Effects of a Self-management Program on Patients with Early Stage Chronic Kidney Disease: A Pilot Study

Monday, 30 July 2012

Chiu-Chu Lin, PhD
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Fu-Mian Tsai, RN, MS
Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan

Learning Objective 1: The learner could utility the self-regulation theory to design an intervention for people with early stage CKD.

Learning Objective 2: The learners working in the nephrology department can utilize the protocol designed in this study to instruct people with CKD implementing lifestyle modification.


The aim of this pilot study was to test the feasibility and effectiveness of a CKD self-management program based on self-regulation theory among patients with stage 1 to 3a CKD.


This was a one-group, pretest-posttest repeated measures research design conducted in patients with early stage CKD recruited from four hospitals in southern Taiwan. In addition to learning from a visual computed disc (VCD) regarding CKD self-management made by the researchers, the participants received a five-week, group sessions self-management program based on self- regulation theory. Data were analyzed using generalized estimating equations (GEE) to test for change over time in outcome variables (i.e., self-efficacy, self-management behaviors, and CKD progression in glomerular filtration rate and serum creatinine).


Study participants ( n=33) showed significant differences in self-efficacy and serum creatinine at four time points. On the 3rd, 6th and 12th month after the self-management intervention program, Self-management behavior measures and GFR remained stable throughout the 12 months of follow-up.


Empirical data from this pilot study supports that this theory-based intervention is feasible and effective to implement in the patients with early stage CKD. However, there still needs to evaluate the efficacy of the self-management protocol designed in this study through a testing of a large- scale randomized control trial.