The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial
The complexity of chronic kidney disease (CKD) and its treatments have made self-management behaviors inevitably challenging. However, supplementing education with self-management skills may improve numerous health outcomes in people with nondialysis CKD. This study protocol describes a randomized c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sage Publications
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/95379/1/The%20effectiveness%20of%20nurse-led%20self-management%20support%20program%20for%20people%20with%20chronic%20kidney%20disease%20stage%203-4%20CKD-NLSM.pdf |
| _version_ | 1796983088090185728 |
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| author | Ayat Ali, Al Sawad Soo, Kun Lim Li, Yoong Tang Abdul Rashid, Aneesa Chew, Boon How |
| author_facet | Ayat Ali, Al Sawad Soo, Kun Lim Li, Yoong Tang Abdul Rashid, Aneesa Chew, Boon How |
| author_sort | Ayat Ali, Al Sawad |
| collection | UPM |
| description | The complexity of chronic kidney disease (CKD) and its treatments have made self-management behaviors inevitably challenging. However, supplementing education with self-management skills may improve numerous health outcomes in people with nondialysis CKD. This study protocol describes a randomized controlled trial (RCT) aimed to evaluate the effects of a nurse-led self-management support program as an intervention for kidney disease knowledge and CKD self-management behaviors among people with pre-dialysis CKD. In Phase 1, people with CKD stage 3–4 and their family members are involved in co-designing, development and pilot testing of a theory-based self-management intervention. In Phase 2, we perform a cross-cultural adaptation of the Kidney Disease Knowledge Survey, CKD Self-Management and Self-efficacy for Managing Chronic Disease questionnaires. In Phase 3, a parallel RCT will be conducted to evaluate the intervention where 154 participants with CKD stage 3–4 will be randomly assigned to either the intervention (n = 77) or control group (n = 77). The intervention group will receive 6-week self-management program from a nurse-coach in addition to standard usual care, while the control group will receive only standard usual care. Outcome measures include kidney disease knowledge, CKD self-management behavior, self-efficacy, quality of life, blood pressure control and adherence to CKD diet as indicated by 24-h urine urea nitrogen, 24-h urine sodium and net endogenous acid production. Data will be collected at baseline and 12-week post-baseline. The between- and within-group intervention effects will be estimated using the Generalized Estimating Equations. The self-management intervention offers strategies to delay CKD progression and to encourage motivation to better self-manage at home. This study integrates self-management education and psychosocial support with culturally relevant scenarios, and evaluates important self-reported and objective outcomes. Clinical Trials Registration: www.ClinicalTrials.gov, identifier: NCT03974646. |
| first_indexed | 2024-03-06T11:01:26Z |
| format | Article |
| id | upm.eprints-95379 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T11:01:26Z |
| publishDate | 2021 |
| publisher | Sage Publications |
| record_format | dspace |
| spelling | upm.eprints-953792023-01-04T08:45:34Z http://psasir.upm.edu.my/id/eprint/95379/ The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial Ayat Ali, Al Sawad Soo, Kun Lim Li, Yoong Tang Abdul Rashid, Aneesa Chew, Boon How The complexity of chronic kidney disease (CKD) and its treatments have made self-management behaviors inevitably challenging. However, supplementing education with self-management skills may improve numerous health outcomes in people with nondialysis CKD. This study protocol describes a randomized controlled trial (RCT) aimed to evaluate the effects of a nurse-led self-management support program as an intervention for kidney disease knowledge and CKD self-management behaviors among people with pre-dialysis CKD. In Phase 1, people with CKD stage 3–4 and their family members are involved in co-designing, development and pilot testing of a theory-based self-management intervention. In Phase 2, we perform a cross-cultural adaptation of the Kidney Disease Knowledge Survey, CKD Self-Management and Self-efficacy for Managing Chronic Disease questionnaires. In Phase 3, a parallel RCT will be conducted to evaluate the intervention where 154 participants with CKD stage 3–4 will be randomly assigned to either the intervention (n = 77) or control group (n = 77). The intervention group will receive 6-week self-management program from a nurse-coach in addition to standard usual care, while the control group will receive only standard usual care. Outcome measures include kidney disease knowledge, CKD self-management behavior, self-efficacy, quality of life, blood pressure control and adherence to CKD diet as indicated by 24-h urine urea nitrogen, 24-h urine sodium and net endogenous acid production. Data will be collected at baseline and 12-week post-baseline. The between- and within-group intervention effects will be estimated using the Generalized Estimating Equations. The self-management intervention offers strategies to delay CKD progression and to encourage motivation to better self-manage at home. This study integrates self-management education and psychosocial support with culturally relevant scenarios, and evaluates important self-reported and objective outcomes. Clinical Trials Registration: www.ClinicalTrials.gov, identifier: NCT03974646. Sage Publications 2021-06-18 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/95379/1/The%20effectiveness%20of%20nurse-led%20self-management%20support%20program%20for%20people%20with%20chronic%20kidney%20disease%20stage%203-4%20CKD-NLSM.pdf Ayat Ali, Al Sawad and Soo, Kun Lim and Li, Yoong Tang and Abdul Rashid, Aneesa and Chew, Boon How (2021) The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial. SCIENCE PROGRESS, 104 (2). pp. 1-27. ISSN 0036-8504; ESSN: 2047-7163 https://journals.sagepub.com/doi/10.1177/00368504211026159 10.1177/003685042110261 |
| spellingShingle | Ayat Ali, Al Sawad Soo, Kun Lim Li, Yoong Tang Abdul Rashid, Aneesa Chew, Boon How The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title | The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title_full | The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title_fullStr | The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title_full_unstemmed | The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title_short | The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 CKD-NLSM: study protocol for a randomized controlled trial |
| title_sort | effectiveness of nurse led self management support program for people with chronic kidney disease stage 3 4 ckd nlsm study protocol for a randomized controlled trial |
| url | http://psasir.upm.edu.my/id/eprint/95379/1/The%20effectiveness%20of%20nurse-led%20self-management%20support%20program%20for%20people%20with%20chronic%20kidney%20disease%20stage%203-4%20CKD-NLSM.pdf |
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