Evidence map›Paper›PMID 40652112›Full record

ArticleJournal of nephrology2025

Supporting people with chronic kidney disease to self-manage their condition: understanding the lived experiences, needs and requirements, and barriers and facilitators.

Courtney J Lightfoot, Thomas J Wilkinson, Matthew P M Graham-Brown, Alice C Smith

Abstract read
In one paragraph

Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. Article
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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

4 authors.

Courtney J LightfootLeicester Kidney Lifestyle Team, Department of Population Health Sciences, University of Leicester, Leicester, UK. courtney.lightfoot@leicester.ac.uk.ORCID http://orcid.org/0000-0002-5855-4159
Thomas J WilkinsonNIHR Leicester Biomedical Research Centre, Leicester, UK.
Matthew P M Graham-BrownNIHR Leicester Biomedical Research Centre, Leicester, UK.
Alice C SmithLeicester Kidney Lifestyle Team, Department of Population Health Sciences, University of Leicester, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-management has been identified as an essential component in the effective management of patients with chronic kidney disease (CKD). To effectively develop interventions that support patients with CKD to self-manage, it is crucial to understand their experiences and the factors that may influence their ability to self-manage. This study explored awareness, attitudes and participation with self-management in people living with non-dialysis CKD to understand factors influencing self-management behaviours.

methodsSemi-structured interviews were conducted with 22 individuals living with non-dialysis CKD. Topics explored included perspectives and experiences of self-management, health and lifestyle behaviours, healthcare professional support, and self-management support, including future interventional approaches. Data were audio recorded and transcribed verbatim. Thematic analysis was used to analyse the data and to identify and report themes.

resultsSix themes were identified encompassing perspectives, barriers and facilitators of self-management: "perceptions and experiences of (self-)managing CKD", "perceived needs and requirements for self-management education and support", "knowledge and capability-related factors", "skills and opportunity-related factors", "confidence and motivational-related factors" and "social support".

conclusionParticipants perceived that their CKD was not a significant problem, given the lack of concern from their doctor. Despite reporting a lack of awareness and understanding of CKD and its management, participants expressed interest in learning more and implementing appropriate self-management strategies. It was perceived that information and support were provided when it was almost too late, and not when it could potentially have the greatest impact. Perceived barriers and facilitators must be considered when developing interventions to support self-management for people with CKD.

Indexed as

Health Knowledge, Attitudes, PracticeRenal Insufficiency, ChronicSelf CareSelf-ManagementSocial SupportAdultAgedFemaleHealth BehaviorHumansMaleMiddle AgedMotivationPatient Education as TopicQualitative ResearchChronic kidney diseaseHealth behaviourPatient centred-careSelf-careSelf-management

Identifiers

PMID40652112
PMCPMC12484093

What OpenQuestion holds

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LicenceCC BY
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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.