Patient discourse on chronic kidney disease monitoring: a qualitative study at a Veterans Affairs Renal Clinic

BMC Nephrology
Ann E VandenbergC Barrett Bowling

Abstract

Knowing how chronic kidney disease (CKD) patients talk about their encounters with providers (i.e., their discourse) can inform the important clinical goal of engaging patients in their chronic disease self-management. The aim of this study was to analyze patient discourse on ongoing CKD monitoring encounters for health communication strategies that motivate patient engagement. Passages regarding CKD monitoring from 6 focus group transcripts on self-management with a total of 30 participants age ≥ 70 years from the Atlanta Veterans Affairs Renal Clinic across three different CKD trajectories (stable, linear decline, and non-linear) were extracted. These passages were examined using three-stage critical discourse analysis (description, interpretation, explanation) for recurring patterns across groups. Focus group participants were an average age of 75.1, 96.7% male, and 60% Black. Passages relating to CKD monitoring (n = 55) yielded predominantly negative communication themes. Perceived negative communication was characterized through a patient discourse of unequal exchange, whereby engaged patients would provide bodily fluids and time for appointments and continued to wait for meaningful, contextualized monitoring information f...Continue Reading

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Citations

Mar 19, 2020·Journal of Renal Care·Helen RaineyNicola Thomas
Jul 22, 2021·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·C Barrett BowlingMaren Olsen

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Methods Mentioned

BETA
blood draws

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