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

Appl Nurs Res. 2013 Aug;26(3):151-6. doi: 10.1016/j.apnr.2013.01.002. Epub 2013 Mar 7.


Background: Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD).

Aim: This 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.

Methods: In 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.

Results: Self-efficacy increased significantly at T2 (χ(2)=8.97, p=.02) and T3 (χ(2)=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 (χ(2)=6.29, p=.07) but estimated glomerular filtration rates remained stable throughout the 12-month period.

Conclusions: The results of this empirical study suggest that the theory-based intervention is feasible and has potential efficacy in retarding CKD progression.

Keywords: Chronic kidney disease; Glomerular filtration rate; Self-management; Self-regulation; Serum creatinine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Humans
  • Kidney Failure, Chronic / physiopathology
  • Kidney Failure, Chronic / therapy*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Pilot Projects
  • Self Care*
  • Taiwan