Effects of a self-management program on patients with early-stage chronic kidney disease: A pilot study

Abstract

BackgroundWithout intervention, renal function deteriorates in patients with chronic kidney disease (CKD). AimThis pilot study aimed to develop a self-management education program based on self-regulation theory and to evaluate its effects on self-efficacy, self-management behavior, and CKD progression among patients with early-stage CKD. MethodsIn this single-group, pretest–posttest, repeated-measures, longitudinal study, participants underwent baseline pretesting (T0) and posttesting at 3 (T1), 6 (T2), and 12 (T3) months after a 5-week group-session self-management program. ResultsSelf-efficacy increased significantly at T2 (χ2=8.97, p=.02) and T3 (χ2=10.71, p=.01) compared with T0, but self-management behavior did not. A marginally significant decrease in serum creatinine levels was observed from T0 to T3 (χ2=6.29, p=.07) but estimated glomerular filtration rates remained stable throughout the 12-month period. ConclusionsThe results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.