Evidence map›Paper›PMID 41696892›Full record

ArticleJournal of renal care2026

Feasibility and Acceptability of a Co-Designed Self-Management Programme for People Living With Kidney Failure.

Laura E Lunardi, Richard K Le Leu, Richard Bastin, Paul N Bennett, Fiona Donnelly, Monique Borlace, Jie Zeng, David Myers, Merrilyn Bradbrook, David Bradbrook and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of renal care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Laura E LunardiCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-0689-3300
Richard K Le LeuCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Richard BastinCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
Paul N BennettSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Fiona DonnellyCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Monique BorlaceCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Jie ZengCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-0495-5093
David MyersCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
Merrilyn BradbrookCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
David BradbrookCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
Rhanee LesterCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
Effie JohnsCNARTS, CALHN Consumer Reference Group, Adelaide, South Australia, Australia.
Anne BrittonCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Shilpanjali JesudasonCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-9695-0761
Shyamsundar MuthuramalingamCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Dorothea DumuidAlliance for Research in Exercise Nutrition and Activity (ARENA), College of Health, Adelaide University, Adelaide, South Australia, Australia.
Lisa A MatriccianiCollege of Health, Adelaide University, Adelaide, South Australia, Australia.

Funding

Hospital Research Foundation My IP 19251
6 · The paper itself

Abstract

backgroundEffective self-management is critical in chronic kidney disease, yet many patients report low confidence and engagement in healthcare. Co-designed self-management programmes may strengthen uptake and sustainability, but few have been tested in kidney failure not yet on dialysis populations. This study evaluated the feasibility and acceptability of a self-management programme designed by and for people with chronic kidney disease.

methodsWe conducted a single-arm, pre-post feasibility study in adults with kidney failure (eGFR ≤ 15 mL/min/1.73 m²) not yet on dialysis at an Australian nephrology unit. Patients attending the clinic were invited to participate in a 12-week nurse-led self-management programme, co-designed in partnership with people with kidney disease. The programme included motivational interviewing, structured goal setting, and tailored education delivered via digital or paper format. Feasibility measures included participant recruitment and retention, programme adherence and acceptability, assessed through a post-programme evaluation survey.

resultsOf the 40 patients invited, 31 consented to enrol on the programme (recruitment rate 31/40, 78%). All but one participant completed the follow-up survey (30/31, retention rate 97%), achieving 100% programme adherence among completers. Most participants reported improvements in knowledge, greater confidence in self-management, and valued the nurse support. Participants highlighted the convenience of home-based learning but noted challenges with small-screen readability and requested additional video resources.

conclusionA co-designed, nurse-led self-management programme was feasible and highly acceptable for people with kidney failure not yet on dialysis. Findings support further evaluation in a larger controlled trial. Integration of this programme into routine care could strengthen patient readiness for kidney replacement therapy.

Indexed as

Kidney Failure, ChronicPatient Acceptance of Health CareRenal InsufficiencySelf-ManagementAdultAgedAustraliaFeasibility StudiesFemaleHumansMaleMiddle AgedSelf CareSurveys and Questionnairesfeasibilitykidney failurepatient activationself‐management

Identifiers

PMID41696892
PMCPMC12908431

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.