{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T02:40:00Z","timestamp":1780454400729,"version":"3.54.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with femoral non-tunnelled dialysis catheters (NTDC) are at risk of mechanical complications such as kinking, accidental dislodgement and fatal exsanguination. There is currently no standardised education provided on femoral NTDC care. This may lead to poor adherence to care guidelines and compromise patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare the effectiveness of non-standardised verbal education and a Health Belief Model-based patient education pamphlet (HBM-PEP) in improving adherence to catheter care among patients receiving haemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A single centre pre- and post-implementation study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Individuals receiving haemodialysis via femoral NTDC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Patients\u2019 knowledge of, beliefs about, perceived adherence and actual adherence to femoral NTDC care were assessed using a 29-item questionnaire, nursing handover reports and adherence charts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      One hundred participants were recruited, with 50 receiving non-standardised verbal education and the other 50 receiving standardised education through HBM-PEP. Perceived adherence (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.006) and actual adherence (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001) significantly improved after the pamphlet intervention. Knowledge positively correlated with both perceived (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.226) and actual adherence (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.227,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.023). A moderate correlation was observed between perceived and actual adherence (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.543,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The duration of femoral NTDC in situ (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u2009\u20139.18,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002), moderate level of assistance (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20091.15,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.037), perceived knowledge (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20090.44,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.009), perceived adherence (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20091.16,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and use of PEP (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20090.82,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.025) were significant predictors of actual adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The HBM-PEP improved knowledge and adherence to femoral NTDC care, highlighting the value of standardised education in promoting safer patient behaviour given the risk of severe mechanical complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251391904","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T11:58:52Z","timestamp":1762862332000},"page":"1171-1178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving adherence to femoral non-tunnelled dialysis catheter care with health belief model-based education pamphlets among individuals receiving haemodialysis"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5787-0267","authenticated-orcid":false,"given":"Felice Fangie","family":"Leong","sequence":"first","affiliation":[{"name":"Nursing Division, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fazila","family":"Aloweni","sequence":"additional","affiliation":[{"name":"Nursing Division, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason Chon Jun","family":"Choo","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shien Wen Sheryl","family":"Gan","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li Choo","family":"Ng","sequence":"additional","affiliation":[{"name":"Nursing Division, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siew Hoon","family":"Lim","sequence":"additional","affiliation":[{"name":"Nursing Division, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818765055"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2054358116669128"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2017.00040"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0760-x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03383-z"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007136"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1999.00512.x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-09651-3_4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.05.014"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2023.100156"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500203"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200405"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.11.025"},{"key":"e_1_3_3_16_2","unstructured":"Shoemaker SJ Wolf MS Brach C. 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