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Kidney Surveys - Request for translation and non-commercial use

Please select surveyes that you would like permissions for translation and complete the request form along with the uploaded declaration page with your signature. An email will be sent to you after your request is verified and approved. 

Product Selection

The Perceived Kidney/Dialysis Self-Management Scale (PKDSMS) was adapted from the previously validated Perceived Medical Condition Self-Management Scale.  The PKDSMS, is a validated and reliable measure of CKD patient self-efficacy and supports the development of interventions enhancing perceived competence to improve CKD self-care.

The Kidney Knowledge Survey (KiKS) is reliable and valid and identifies areas of poor kidney knowledge. The KiKS was developed to measure patient knowledge about many topics integral to self-care practices and prevention of CKD progression including basic terms, evaluation and diagnostic procedures, and risk factors of kidney disease.

The Perceived Kidney Disease Knowledge Survey (PiKS) is a validated and reliable measure to evaluate distinct forms of patient perceived kidney knowledge. This is distinct from objective knowledge, and aligned with an individual’s preferences and self-efficacy.

The Kidney Disease Behavior Inventory (KDBI) is a listing of behaviors important for kidney health self-care including at-home monitoring of vital signs or other biomarkers, nutrition, physical activity, medication taking, and engagement with health care. Versions for chronic kidney disease and dialysis are available.

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Request Details

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Please describe the type of projects for which this survey will be used for.

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Permission Request and Declaration for non commercial translation

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