author":"Y. 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