{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:24Z","timestamp":1788815364927,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"SingHealth Duke-NUS Academic Medicine Education Institute Education Research Grant 2023","award":["EING 2301"],"award-info":[{"award-number":["EING 2301"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Background:<\/jats:title>\n Patients with femoral non-tunnelled dialysis catheters (NTDC) are at high risk of mechanical complications, including kinking and dislodgement. A Health Belief Model\u2013based pamphlet (HBM-PEP) improved knowledge and adherence but may be less accessible for patients with low health literacy. A video-based education intervention (VBEI), combining visual and auditory elements, may enhance comprehension and recall.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To compare the effectiveness of HBM-PEP versus HBM-VBEI in improving knowledge, beliefs, perceived adherence and actual adherence to femoral NTDC care among haemodialysis patients.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Single-centre historical control design.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Adult haemodialysis patients with femoral NTDC. The historical PEP group received HBM-PEP in a prior study by the same team, while the HBM-VBEI group received the video-based intervention.<\/jats:p>\n <\/jats:sec>\n \n Measurements:<\/jats:title>\n Self-developed 29-item questionnaire and adherence charts.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n One hundred participants were recruited (50 HBM-PEP, 50 HBM-VBEI). Compared with HBM-PEP, the HBM-VBEI group showed significantly higher recall of NTDC care guidelines (\n p<\/jats:italic>\n \u2009<\u20090.001), greater perceived knowledge (\n p<\/jats:italic>\n \u2009<\u20090.001) and higher actual adherence (\n p<\/jats:italic>\n \u2009<\u20090.001). Recall of guidelines showed a moderate positive correlation with perceived knowledge (\n r<\/jats:italic>\n \u2009=\u20090.593,\n p<\/jats:italic>\n \u2009<\u20090.001) and low positive correlations with perceived adherence (\n r<\/jats:italic>\n \u2009=\u20090.233,\n p<\/jats:italic>\n \u2009=\u20090.002) and actual adherence (\n r<\/jats:italic>\n \u2009=\u20090.233,\n p<\/jats:italic>\n \u2009=\u20090.002). Perceived knowledge demonstrated a moderate positive correlation with actual adherence (\n r<\/jats:italic>\n \u2009=\u20090.395,\n p<\/jats:italic>\n \u2009<\u20090.001). Multiple linear regression analysis identified tertiary education level (\n B<\/jats:italic>\n \u2009=\u20090.72,\n p<\/jats:italic>\n \u2009=\u20090.02), minimal assistance (\n B<\/jats:italic>\n \u2009=\u20090.45,\n p<\/jats:italic>\n \u2009=\u20090.01) and use of VBEI (\n B<\/jats:italic>\n \u2009=\u20090.87,\n p<\/jats:italic>\n \u2009<\u20090.001) as significant predictors of actual adherence to femoral NTDC care.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n HBM-VBEI improved perceived knowledge, guideline recall and adherence to femoral NTDC care, potentially reducing the risk of catheter-related mechanical complications.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11297298261451026","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:27:53Z","timestamp":1780039673000},"page":"2313-2319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of video to patient education pamphlet in improving patients\u2019 knowledge, beliefs, perceived and actual adherence to femoral non-tunnelled dialysis catheter care among haemodialysis patients"],"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8435-5068","authenticated-orcid":false,"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2698-0740","authenticated-orcid":false,"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":"Specialty Nursing, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9559-0909","authenticated-orcid":false,"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":[[2026,5,29]]},"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":"10.22265\/acnef.0.0.304"},{"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":"10.1136\/bmjopen-2014-007136"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03383-z"},{"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":"10.1016\/j.ijnsa.2023.100156"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298251391904"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfx293"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.02.009"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500203"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200405"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.11.025"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107992"},{"key":"e_1_3_3_18_2","volume-title":"Social foundations of thought and action: a social cognitive theory","author":"Bandura A.","year":"1986","unstructured":"Bandura A. 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