rmation related to nutritional compliance and hemodialysis success.
The purpose of this study is to determine the role of nutritional compliance in the success or failure of hemodialysis and how support acts as a mediating variable.
Neff-Smith, O'Donnell, and Johnston (2001) offer a description of the Transtheoretical Model also called the Stages of Change Model. This model offers a theoretical framework which can be used to understand the current study. The transtheoretical model is used within the health psychology discipline. It provides a representation of motivational readiness with a continuum of changes found in attempts to change unhealthy behaviors.
The stages of the model include pre-contemplation, contemplation, preparation, action, and maintenance. The passage through each of the stages is characterized by repetition, regression to earlier stages, repeated cessation, and permanent cessation. The authors demonstrate the stages. Pre-contemplation is described as the stage where patients have no plans to change. At this stage, the patient is not receptive to intervention and intervention may in fact increase their resistance; interventions are viewed as inappropriate at this stage. Contemplation is described as a serious stage, with consideration for cessation. At this point, individual and environmental factors which may affect cessation outcome must be assessed and addressed. Preparation is a stage in which the patient plans to change their behavior. This stage requires a positive sense of self-efficacy and confidence to carry out the changes necessary. This stage requires examination of situations, emotions, and all factors associated with the changes that need to take place, to insure adequate support and limited distraction. Action is the stage in which the patient attempts to implement the new behavior. Follow-up appointments with health professionals are necessary for continued support during th...