Evidence That Self-Affirmation Improves Phosphate Control in Hemodialysis Patients: A Pilot Cluster Randomized Controlled Trial

Vari Wileman · Ken Farrington · Joseph Chilcot · Sam Norton · David M. Wellsted · Michael Kevin Almond +4 more

47 citations0/0 files storedAnnals of Behavioral Medicine

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Behavioral Health and Interventions Medication Adherence and Compliance Media Influence and Health

Abstract

BACKGROUND: Hemodialysis patients are at risk of serious health complications, yet treatment non-adherence remains high. PURPOSE: Warnings about health risks associated with non-adherence may trigger defensive reactions. We studied whether an intervention based on self-affirmation theory (Steele 1988) reduced patients' resistance to health-risk information and improved adherence. METHODS: One hundred twelve patients either self-affirmed or completed a matched control task before reading about the risks associated with a lack of phosphate control. Serum phosphate was collected from baseline up to 12 months. RESULTS: Self-affirmed patients had significantly reduced serum phosphate levels at 1 and 12 months. However, contrary to the predictions derived from self-affirmation theory, self-affirmed participants and controls did not differ in their evaluation of the health-risk information, behavioural intention or self-efficacy. CONCLUSIONS: A low-cost, high-reach health intervention based on self-affirmation theory was shown to reduce serum phosphate over a 12 month period. Further work is required to identify mediators of the observed effects.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 47 citations exist upstream.

References

1988The Psychology of Self-Affirmation: Sustaining the Integrity of the Self 2000A Meta-Analysis of Fear Appeals: Implications for Effective Public Health Campaigns 1998Self-Affirmation Reduces Biased Processing of Health-Risk Information 2009The Impact of Self‐Affirmation on Health Cognition, Health Behaviour and Other Health‐Related Responses: A Narrative Review 2011Evidence that self-affirmation reduces alcohol consumption: Randomized exploratory trial with a new, brief means of self-affirming.2008Don't derogate this message! Self-affirmation promotes online type 2 diabetes risk test taking 2008Motivational and behavioural consequences of self-affirmation interventions: A study of sunscreen use among women

Cited by

2016Online Self‐Affirmation Increases Fruit and Vegetable Consumption in Groups at High Risk of Low Intake 2014Public Policy and Health 2016Self-Affirmation Interventions to Change Health Behaviors 2016Self-affirmation impacts behavioral intentions but not preferences for delayed outcomes 2016A pilot randomised test of a self-affirmation implementation intention intervention to reduce dietary salt intake

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.