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

ISRCTN ISRCTN48085815
DOI https://doi.org/10.1186/ISRCTN48085815
Secondary identifying numbers N/A
Submission date
12/06/2012
Registration date
26/06/2012
Last edited
26/06/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Without treatment, patients with chronic kidney disease (CKD) will experience deterioration in renal functions. Preventing the progression of CKD and avoiding early entry into the dialysis are urgent issues. The study attempted to develop a self-management education program based on the self-regulation theory and to assess whether and how it helped patients with early stage CKD to manage their condition.

Who can participate?
Patients with early stage CKD.

What does the study involve?
After informed consents were obtained, blood samples were taken and questionnaires were filled in. Participants received a five-week, group sessions self-management program based on self-regulation theory. Participants were pre-tested to establish a baseline (T0) and then there were three post-at 3 months (T1), 6 months (T2), and 12 months (T3) after the self-management program was delivered.

What are the possible benefits and risks of participating?
Participants who participate the intervention (i.e., self-management program) will learn how to self manage their CKD to prevent further deterioration.
There is no any known risk found in this study.

Where is the study run from?
Subjects were recruited from the following four hospitals in southern Taiwan:.
1. Kaohsiung Medical University Chung-Ho Memorial Hospital
2. Kaohsiung Municipal Hsiao-Kang Hospital
3. Chia-Yi Christian Hospital
4. Chi-Mei Medical Center

When is the study starting and how long is it expected to run for?
The study ran from September 2008 to December 2009, lasting 16 months.

Who is funding the study?
This study was supported by funds from the National Science Council, Taiwan (NSC95-2314-B-037-052-MY3).

Who is the main contact?
Chiu-Chu Lin
chiuchu@kmu.edu.tw

Contact information

Prof Chiu-Chu Lin
Scientific

100 Shih-Chuan
1st Road
Kaohsiung
807
Taiwan

Study information

Study designOne-group pretest-posttest repeated measures longitudinal study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please contact Chiu-Chu Lin, PhD RN, chiuchu@kmu.edu.tw to request a patient information sheet
Scientific titleEffects of a self-management program on patients with early stage chronic kidney disease: a repeated measures longitudinal study
Study objectivesWithout intervention, patients with chronic kidney disease (CKD) will experience deterioration in renal functions. Preventing the progression of CKD and avoiding early entry into the dialysis are urgent issues.
Ethics approval(s)Kaohsiung Medical University Institutional Review Board, December 29, 2005, ref: KMUH-IRB-940359
Health condition(s) or problem(s) studiedEarly stage chronic kidney disease
InterventionThe CKD self-management program designed by the research team was based on the self-regulation theory. Each study subject was scheduled for a five-week self-management program which included face-to-face sessions involving groups of 6 to 8 participants, and group sessions of 90-minute per week. After subjects watched the CKD self-management video, the lead investigator led subjects to discuss and learn about the self-regulation processes. Self-regulation activities were developed and used as models by study participants. By watching the examples demonstrated in the video, participants could learn new self-management strategies. At the end of each session, participants were given assignments to monitor and record their daily activities, using the self-monitoring workbook, from which they could find the possible causes or circumstances producing the problems.
Intervention typeOther
Primary outcome measure1. CKD self-efficacy
2. CKD self-management behavior

Measured at 3 months (T1), 6 months (T2), and 12months (T3) after the intervention of a self-management program.
Secondary outcome measures1. Serum creatinine (SCr)
2. Glomerular filtration rate (GFR)

Measured at 3 months (T1), 6 months (T2), and 12months (T3) after the intervention of a self-management program.
Overall study start date01/09/2008
Completion date30/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsOf the 44 subjects recruited, 37 people consented to participate in this study. Finally, 33 subjects completed this study.
Key inclusion criteria1. Was diagnosed with CKD 1-3a stage six months or more prior to the study
2. Aged 18 years or older
3. Without visual or aural impairment
4. Spoke Taiwanese or Mandarin
5. Consented to fill out questionnaires and to blood tests in order to test the CKD progression
Key exclusion criteriaDiagnosed with CKD 3b-5 stage
Date of first enrolment01/09/2008
Date of final enrolment30/12/2009

Locations

Countries of recruitment

  • Taiwan

Study participating centre

100 Shih-Chuan
Kaohsiung
807
Taiwan

Sponsor information

National Science Council (Taiwan)
Government

106, Sec. 2
Heping E. Rd
Taipei
10622
Taiwan

Website http://web1.nsc.gov.tw/mp.aspx?mp=7
ROR logo "ROR" https://ror.org/02kv4zf79

Funders

Funder type

Government

National Science Council (Taiwan) (NSC95-2314-B-037-052-MY3)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan