Self-management programmes in stages 1–4 chronic kidney disease: a literature review Bonner, Ann, Havas, Kathryn, Douglas, Clint, Thepha, Thiwawan, Bennett, Paul and Clark, Robyn 2014, Self-management programmes in stages 1–4 chronic kidney disease: a literature review, Journal of renal care, vol. 40, no. 3, pp. 194-204, doi: 10.1111/jorc.12058. Attached Files Name Description MIMEType Size Downloads Title Self-management programmes in stages 1–4 chronic kidney disease: a literature review Author(s) Bonner, Ann Havas, Kathryn Douglas, Clint Thepha, Thiwawan Bennett, Paul orcid.org/0000-0001-9174-3499 Clark, Robyn Journal name Journal of renal care Volume number 40 Issue number 3 Start page 194 End page 204 Publisher European dialysis and transplant nurses association : European renal care association Place of publication Paris, France Publication date 2014-09 ISSN 1755-6678 1755-6686 Keyword(s) Chronic kidney disease Education Self-care Self-management Summary Background Chronic kidney disease (CKD) is a complex health problem, which requires individuals to invest considerable time and energy in managing their health and adhering to multifaceted treatment regimens. Objectives To review studies delivering self-management interventions to people with CKD (Stages 1–4) and assess whether these interventions improve patient outcomes. Design Systematic review. Methods Nine electronic databases (MedLine, CINAHL, EMBASE, ProQuest Health & Medical Complete, ProQuest Nursing & Allied Health, The Cochrane Library, The Joanna Briggs Institute EBP Database, Web of Science and PsycINFO) were searched using relevant terms for papers published between January 2003 and February 2013. Results The search strategy identified 2,051 papers, of which 34 were retrieved in full with only 5 studies involving 274 patients meeting the inclusion criteria. Three studies were randomised controlled trials, a variety of methods were used to measure outcomes, and four studies included a nurse on the self-management intervention team. There was little consistency in the delivery, intensity, duration and format of the self-management programmes. There is some evidence that knowledge- and health-related quality of life improved. Generally, small effects were observed for levels of adherence and progression of CKD according to physiologic measures. Conclusion The effectiveness of self-management programmes in CKD (Stages 1–4) cannot be conclusively ascertained, and further research is required. It is desirable that individuals with CKD are supported to effectively self-manage day-to-day aspects of their health. Language eng DOI 10.1111/jorc.12058 Field of Research 111003 Clinical Nursing: Secondary (Acute Care) Socio Economic Objective 920210 Nursing HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30065819 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 18 Sep 2014, 15:18:56 EST Fri, 19 Sep 2014, 08:45:33 EST Mon, 22 Sep 2014, 11:59:15 EST Tue, 23 Sep 2014, 12:52:26 EST Filtered Full Citation counts:   Cited 44 times in TR Web of Science Cited 44 times in Scopus Search Google Scholar Access Statistics: 580 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Thu, 18 Sep 2014, 15:18:45 EST by Jane Moschetti