Evaluation of the effect of the PRECEDE PROCEED model-based education program on hemodialysis patients’ treatment compliance, healthy lifestyle behaviors, and quality of life

Sarıaslan A., Kavurmacı M.

MEDICINE, cilt.105, sa.28, ss.1-10, 2026 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 105 Sayı: 28
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1097/md.0000000000049759
  • Dergi Adı: MEDICINE
  • Derginin Tarandığı İndeksler: Scopus, MEDLINE
  • Sayfa Sayıları: ss.1-10
  • Atatürk Üniversitesi Adresli: Evet

Özet

Background:

Improving health-promoting lifestyle behaviors, treatment adherence, and quality of life is important for patients undergoing hemodialysis. This study aimed to evaluate the effects of a PRECEDE–PROCEED model (PPM)-based educational program on health-promoting lifestyle behaviors, treatment adherence, and quality of life among patients undergoing hemodialysis.

Methods:

This study employed a controlled pretest–posttest–follow-up design to evaluate a community-based educational program developed using the PPM. Patients were assigned to either an intervention group (n = 34) or a control group (n = 32) according to their hemodialysis treatment schedules to minimize contamination between groups. The primary outcome was health-promoting lifestyle behaviors measured using the healthy lifestyle behaviors scale II (HLBS-II). Secondary outcomes included treatment adherence and quality of life. Data were collected using the MARS, FCHPS, SDBHP, HLBS-II, and SF-12 scales and analyzed using linear mixed-effects models.

Results:

Significant group × time interaction effects were identified for HLBS-II total scores, medication adherence, dietary behaviors, fluid control behaviors, and quality-of-life scores in favor of the intervention group (P < .05). The intervention group demonstrated significant improvements in health-promoting lifestyle behaviors, particularly in health responsibility, physical activity, stress management, and interpersonal relations. Improvements in both physical and mental quality-of-life scores were also observed following the intervention.

Conclusion:

The findings suggest that a PPM-based educational program may improve health-promoting lifestyle behaviors, treatment adherence, and quality of life among patients undergoing hemodialysis. These results support the use of theory-based educational interventions in hemodialysis care.