title: Effects of a self-management program on patients with early-stage chronic kidney disease: a pilot study.
abstract: BACKGROUND
  Without intervention, renal function deteriorates in patients with chronic kidney disease (CKD).
  
  
  OBJECTIVE
  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.
authors: Kaohsiung Medical University, Chung Hwa University of Medical Technology, Fooyin University, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. chiuchu@kmu.edu.tw
authors: Chiu-Chu
authors: CC
authors: Lin
authors: Fu-Mian
authors: FM
authors: Tsai
authors: Huey-Shyan
authors: HS
authors: Lin
authors: Shang-Jyh
authors: SJ
authors: Hwang
authors: Hung-Chun
authors: HC
authors: Chen
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012648:Self Care; D013624:Taiwan
keywords: Chronic kidney disease; Glomerular filtration rate; Self-management; Self-regulation; Serum creatinine