Effect of Roy Adaptation Model-Based Patient Education on Self-Efficacy, Immunosuppressive Therapy Adherence, and Adaptation to Chronic Disease in Patients With Kidney Disease
İdil Şahin, Şebnem BilgiçBackground:
Chronic kidney disease (CKD) is a global health challenge requiring strict medication adherence to prevent complications. The Roy Adaptation Model (RAM) provides a nursing framework to guide patients toward holistic adaptation during this process.
Objective:
We aimed to examine the effect of RAM-based patient education on self-efficacy, immunosuppressive adherence, and adaptation to chronic disease in patients receiving immunosuppressive therapy.
Methods:
The quasi-experimental study included 78 patients (39 intervention and 39 control) comprising new renal transplant recipients and patients with CKD initiating immunosuppressive therapy for the first time at a university hospital. The intervention group received individualized education based on the RAM’s 4 adaptation modes, supported by an educational booklet, while the control group received routine care. Data were collected at baseline, 1, and 3 months. Self-efficacy, medication adherence, and adaptation to chronic disease were measured using validated instruments.
Results:
RAM-based education was associated with significant improvements in all primary outcomes compared to the control group (with effect sizes of η
Conclusions:
Educational interventions grounded in the RAM appear to support treatment adherence, self-efficacy, and adaptation in kidney patients. Integrating the RAM into nursing practice may offer a structured framework for patient-centered care, may assist in chronic disease management, and may support patients’ active engagement in care.
ClinicalTrials.gov Registration:
NCT07430449.