Evidence map›Paper›PMID 31662393›Full record

SynthesisBMJ open2019

Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review.

Nicole Evangelidis, Jonathan Craig, Adrian Bauman, Karine Manera, Valeria Saglimbene, Allison Tong

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 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

6 authors.

Nicole EvangelidisSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia nicole.evangelidis@sydney.edu.au.ORCID 0000-0001-9184-680X
Jonathan CraigCentre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Adrian BaumanSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Karine ManeraSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Valeria SaglimbeneSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Allison TongSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesModifying lifestyle can prevent the progression of chronic kidney disease (CKD) but the specific elements which lead to favourable behaviour change are not well understood. We aimed to identify and evaluate behaviour change techniques and functions in lifestyle interventions for preventing the progression of CKD.

designSystematic review. DATA SOURCES: MEDLINE, EMBASE, CINAHL and PsycINFO. ELIGIBILITY CRITERIA: Trials of lifestyle behaviour change interventions (including diet, physical activity, smoking and/or alcohol) published to September 2018 in adults with CKD stages 1-5. DATA EXTRACTION AND SYNTHESIS: Trial characteristics including population, sample size, study setting, intervention, comparator, outcomes and study duration, were extracted. Study quality was independently assessed by two reviewers using the Cochrane risk of bias tool. The Behaviour Change Technique Taxonomy v1 was used to identify behaviour change techniques (eg, goal setting) and the Health Behaviour Change Wheel was used to identify intervention functions (eg, education). Both were independently assessed by three reviewers.

resultsIn total, 26 studies involving 4263 participants were included. Risk of bias was high or unclear in most studies. Interventions involved diet (11), physical activity (8) or general lifestyle (7). Education was the most frequently used function (21 interventions), followed by enablement (18), training (12), persuasion (4), environmental restructuring (4), modelling (2) and incentivisation (2). The most common behaviour change techniques were behavioural instruction (23 interventions), social support (16), behavioural demonstration (13), feedback on behaviour (12) and behavioural practice/rehearsal (12). Eighteen studies (69%) showed a significant improvement in at least one primary outcome, all of which included education, persuasion, modelling and incentivisation.

conclusionLifestyle behaviour change interventions for CKD patients frequently used education, goal setting, feedback, monitoring and social support. The most promising interventions included education and used a variety of intervention functions (persuasion, modelling and incentivisation). PROSPERO REGISTRATION NUMBER: CRD42019106053.

Indexed as

Diet TherapyExerciseHealth BehaviorSmoking CessationDisease ProgressionFeedbackGoalsHumansLife StyleMotivational InterviewingPatient Education as TopicRenal Insufficiency, ChronicSecondary PreventionSocial SupportWeight Lossbehaviour change techniquesBehaviour Change Technique Taxonomy v1chronic kidney disease (CKD)dietexercisehealth behaviour change wheellifestylesystematic review

Identifiers

PMID31662393
PMCPMC6830616

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.