Original InvestigationPathogenesis and Treatment of Kidney DiseaseEducational Interventions in Kidney Disease Care: A Systematic Review of Randomized Trials
Section snippets
Selection Criteria
We included randomized controlled trials (RCTs) of educational interventions that fulfilled the following inclusion criteria: (1) patients with kidney disease who were in the categories of early CKD, predialysis, or dialysis care (kidney transplant recipients were excluded because this group has additional educational needs that are beyond the scope of the review); (2) structured interventions that involved both informational and psychological components; (3) adults older than 18 years; (4) a
Description of Studies
Twenty-two studies met all predefined criteria. These studies were conducted between 1981 and 2005 in the following countries: United States (11 studies), Canada (5 studies), United Kingdom (2 studies), The Netherlands (1 study), and Taiwan (3 studies). The 22 studies included 1,967 patients, with sample sizes ranging from 10 to 335 participants. All studies included men and women in varying proportions with a mean age of 55 years (range, 19 to 82 years).
Key characteristics of RCTs are listed
Discussion
Limited evidence is available evaluating the effect of patient education in kidney disease care. We identified 22 RCTs evaluating a wide variety of educational interventions with many different aims and outcomes. The majority of studies involved dialysis patients (short and medium duration) and aimed to improve diet and/or fluid concordance. The major study was a 20-year follow-up of a predialysis intervention that showed an increase in survival rates.9 We did not identify studies that
Acknowledgements
The authors thank Bahereh Arsalanizadeh for help reviewing articles for inclusion in the study.
Support: The research was supported by funding from Kidney Research UK (The Edith Murphy Fellowship Programme).
Financial Disclosure: None.
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Originally published online as doi:10.1053/j.ajkd.2008.01.024 on April 25, 2008.