Self-efficacy and self-management behaviors in patients with chronic kidney disease

Adv Chronic Kidney Dis. 2008 Apr;15(2):191-205. doi: 10.1053/j.ackd.2008.01.006.


Although past research has examined self-management among patients with end-stage renal disease (ESRD), little is known about self-management in patients with chronic kidney disease (CKD). In this cross-sectional survey (no intervention), 174 patients with CKD (serum creatinine > or =1.7 mg/dL) completed self-reported measures of self-efficacy, physical and mental functioning, and self-management. The purpose of the study was to explore the association between patients' perceived self-efficacy and their self-management behaviors. Five types of self-management behaviors were measured: communication with caregivers, partnership in care, self-care, self-advocacy, and medication adherence. Controlling for other relevant variables including age, education, diabetic status, hypertension, serum creatinine, physical functioning, and mental health functioning, higher perceived self-efficacy scores were associated with increased communication, partnership, self-care, and medication-adherence behaviors. In this study, patients' perceived self-efficacy was a more consistent correlate of self-management behavior than were demographic or health characteristics. Because self-management has been associated with positive patient outcomes, fostering self-management by supporting patient self-efficacy may have long-term benefits.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Cross-Sectional Studies
  • Female
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance*
  • Physician-Patient Relations
  • Renal Insufficiency, Chronic / psychology*
  • Renal Insufficiency, Chronic / therapy*
  • Self Care*
  • Self Efficacy*