A PRECEDE-PROCEED-based educational program: enhancing self-care and quality of life with implications for biochemical outcomes in hemodialysis patients

Abstract

Objective This study evaluated the effectiveness of a health education program based on the PRECEDE-PROCEED model in improving self-care, QOL, and biochemical outcomes among HD patients in Indonesia. Methods A quasi-experimental study was conducted involving 90 HD patients allocated to intervention ( n = 45) and control ( n = 45) groups using a systematic assignment approach. The intervention group received an eight-session PRECEDE-PROCEED-based education program over 4 weeks, while the control group received standard care. Self-care was measured using the Chronic Kidney Disease Self-Management (CKDSM) Questionnaire, QOL was assessed using the SF-36, and biochemical outcomes were evaluated via serum urea and creatinine levels. Data were analyzed using appropriate parametric and non-parametric statistical tests, and effect sizes were calculated using Cohen’s d . Results Post-intervention, the intervention group showed significantly greater improvements in self-care (mean difference = 18.33; p < 0.001), QOL (mean difference = 17.25; p < 0.001), and reductions in urea and creatinine levels ( p < 0.001 and p = 0.006, respectively), compared to the control group. Large effect sizes were observed for self-care and QOL. Conclusion The PRECEDE-PROCEED–based educational intervention was associated with improvements in self-care and quality of life, and with favorable short-term changes in selected clinical outcomes among patients undergoing hemodialysis.

Access to Document

Other files and links

• Link to publication in Scopus
• Open Access Version Available

Fingerprint