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Submitted:
19 February 2024
Posted:
19 February 2024
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Ses-sion | Contents | Self-efficacy resources | Strategies | Methods |
---|---|---|---|---|
1 | Education materials (Subject change every time) | VP, EE | Education about self-care, didactic persuasion, empathize with performance difficulties | Video |
Weekly mission introduction (Mission changes every week) | PA | Perform the task | Homework Write a post |
|
Recommended to view posts (weekly mission, Q&A) | VE | Indirect experience | Read the post | |
Encouraging the practice of dietary self-care | VP, EE | Didactic persuasion, emotional support for performance difficulties | Write a post | |
Comments on mission performance and Q&A | VP, EE | Supportive environment, mentoring, didactic persuasion, emotional support for performance difficulties | Add a comment | |
Q & A | VP, EE | Supportive environment, personalized counseling, provide correction for improper performance, emotional support for performance difficulties | Add a comment | |
Provide music link | EE | Relaxation | Video | |
2 | Education materials (Subject change every time) | VP, EE | Education about self-care, didactic persuasion, empathize with performance difficulties | Video |
Weekly mission reannouncement | PA | Perform the task | Homework Write a post |
|
MVP Selection and reward | PA | Positive reinforcement | Write a post Awarding of rewards |
|
Participate in MVP voting | VE | Indirect experience | Participation in voting | |
Implementation of sudden mission (Mission changes every week) and awards | VP | Didactic persuasion | Write a post, Recheck education materials Awarding of rewards |
|
Recommended to view posts (weekly mission, Q&A) | VE | Indirect experience | Read the post | |
Watch a video about success stories of dietary self-care in hemodialysis patients or proposal of expert practice | VE, VP, EE | Indirect experience, modeling, providing vivid information related to dietary performance Confirmation of the process of overcoming the difficulties of performing dietary self-care for other hemodialysis patients |
Video | |
Encouraging the practice of dietary self-care | VP, EE | Didactic persuasion, emotional support for performance difficulties | Write a post | |
Comments on mission performance and Q&A | VP, EE | Supportive environment, mentoring, didactic persuasion, emotional support for performance difficulties | Add a comment | |
Q & A | VP, EE | Supportive environment Personalized counseling Provide correction for improper performance Emotional support for performance difficulties |
Add a comment | |
Provide music link | EE | Relaxation | Video |
Characteristics/Outcome Variables | Categories | Exp. (n=20) | Cont. (n=20) |
χ2 or t-test |
p |
---|---|---|---|---|---|
n (%) or M±SD |
n (%) or M±SD |
||||
Sex | Male | 13 (65.0) | 13 (65.0) | 0.00 | 0.629 |
Female | 7 (35.0) | 7 (35.0) | |||
Age (year) † | 48.10±7.41 | 49.90±7.88 | −0.74 | 0.461 | |
≤ 39 | 1 (5.0) | 1 (5.0) | 0.28 | 0.964 | |
40-49 | 10 (50.0) | 10 (50.0) | |||
50-59 | 7 (35.0) | 6 (30.0) | |||
≥ 60 | 2 (10.0) | 3 (15.0) | |||
Marital status† | Single | 6 (30.0) | 5 (25.0) | 0.42 | 0.812 |
Married (have a spouse) | 10 (50.0) | 12 (60.0) | |||
Married (no spouse) | 4 (20.0) | 3 (15.0) | |||
Education | High school | 5 (25.0) | 11 (55.0) | 3.75 | 0.053 |
≥ College | 15 (75.0) | 9 (45.0) | |||
Presence of occupation | Yes | 13 (65.0) | 14 (70.0) | 0.11 | 0.500 |
No | 7 (35.0) | 6 (30.0) | |||
Monthly income (10,000 won) † | None | 1 (5.0) | 3 (15.0) | 2.87 | 0.413 |
< 200 | 9 (45.0) | 6 (30.0) | |||
200-400 | 6 (30.0) | 9 (45.0) | |||
>400 | 4 (20.0) | 2 (10.0) | |||
Residence† | Seoul, Gyeonggi, Incheon | 3 (15.0) | 8 (40.0) | 3.35 | 0.187 |
Gangwon, Chungcheong | 7 (35.0) | 6 (30.0) | |||
Gyeongsang, Jeolla, Jeju | 10 (50.0) | 6 (30.0) | |||
Subjective health status† | 2.90±0.85 | 2.80±1.06 | 0.33 | 0.744 | |
Very bad | 2 (10.0) | 1 (5.0) | 7.92 | 0.095 | |
Bad | 2 (10.0) | 8 (40.0) | |||
Moderate | 12 (60.0) | 7 (35.0) | |||
Good | 4 (20.0) | 2 (10.0) | |||
Very good | 0 (0.0) | 2 (10.0) | |||
Primary cause of ESRD† | Diabetes mellitus | 2 (10.0) | 7 (35.0) | 5.88 | 0.118 |
Hypertension | 3 (15.0) | 5 (25.0) | |||
Glomerulonephritis | 9 (45.0) | 6 (30.0) | |||
Others | 6 (30.0) | 2 (10.0) | |||
Duration of HD (year)† | 8.40±5.65 | 8.28±5.52 | 0.06 | 0.950 | |
≤3 | 3 (15.0) | 3 (15.0) | 0.53 | 0.912 | |
3.1-10.0 | 9 (45.0) | 11 (55.0) | |||
10.1-20.0 | 7 (35.0) | 5 (25.0) | |||
>20 | 1 (5.0) | 1 (5.0) | |||
Frequency of HD (per week) † | 3.00±0.00 | 3.00±0.32 | 0.00 | 1.000 | |
2 | 0 (0.0) | 1 (5.0) | 2.11 | 0.349 | |
3 | 20 (100.0) | 18 (90.0) | |||
4 | 0 (0.0) | 1 (5.0) | |||
Length of time spent on HD (hours) † | 3.98±0.26 | 4.03±.030 | −0.57 | 0.570 | |
< 4 | 1 (5.0) | 1 (5.0) | 0.00 | 1.000 | |
≥ 4 | 19 (95.0) | 19 (95.0) | |||
Presence of dietary self-care education experience | Yes | 14 (70.0) | 15 (75.0) | 0.13 | 0.500 |
No | 6 (30.0) | 5 (25.0) | |||
Meal preparation† | Self | 12 (60.0) | 11 (55.0) | 1.53 | 0.466 |
Spouse | 4 (20.0) | 7 (35.0) | |||
Others | 4 (20.0) | 2 (10.0) | |||
Dietary self-efficacy | 47.30±8.42 | 44.20±13.08 | 0.89 | 0.378 | |
Dietary self-care behavior | 18.75±3.97 | 19.65±6.05 | −0.56 | 0.582 | |
IDWG | 2.23±0.72 | 2.84±1.01 | −2.19 | 0.035 | |
Serum phosphorus | 5.54±1.36 | 5.60±1.28 | −0.13 | 0.899 | |
Serum potassium | 4.85±0.53 | 5.50±1.29 | −1.74 | 0.092 |
Variables | Time | Exp. (n=20) | Cont. (n=20) | Source | F* | p |
---|---|---|---|---|---|---|
M±SD | M±SD | |||||
Dietary self-efficacy | Pre-test | 47.30±8.42 | 44.20±13.08 | Group | 5.15 | 0.029 |
Post-test 1 | 51.30±7.23 | 44.65±14.21 | Time | 9.16 | 0.004 | |
Post-test 2 | 55.00±5.44 | 43.70±12.00 | G × T | 11.88 | 0.001 | |
Dietary self-care behavior | Pre-test | 18.75±3.97 | 19.65±6.05 | Group | 6.33 | 0.013 |
Post-test 1 | 21.70±3.99 | 19.65±6.46 | Time | 1.80 | 0.171 | |
Post-test 2 | 24.35±3.31 | 18.35±6.37 | G × T | 4.45 | 0.014 | |
IDWG | Pre-test | 2.23±0.72 | 2.84±1.01 | Group | 19.75* | <0.001 |
Post-test 1 | 1.92±0.84 | 2.75±0.91 | Time | 4.37* | 0.016 | |
Post-test 2 | 1.62±0.73 | 3.14±0.97 | G × T | 16.51* | <0.001 | |
Serum phosphorus | Pre-test | 6.28±1.75 | 5.60±1.28 | Group | 6.08 | 0.019 |
Post-test 1 | 4.39±1.34 | 6.09±1.19 | Time | 19.78 | <0.001 | |
Post-test 2 | 4.08±1.17 | 6.01±0.93 | G × T | 46.51 | <0.001 | |
Serum potassium | Pre-test | 5.15±0.64 | 5.50±1.29 | Group | 16.02 | <0.001 |
Post-test 1 | 4.42±0.57 | 5.25±0.70 | Time | 6.71 | 0.010 | |
Post-test 2 | 4.09±0.43 | 5.44±0.68 | G × T | 4.52 | 0.034 |
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