A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients

Hossein Karimi Moonaghi, Farzaneh Hasanzadeh, Somayyeh Shamsoddini, Zahra Emamimoghadam, Saeed Ebrahimzadeh


  • Introduction: Adherence to diet and fluids is the cornerstone of patients undergoing hemodialysis. By informing hemodialysis patients we can help them have a proper diet and reduce mortality and complications of toxins. Face to face education is one of the most common methods of training in health care system. But advantages of video- based education are being simple and cost-effective, although this method is virtual.
  • Materials and Methods: Seventy-five hemodialysis patients were divided randomly into face to face and video-based education groups. A training manual was designed based on Orem’s self-care model. Content of training manual was same in both the groups. In the face to face group, 2 educational sessions were accomplished during dialysis with a 1-week time interval. In the video-based education group, a produced film, separated to 2 episodes was presented during dialysis with a 1-week time interval. An Attitude questionnaire was completed as a pretest and at the end of weeks 2 and 4. SPSS software version 11.5 was used for analysis.
  • Results: Attitudes about fluid and diet adherence at the end of weeks 2 and 4 are not significantly different in face to face or video-based education groups. The patients’ attitude had a significant difference in face to face group between the 3 study phases (pre-, 2, and 4 weeks postintervention). The same results were obtained in 3 phases of video-based education group.
  • Conclusion: Our findings showed that video-based education could be as effective as face to face method. It is recommended that more investment be devoted to video-based education.
  • Key words: Attitude and patient adherence, instructional films and videos, patient education, renal dialysis

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