BACKGROUND: Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD). AIM: This pilot study aimed to develop a self-management education program based on self-regulation theory and to evaluate its effects on self-efficacy, self-management behavior, and CKD progression among patients with early-stage CKD. METHODS: In this single-group, pretest-posttest, repeated-measures, longitudinal study, participants underwent baseline pretesting (T0) and posttesting at 3 (T1), 6 (T2), and 12 (T3) months after a 5-week group-session self-management program. RESULTS: Self-efficacy increased significantly at T2 (χ(2)=8.97, p=.02) and T3 (χ(2)=10.71, p=.01) compared with T0, but self-management behavior did not. A marginally significant decrease in serum creatinine levels was observed from T0 to T3 (χ(2)=6.29, p=.07) but estimated glomerular filtration rates remained stable throughout the 12-month period. CONCLUSIONS: The results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.
BACKGROUND: Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD). AIM: This pilot study aimed to develop a self-management education program based on self-regulation theory and to evaluate its effects on self-efficacy, self-management behavior, and CKD progression among patients with early-stage CKD. METHODS: In this single-group, pretest-posttest, repeated-measures, longitudinal study, participants underwent baseline pretesting (T0) and posttesting at 3 (T1), 6 (T2), and 12 (T3) months after a 5-week group-session self-management program. RESULTS: Self-efficacy increased significantly at T2 (χ(2)=8.97, p=.02) and T3 (χ(2)=10.71, p=.01) compared with T0, but self-management behavior did not. A marginally significant decrease in serum creatinine levels was observed from T0 to T3 (χ(2)=6.29, p=.07) but estimated glomerular filtration rates remained stable throughout the 12-month period. CONCLUSIONS: The results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.
Authors: Janet L Welch; Michelle Johnson; Lani Zimmerman; Cynthia L Russell; Susan M Perkins; Brian S Decker Journal: West J Nurs Res Date: 2014-09-18 Impact factor: 1.967
Authors: Maoliosa Donald; Bhavneet Kaur Kahlon; Heather Beanlands; Sharon Straus; Paul Ronksley; Gwen Herrington; Allison Tong; Allan Grill; Blair Waldvogel; Chantel A Large; Claire L Large; Lori Harwood; Marta Novak; Matthew T James; Meghan Elliott; Nicolas Fernandez; Scott Brimble; Susan Samuel; Brenda R Hemmelgarn Journal: BMJ Open Date: 2018-03-22 Impact factor: 2.692
Authors: Siok Swan Tan; Marta M Pisano; An Ld Boone; Graham Baker; Yves-Marie Pers; Alberto Pilotto; Verushka Valsecchi; Sabrina Zora; Xuxi Zhang; Irene Fierloos; Hein Raat Journal: Int J Environ Res Public Health Date: 2019-05-28 Impact factor: 3.390