ArticleJournal of nephrology2024
Patient activation in advanced chronic kidney disease: a cross-sectional study.
Article in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed, 16 citations in OpenAlex.
- "Understanding Chronic Kidney Disease Self-Management Barriers and Facilitators: A Consumer-Led Qualitative Study".Journal of renal care · 2026Article
- Feasibility and Acceptability of a Co-Designed Self-Management Programme for People Living With Kidney Failure.Journal of renal care · 2026Article
- The Mediating Role of Patient Activation in the Association Between Illness Perception and Self-Management Behavior Among Patients with Oral Cancer.Patient preference and adherence · 2026Article
- An Integrated, Evidence-Guided Framework for Chronic Kidney Disease Self-Management: Behavioral Mechanisms, Implementation Strategies, and Real-World Application.Kidney & blood pressure research · 2026Review
- Self-Management Intentions and Behaviors Among CKD Patients at Predialysis and Dialysis Stages: A Cross-Sectional Study Based on Protection Motivation Theory.Nursing research and practice · 2026Article
- The relationship between social support, psychological distress, and patient activation in peritoneal dialysis patients: a cross-sectional study.BMC nephrology · 2025Article
- Patient Activation Impacts Exercise in Older Adults With Kidney Disease.Kidney international reports · 2025Article
- Empowering CKD and Hemodialysis Patients with mHealth: Implementation of the NephroGo App in Europe.Journal of clinical medicine · 2025Article
- Use of dipeptidyl peptidase-4 inhibitors is associated with lower risk of severe renal outcomes in pre-dialysis patients with Type 2 diabetes.Journal of internal medicine · 2025Article
- A survey on the association between patient activation and quality of life among patients with chronic kidney disease in Japan.Journal of nephrology · 2025Observational
- Kidney Disease: Improving Global Outcomes (KDIGO) Workshop on the Nurse's Role in Managing the Symptoms of People Receiving Dialysis.Kidney international reports · 2025Article
- A Pathway Analysis of Factors Affecting Quality of Life in Peritoneal Dialysis Patients: A Cross-Sectional Study Based on Individual and Family Self-Management Theory.Patient preference and adherence · 2025Article
- Patient activation levels in cardiovascular disease: a cross-sectional study in Brazilian community pharmacies.Sao Paulo medical journal = Revista paulista de medicina · 2025Article
- Factors associated with patient activation among patients with diabetes on hemodialysis: a multicenter cross-sectional study from a developing country.BMC nephrology · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient activation refers to the knowledge, confidence and skills required for the management of chronic disease and is antecedent to self-management. Greater self-management in chronic kidney disease (CKD) results in improved patient experience and patient outcomes.
aimTo examine patient activation levels in people with CKD stage 5 pre-dialysis and determine associations with sociodemographic characteristics, treatment adherence and healthcare utilisation. METHODS/
designPeople with CKD stage 5 not receiving dialysis from one Australian kidney care service. Patient activation was measured using the 13-item Patient Activation Measure (PAM-13). Sociodemographic and clinical outcome data (emergency department visits, admissions) were collected from medical records. Morisky Medication Adherence Scale was used to determine self-report medication adherence.
resultsTwo hundred and four participants completed the study. The mean PAM-13 score was 53.4 (SD 13.8), with 73% reporting low activation levels (1 and 2). Patient activation scores significantly decreased with increased age (P < 0.001) and significantly increased with higher educational levels (P < 0.001). Higher patient activation level was associated with fewer hospital emergency department visits (P = 0.03) and increased medication adherence (P < 0.001).
conclusionPatient activation levels are low in people with CKD stage 5 not receiving dialysis suggesting limited ability for self-management and capacity for optimally informed decisions about their healthcare. Efforts to improve patient activation need to consider age and education level.
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Registered trials
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