Table 3.
Perceptions of patients, informal caregivers, and dialysis staff on patient facilitators to home dialysis
| Themes and Subthemes | Patientsa | Informal Caregiversa | Dialysis Staffa |
|---|---|---|---|
| Convenience | X | X | X |
| Flexible scheduling | X | X | X |
| No transportation required for treatments | X | X | X |
| Option for nocturnal treatmentb | X | X | X |
| Home comfort | X | X | |
| Privacy of homeb | X | X | |
| Relaxing home environmentc | X | ||
| Avoidance of conflict with other patients | X | ||
| Freedom | X | X | X |
| Ability and time for leisure travel | X | X | X |
| Minimal interruption to daily life activities | X | X | X |
| Less dietary restrictionsb | X | X | |
| Avoidance of in-center hemodialysis | X | X | X |
| Fear of needlesb | X | X | |
| Avoidance of hospital/clinic settingb | X | X | |
| Exhausted vascular access optionsb | X | ||
| Fear of hemodialysis process and/or side effectsb | X | ||
| Belief that PD is safer than in-center HDb | X | ||
| Preservation of autonomy | X | X | X |
| Being in control of one’s health | X | X | X |
| Option to maintain employmentb | X | X | X |
| Continuation of independent lifestyle | X | X | |
| Adequate support | X | X | X |
| Caregiver support | X | X | X |
| Staff support | X | X | X |
| Patient peer support | X | X | |
| Adequate training and resources | X | X | |
| Tailored trainingb | X | X | |
| Access to and use of internetb | X | X | |
| Effective education from nurses | X | ||
| Re-training sessions for patients | X | ||
| Physical and cognitive skills for home dialysis | X | X | |
| Strength and dexterity | X | X | |
| Health literacy and decision-making | X | ||
| Favorable disposition | X | X | X |
| Being alert | X | X | X |
| Self-disciplineb | X | X | |
| Attention to detail | X | X | |
| Patienceb | X | ||
| Self-confidence | X | X | |
| Adherent | X | X | |
| Self-motivation | X | ||
| Perceptions of improved health | X | X | X |
| Feeling better having dialysis dailyb | X | X | |
| Less side-effects than in-center hemodialysisb | X | X | |
| Better health outcomes than in-center hemodialysis | X | ||
| Better satisfaction than in-center hemodialysis | X | ||
| Better quality of life than in-center hemodialysis | X | ||
| User-friendly procedure/technology | X | ||
| Ease of using home dialysis machineb | X | ||
| Ease of home dialysis procedure | X | ||
| Lower societal costs | X | X |
a
X indicates from which stakeholder group(s) each theme emerged.
b
Indicates the subtheme emerged only during interviews with patients on home PD, caregivers of patients on home PD, or with staff in reference to patients on home PD.
c
Indicates the subtheme emerged only during interviews with patients on home HD, caregivers of patients on home PD, or with staff in reference to patients on home HD.