Occupational Priorities of People on Hemodialysis Who Participated in Energy Management Education.
Janine Farragher, Jane A Davis, Chandra Thomas and 4 others
PMID 39113490WHAT IT FOUND
People on hemodialysis with fatigue reported lacking energy for a median of 22 valued occupations.
Their top priorities were household tasks like cooking, followed by hobbies and self-care. Going out for meals and attending events were the most common activities they felt unable to do.
Key findings
01Participants wanted or needed more energy for a median of 22 of the 55 occupations assessed.
02Household tasks were the most common area selected as a top priority for intervention, followed by hobbies and self-care.
03The specific activities most frequently cited as needing more energy were going out for food or drinks, attending performances, food preparation, and deliberate exercising.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The sample was very small (n=15) and drawn from participants who agreed to join a randomized controlled trial, which may limit generalizability. The study was exploratory and descriptive; it did not test whether any intervention improved these outcomes. Participants had to be cognitively and medically stable and able to read English, excluding those with more severe impairment or language barriers.
Declared interests
The work was supported by an International Chronic Disease Collaboration grant and a postdoctoral fellowship from the Canadian Institutes of Health Research. No commercial conflicts were reported.
The easy way to misread this
Do not interpret these findings as evidence that energy management education improves occupational performance. This was a descriptive baseline analysis of a small pilot cohort, not a trial of efficacy.