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The effectiveness of patient activation interventions in adults with chronic kidney disease: A systematic review and meta‐analysis by Laura E. Lunardi; Kathy Hill; Qunyan Xu; Richard Le Leu; Paul N. Bennett is a Health Professions article available to read on EtoBox.

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Background: Chronic kidney disease (CKD) is a complex health condition that profoundly impacts an individual's general health and well-being throughout their entire lifetime. People with CKD require the knowledge, confidence, and skills to actively self-manage their health. This is referred to as patient activation. The efficacy of interventions to increase patient activation in the CKD population is unclear. Aim: This study aimed to examine the effectiveness of patient activation interventions on behavioral health-related outcomes among people with CKD stages 3-5. ## Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) of patients with CKD stages 3-5 was performed. MEDLINE, EMCARE, EMBASE, and PsychINFO databases were searched between 2005 and February 2021. Risk of bias was assessed using the Joanna Bridge Institute critical appraisal tool. Results: Nineteen RCTs that enrolled 4414 participants were included for synthesis. Only one RCT reported patient activation using the validated 13-item patient activation measure (PAM-13). Four studies demonstrated strong evidence that the intervention group developed a higher level of self-management compared

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Author

Laura E. Lunardi; Kathy Hill; Qunyan Xu; Richard Le Leu; Paul N. Bennett

Publisher

Wiley

Published

2023

Language

EN

Field

Health Professions (Health Sciences)