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- Title
Improving self-management for people with chronic kidney disease through a patient activation approach: a cross-sectional survey protocol.
- Authors
Lunardi, Laura; Le Leu, Richard; Britton, Anne; Xu, Andie; Borlace, Monique; Jesudason, Shilpanjali; Bennett, Paul
- Abstract
Background: Globally, chronic kidney disease (CKD) is a leading cause of illness associated with high mortality, reduced quality of life and an important driver of health system utilisation and spending. The chronicity of this disease necessitates that individual actively self-manage to maximise health outcomes. CKD people require the knowledge, confidence, and skills to self-manage their health. This is referred to as patient activation. A better understanding of patient activation in CKD may improve patient activation and self-management. Aim: To identify the current status of patient activation levels in people with CKD stage 5 and its association with patient sociodemographic characteristics and other health-related clinical variables. Methods/design: We will use a prospective cross-sectional design to measure patient activation in 280 adults with CKD stage 5 not receiving dialysis over nine months in a large Australian renal service using the 13 item Patient Activation Measure (PAM-13) validated instrument. We will determine any associations with sociodemographic variables, immunisation and medication adherence, unattended renal appointments, and hospitalisation. Responses from participants and data extracted from medical records will be examined using univariate analysis, independent sample t-tests, Mann- Whitney tests, linear regression and generalised linear modelling where appropriate. Results: There is no presentation of results in this protocol presentation. Discussion: This study will serve as a platform for developing further studies to investigate components that work to increase patient engagement in positive health behaviours for an active role in self-manage their CKD and decision-making to negotiate their treatment to maximise health outcomes.
- Subjects
NORTHERN Territory; CHRONIC kidney failure; PATIENT participation; SELF-management (Psychology); CROSS-sectional method; CONFERENCES &; conventions; SURVEYS; QUALITY assurance
- Publication
Renal Society of Australasia Journal, 2022, Vol 18, p21
- ISSN
1832-3804
- Publication type
Article