Barriers to Home Dialysis: An Interview

Developing strategies to improve home dialysis use requires a comprehensive understanding of barriers. In a study recently published in AJKDYuvaram N.V. Reddy and colleagues sought to identify the most important barriers to home dialysis use from the perspective of patients, care partners, and providers.

AJKDBlog’s Interviews Editor, Timothy Yau @Maximal_Change, sat down with Dr Reddy and Amber Pettis — who is both a coauthor and a patient  — to chat about the importance of early and frequent education on home dialysis, and novel strategies to increase the uptake of home dialysis for patients with kidney disease.

If the embedded player above doesn’t work, please click here to watch the video interview. Special thanks to Dr. Reddy and Ms. Pettis for their time and insight!

Plain-Language Summary provided by the authors:

There are many barriers to home dialysis use in the United States. However, we know little about which barriers are the most important to patients and clinicians. This makes it challenging to develop strategies to increase home dialysis use. In this study, we surveyed patients, care partners, and clinicians across the country to identify the most important barriers to home dialysis, namely (1) patients/care partners identified fear of home dialysis, lack of space, and lack of home-based support; and (2) clinicians identified poor patient education, limited support for staff and patients, and lack of experienced staff. These findings suggest that patients and clinicians perceive different barriers and that both sets of barriers should be addressed to expand home dialysis use.

To view this Original Investigation by Reddy et al [Open Access], please visit AJKD.org:

Title: Identifying Major Barriers to Home Dialysis (The IM-HOME Study): Findings From a National Survey of Patients, Care Partners, and Providers
Authors: Yuvaram N.V. Reddy, Matthew D. Kearney, Michaela Ward, Robert E. Burke, Ann M. O’Hare, Peter P. Reese, Meghan B. Lane-Fall, on behalf of the IM-HOME Advisory Board
DOI:  10.1053/j.ajkd.2024.04.007

 

 

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