The Development of a Motivation Model for Modifying Exercise Behavior for Delaying Deterioration in Chronic Kidney Disease Stage 3 Patients

Abstract

     This Research aimed to develop and evaluate the effectiveness of a motivation enhancement model for exercise behavior change to slow kidney deterioration in stage 3 chronic kidney disease patients. This research and development study was conducted from April 2022 to July 2023 in. A four-phase research and development study: 1) needs assessment, 2) model development and quality verification, 3) effectiveness evaluation using a one-group pretest-posttest design with 26 purposively selected stage 3 CKD patients, and 4) quality confirmation. The developed model consisted of four components: 1) patient and family participation, 2) motivation enhancement for behavior change, 3) self-management capacity building, and 4) continuous support. Data were analyzed using descriptive statistics and paired t-test. Results: After participating in the program, mean exercise behavior scores (33.96±3.09) were significantly higher than baseline (21.38±3.42) (p < .001). e-GFR increased from 52.22±4.13 to 55.00±4.79 mL/min/1.73 m² (p = .002). Cardiopulmonary fitness improved from 206.15±29.40 to 278.85±32.29 meters (p < .001). Balance and agility improved from 30.85±3.07 to 24.81±2.68 seconds (p < .001). Conclusion: The motivation enhancement model effectively promoted exercise behavior and slowed kidney deterioration in stage 3 CKD patients and can be used as a guideline for caring for this patient group.