Effect Of Education On Adherence, Self Care And Well-Being Of Patients With Chronic Kidney Disease

NCT07309861 | Completed DMC

• 1 other identifier: TUTF-BAEK 2019/206
• Study Type: interventional
• Target: 119
• Locations: 1 country
• Sites: 1

Brief Summary

ABSTRACT Aim: The aim of the study was evaluate the effect of education provided to patients diagnosed with chronic kidney disease on adherence to illness, self-care, and well-being. Design: A randomised controlled trial. Participants: The study sample consisted of total of 119 individuals diagnosed with stage 3 to stage 4 chronic kidney disease. Methods: The data were collected with the Patient Information Form, Adaptation to Chronic Illness Scale, Self-Care Management Process in Chronic Illness and the World Health Organization-5 Well-Being Index. The data were evaluated using descriptive analyses, the Mann-Whitney U test, Pearson's chi-square test, Fisher-Freeman test, student's t-test, Wilcoxon test, and Friedman test.

Conditions

Chronic Kidney Disease (Stage 3-4)

Keywords

Adaptation to illness; chronic kidney disease; self-care; well-being

Outcome Measures

Primary Outcomes (3)

• Adaptation to Chronic Illness Scale

  Adaptation to Chronic Illness Scale (ACIS): The scale includes 25 items, and a total score of 125 points is obtained from the scale. An increase in the scores from the subscales and/or the overall scale means that patients' adaptation levels to illness also increase.

  through study completion, an average of 19 months

• The Self-Care Management Process in Chronic Illness (SCMP-G)

  The Self-Care Management Process in Chronic Illness (SCMP-G): The scale includes 35 items and is evaluated as 5 (Strongly Agree) and 1 (Strongly Disagree). Self-care management increases with the increasing score on the scale.

  through study completion, an average of 19 months

• WHO-5 Well-Being Index

  WHO-5 Well-Being Index: The raw score is computed by summing the numbers belonging to 5 answers. Zero represents the worst possible quality of life, while 25 represents the best possible quality of life. To acquire a percentage score ranging from 0 to 100, the raw score is multiplied by 4. Whereas "zero percent" indicates the worst possible quality of life, "one hundred percent" indicates the best possible quality of life.

  through study completion, an average of 19 months

Study Arms (1)

Effect of education on adherence, self care and well-being of patients with chronic kidney disease

EXPERIMENTAL

Patients who diagnosed with stage 3 to stage 4 chronic kidney disease

Device: Educational with chronic kidney disease

Interventions

Educational with chronic kidney disease DEVICE

Education Booklet for Patients with Chronic Kidney Disease It was prepared by the researchers in line with the literature review to be used as educational material for patients with stage 3 and stage 4 chronic kidney disease. The education booklet includes information about the kidneys (anatomy and functions of the kidneys), chronic kidney disease (definition of chronic kidney disease , risk factors, symptoms, nutrition in chronic kidney disease , salt consumption, the importance of potassium and phosphorus for our body, regular and balanced nutrition, exercise, the relationship between chronic kidney disease and diabetes, and the relationship between chronic kidney disease and hypertension), and treatment methods (hemodialysis, peritoneal dialysis, and kidney transplant).

Effect of education on adherence, self care and well-being of patients with chronic kidney disease

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being over 18 years of age
• having stage 3 or stage 4 chronic kidney disease
• not having communication difficulties
• receiving outpatient treatment at the nephrology outpatient clinic
• and volunteering to take part in the research

You may not qualify if:

• being under 18 years of age
• having stage 1, 2 or stage 5 chronic kidney disease
• having communication difficulties
• not volunteering to take part in the research
• receiving hemodialysis or peritoneal dialysis

Sponsors & Collaborators

• Trakya University: lead

Study Sites (1)

Trakya University

Edirne, Centre, 22030, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Özgül Erol, Professor

  Trakya University

  STUDY DIRECTOR

• Lale Yacan

  Trakya University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The study population comprised of patients diagnosed with chronic kidney disease and receiving treatment in the nephrology outpatient clinic of a hospital. Considering the sample size of the study, since there are not sufficient data in the literature on the effect of the education provided to individuals with chronic kidney disease on adherence to illness, self-care, and well-being, it was calculated that 64 individuals from each group (intervention=64, control=64) should be included in the research with a power value of 80% and a margin of error of 5% to test the prediction of a medium effect size (d=0.5) of the education to be provided. Considering the possible losses during the study process, 70 individuals were included in each group. Patients were assigned to the intervention and control groups using the computer program Researcher Randomizer and the simple randomization method. In randomization between groups, characteristics such as age and sex of the patients who volunteered.

Study Record Dates

• First Submitted: November 14, 2025
• First Posted: December 30, 2025
• Study Start: March 3, 2020
• Primary Completion: October 29, 2021
• Study Completion: August 29, 2022
• Last Updated: December 30, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)