Self-management interventions for adults with chronic kidney disease: a scoping review.
BMJ Open
; 8(3): e019814, 2018 03 22.
Article
en En
| MEDLINE
| ID: mdl-29567848
ABSTRACT
OBJECTIVE:
To systematically identify and describe self-management interventions for adult patients with chronic kidney disease (CKD).SETTING:
Community-based.PARTICIPANTS:
Adults with CKD stages 1-5 (not requiring kidney replacement therapy).INTERVENTIONS:
Self-management strategies for adults with CKD. PRIMARY AND SECONDARY OUTCOMEMEASURES:
Using a scoping review, electronic databases and grey literature were searched in October 2016 to identify self-management interventions for adults with CKD stages 1-5 (not requiring kidney replacement therapy). Randomised controlled trials (RCTs), non-RCTs, qualitative and mixed method studies were included and study selection and data extraction were independently performed by two reviewers. Outcomes included behaviours, cognitions, physiological measures, symptoms, health status and healthcare.RESULTS:
Fifty studies (19 RCTs, 7 quasi-experimental, 5 observational, 13 pre-post intervention, 1 mixed method and 5 qualitative) reporting 45 interventions were included. The most common intervention topic was diet/nutrition and interventions were regularly delivered face to face. Interventions were administered by a variety of providers, with nursing professionals the most common health professional group. Cognitions (ie, changes in general CKD knowledge, perceived self-management and motivation) were the most frequently reported outcome domain that showed improvement. Less than 1% of the interventions were co-developed with patients and 20% were based on a theory or framework.CONCLUSIONS:
There was a wide range of self-management interventions with considerable variability in outcomes for adults with CKD. Major gaps in the literature include lack of patient engagement in the design of the interventions, with the majority of interventions not applying a behavioural change theory to inform their development. This work highlights the need to involve patients to co-developed and evaluate a self-management intervention based on sound theories and clinical evidence.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Insuficiencia Renal Crónica
/
Automanejo
Tipo de estudio:
Clinical_trials
/
Qualitative_research
/
Systematic_reviews
Aspecto:
Patient_preference
Límite:
Adult
/
Humans
Idioma:
En
Revista:
BMJ Open
Año:
2018
Tipo del documento:
Article
País de afiliación:
Canadá