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Abstract

Background: Health literacy (HL) is crucial for delaying chronic kidney disease (CKD) progression, yet evidence on HL promotion among older adults with early-stage CKD is limited. This study examines HL level and explores the situation of HL promotion for delaying kidney progression among older adults with CKD.

Methods: A convergent parallel mixed-methods design was employed. The quantitative phase, 297 older adults with CKD complete a questionnaire. The qualitative phase, 50 participants then took part in interviews to explore their experiences. Quantitative data were analyzed using descriptive statistics, and qualitative data through content analysis. Findings were integrated to identify patterns across data sources.

Results: Most participants demonstrated high HL for delaying kidney progression (61.28%; mean = 228.31, SD = 36.90). The lowest-scoring dimensions were access to health information and media literacy. Qualitative findings identified five key aspects: 1) Limited awareness and understanding of CKD, 2) Barriers to accessing and screening for accurate health information, 3) Challenges in modifying health behaviors and self-management, 4) Critical roles of family members, village health volunteers, and proactive community-based services, 5) Constraints in resources, policies, and systems supporting health literacy development.

Conclusion: Older adults with CKD generally exhibited high HL for delaying kidney progression. However, gaps in CKD awareness and understanding, information access and screening, self-management, along with system-level constraints, highlight the need for health literacy-responsive, community-based support to slow disease progression.

Keywords: Health literacy, Chronic kidney disease, Kidney disease progression, Older adults

Additional Files
The corrections or revision 15 July 26.docx (18 kB)
revision according to suggestion
The corrections or revision 15 July 26.docx (18 kB)

References

1. The Nephrology Society of Thailand. Clinical practice guideline for the care of patients with chronic kidney disease before renal replacement therapy 2022, revised edition. Bangkok: Sri Muang Printing; 2022. [in Thai]

14. The Nephrology Society of Thailand, Society of Parenteral and Enteral Nutrition of Thailand. Clinical practice recommendation for nutritional management in adult kidney patients 2018 (revised 2020) [Internet]. Bangkok: The Nephrology Society of Thailand; 2020 [cited 2023 Jan 5]. Available from: https://www.nephrothai.org/wp-content/uploads/2021/10/คำแนะนำแนวทางเวชปฏิบัติโภชนบำบัดสำหรับผู้ป่วยโรคไตในผู้ใหญ่-พ.ศ.-2561.pdf [in Thai]

21. Chanabun S. Research methodology [lecture document]. Khon Kaen: Faculty of Nursing, Khon Kaen University, Master of Nursing Science Program (NUKKU); 2021. [in Thai]

46. Ministry of Public Health (TH). Integrated NCD and CKD clinic performance report 2022. Nonthaburi: Ministry of Public Health; 2022. [in Thai]

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