Evidence map›Paper›PMID 30342487›Full record

ArticleBMC nephrology2018

Meeting patients where they are: improving outcomes in early chronic kidney disease with tailored self-management support (the CKD-SMS study).

Kathryn Havas, Clint Douglas, Ann Bonner

Registry-linked trialAbstract read
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In one paragraph

Article in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05707260 (Effectiveness of the CDK-SMS Nursing Intervention for Adults With Chronic Kidney Disease), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05707260 phase4completednot on this mapstarted 2022, after this paper: background citation

Effectiveness of the CDK-SMS Nursing Intervention for Adults With Chronic Kidney Disease

TypeinterventionalSponsorJudith Medellin OlayaRan2022 to 2024Enrolled120ConditionsRenal Insufficiency, ChronicArmsCKD SMS
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn HavasSchool of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Brisbane, QLD, 4059, Australia. kathryn.havas@qut.edu.au.ORCID 0000-0002-6497-5830
Clint DouglasSchool of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Brisbane, QLD, 4059, Australia.
Ann BonnerSchool of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Brisbane, QLD, 4059, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo achieve optimal health outcomes, people with chronic kidney disease must make changes in their everyday lives to self-manage their condition. This can be challenging, and there is a need for self-management support interventions which assist people to become successful self-managers. While interventions have been developed, the literature in this area is sparse and limited by lack of both individualisation and sound theoretical basis. The aim of this study was to implement and evaluate the Chronic Kidney Disease-Self-Management Support intervention: a theory-based, person-centred self-management intervention for people with chronic kidney disease stages 1-4.

methodsA single-sample, pre-post study of an individualised, 12-week intervention based upon principles of social-cognitive theory and person-centred care was conducted with patients attending outpatient renal clinics in Queensland, Australia (N = 66). Data were collected at T0 (pre-intervention) and T1 (post-intervention). Primary outcomes were self-efficacy and self-management behaviour.

resultsThere were significant, small-to-medium improvements in primary outcomes (self-efficacy: mean difference + 0.8, 95% CI 0.3-1.2, d = 0.4; self-management behaviour: mean difference + 6.2, 95% CI 4.5-7.9, d = 0.8). There were further significant improvements in secondary outcomes (blood pressure, disease-specific knowledge, physical activity, fruit and vegetable consumption, alcohol consumption, health-related quality of life, psychological distress, and communication with healthcare providers), with effect sizes ranging from negligible to large (all ps < .05).

conclusionsSocial-cognitive theory shows promise as a framework for providing effective person-centred self-management support to patients within this population, and longer-term evaluation is needed.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12618000066280 . Retrospectively registered 17/01/2018.

Indexed as

Ambulatory Care FacilitiesAdultAgedAged, 80 and overAustraliaFemaleHumansMaleMiddle AgedProspective StudiesRenal Insufficiency, ChronicSelf-ManagementTreatment OutcomeChronic kidney diseaseInterventionPatient-centred carePatient educationPerson-centred careSelf-careSelf-management

Identifiers

PMID30342487
PMCPMC6195997

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.