{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:40:52Z","timestamp":1792662052400,"version":"4.5.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Netherlands Organisation for Health Research and Development"},{"DOI":"10.13039\/501100002997","name":"Dutch Kidney Foundation","doi-asserted-by":"publisher","award":["21OM+002"],"award-info":[{"award-number":["21OM+002"]}],"id":[{"id":"10.13039\/501100002997","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015699","name":"Fresenius Medical Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015699","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Vantive"},{"name":"Dirinco"},{"name":"Cablon Medical"},{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Eurocept Homecare"},{"DOI":"10.13039\/100004336","name":"Novartis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006484","name":"Vifor Pharma","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006484","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004326","name":"Bayer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004326","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006400","name":"Alnylam","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006400","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adequate self-management behaviours may improve health outcomes, but dialysis patients often struggle to adopt and maintain these behaviours. Therefore, we aimed to 1) identify self-management barriers in dialysis patients, 2) assess their relation to patient characteristics, and 3) assess their effect on clinical and patient-reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multicentre, longitudinal cohort study in adult incident dialysis patients who filled in the Self-Management Screening questionnaire. Descriptive analyses were performed to assess the extent of self-management barriers. The relation between patient characteristics and self-management barriers was determined using Spearman's rank correlation coefficient. The impact of self-management barriers on health outcomes was investigated using linear and Cox regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 1518 dialysis patients, self-management barriers were common across a wide range of domains (eg self-efficacy, coping, and social support). Sex, age, educational level, cohabitation, dialysis modality, and comorbidity were associated with the extent of individual self-management barriers and the total number of barriers. Moreover, a higher number of self-management barriers was associated with poorer mental and physical health-related quality of life, and with a higher symptom number and burden at 6 and 12 months after dialysis initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dialysis patients frequently experience self-management barriers across many domains and the extent differs depending on patient characteristics. Self-management barriers negatively impact patient-reported outcomes over time. Our findings highlight the importance of systematic, personalised, multicomponent self-management support in dialysis care, as this is an important target to improve health outcomes in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joneph\/aajag191","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:53:12Z","timestamp":1782301992000},"source":"Crossref","is-referenced-by-count":0,"title":["Self-management barriers in dialysis patients: a target for improving health outcomes"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3271-5572","authenticated-orcid":false,"given":"Esmee","family":"Driehuis","sequence":"first","affiliation":[{"name":"Department of Nephrology and Hypertension, University Medical Center Utrecht , Utrecht ,","place":["The Netherlands"]},{"name":"Department of Nephrology, Amsterdam UMC Location Vrije Universiteit Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9891-2109","authenticated-orcid":false,"given":"Yvette","family":"Meuleman","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Leiden University Medical Center , Leiden ,","place":["The Netherlands"]},{"name":"Department of Psychiatry & Psychology, Section Medical Psychology, Leiden University Medical Center , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalina G D","family":"Hobo","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Amsterdam UMC Location Vrije Universiteit Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna A","family":"Bonenkamp","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Amsterdam UMC Location Vrije Universiteit Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Nephrology, Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2433-2494","authenticated-orcid":false,"given":"Friedo W","family":"Dekker","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Leiden University Medical Center , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alferso C","family":"Abrahams","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Hypertension, University Medical Center Utrecht , Utrecht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigit C","family":"van Jaarsveld","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Amsterdam UMC Location Vrije Universiteit Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Nephrocare Diapriva Dialysis Center , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences, Diabetes and Metabolism , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"of the DOMESTICO study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P B","family":"Leurs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J B","family":"van der Net","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A M","family":"Schrander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T T","family":"Cnossen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A S","family":"De Vriese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Lips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K L W","family":"Bunthof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Eshuis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M A G J","family":"ten Dam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C J A M","family":"Konings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"van Eck van der Sluijs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Lips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"\u00d6zyilmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Neradova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F T J","family":"Boereboom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B C","family":"van Jaarsveld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Balemans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"van Esch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C R","family":"Susanto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"van Breda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Severs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A H","family":"Boonstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M A M","family":"Verhoeven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R W","family":"Nette","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A Y","family":"Adema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Bierma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J M","family":"Hofstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y M","family":"Vermeeren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D H T","family":"IJpelaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N H","family":"Hommes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"van Buren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H P M","family":"Selten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S H A","family":"Diepeveen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E K","family":"Hoogeveen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Cornelis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Boorsma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F W","family":"Dekker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J I","family":"Rotmans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A M","family":"van Alphen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E J R","family":"Litjens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M H","family":"Hemmelder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W M T","family":"Janssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Kuijper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C H","family":"Beerenhout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R J","family":"Bosma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H S","family":"Brink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R M J","family":"Wijering","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E L","family":"Penne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C W H","family":"de Fijter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C E H","family":"Siegert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W A G","family":"van der Meijden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S J","family":"Huisman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J C","family":"Verhave","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"van Kempen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W J W","family":"Bos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K W","family":"Mui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S H","family":"Binnenmars","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H H T I","family":"Klein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C E","family":"Douma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J D","family":"Snoep","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Mulder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F L","family":"Nauta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C F M","family":"Franssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"\u00d6zyilmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A C","family":"Abrahams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M C","family":"Verhaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Fran\u00e7ois","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A H","family":"Van Craenenbroeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A J","family":"Luik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R J L","family":"Klaassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M M G","family":"Dekker-Jansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A G","family":"Weenink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M M E","family":"Krekels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"ter Braak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"2026102205033125800_aajag191-B1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003954","article-title":"Symptom burden and health-related quality of life in chronic kidney disease: a global systematic review and meta-analysis","volume":"19","author":"Fletcher","year":"2022","journal-title":"PLoS Med."},{"key":"2026102205033125800_aajag191-B2","doi-asserted-by":"publisher","DOI":"10.1177\/2054358119848126","article-title":"Understanding adults with chronic kidney disease and their caregivers' self-management experiences: a qualitative study using the theoretical domains framework","volume":"6","author":"Baay","year":"2019","journal-title":"Can J Kidney Health Dis."},{"key":"2026102205033125800_aajag191-B3","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3390\/kidneydial2010012","article-title":"Patient activation: the cornerstone of effective self-management in chronic kidney disease?","volume":"2","author":"Lightfoot","year":"2022","journal-title":"Kidney Dial."},{"key":"2026102205033125800_aajag191-B4","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.13842","article-title":"Comparison of the effect of educational and self-management interventions on adherence to treatment in hemodialysis patients: a systematic review and meta-analysis of randomized controlled trials","volume":"75","author":"Yang\u00f6z \u015e","year":"2021","journal-title":"Int J Clin Pract."},{"key":"2026102205033125800_aajag191-B5","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1111\/sdi.12080","article-title":"Approaches to self-management in chronic illness","volume":"26","author":"Novak","year":"2013","journal-title":"Semin Dial."},{"key":"2026102205033125800_aajag191-B6","doi-asserted-by":"publisher","first-page":"366","DOI":"10.5301\/jn.2010.5823","article-title":"Non-adherence in patients on chronic hemodialysis: an international comparison study","volume":"24","author":"Kugler","year":"2011","journal-title":"J Nephrol."},{"key":"2026102205033125800_aajag191-B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2023.100712","article-title":"Psychological distress and self-management in CKD: a cross-sectional study","volume":"5","author":"Cardol","year":"2023","journal-title":"Kidney Med."},{"key":"2026102205033125800_aajag191-B8","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.cegh.2018.05.003","article-title":"Adherence to dietary and fluid restrictions among patients undergoing hemodialysis: an observational study","volume":"7","author":"Beerappa","year":"2019","journal-title":"Clin Epidemiol Glob Health."},{"key":"2026102205033125800_aajag191-B9","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1046\/j.1523-1755.2003.00064.x","article-title":"Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS","volume":"64","author":"Saran","year":"2003","journal-title":"Kidney Int."},{"key":"2026102205033125800_aajag191-B10","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.ekir.2021.10.021","article-title":"A qualitative study of facilitators and barriers to self-management of CKD","volume":"7","author":"Schrauben","year":"2022","journal-title":"Kidney Int Rep."},{"key":"2026102205033125800_aajag191-B11","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s12529-017-9668-x","article-title":"Perceived sodium reduction barriers among patients with chronic kidney disease: which barriers are important and which patients experience barriers?","volume":"25","author":"Meuleman","year":"2018","journal-title":"Int J Behav Med."},{"key":"2026102205033125800_aajag191-B12","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1186\/s12882-019-1526-4","article-title":"Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO): rationale and design","volume":"20","author":"van Eck van der Sluijs","year":"2019","journal-title":"BMC Nephrol."},{"key":"2026102205033125800_aajag191-B13","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1111\/jan.12873","article-title":"Illness perception, coping and adherence to treatment among patients with chronic kidney disease","volume":"72","author":"V\u00e9lez-V\u00e9lez","year":"2016","journal-title":"J Adv Nurs."},{"key":"2026102205033125800_aajag191-B14","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1111\/hdi.70004","article-title":"Analysis of the relationship between self-efficacy, adherence with diet therapy and fluid control in patients receiving hemodialysis treatment: a structural equation analysis","volume":"30","author":"Turan","year":"2026","journal-title":"Hemodial Int."},{"key":"2026102205033125800_aajag191-B15","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1177\/1359105316631813","article-title":"The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis: results from a randomized controlled trial","volume":"22","author":"Howren","year":"2017","journal-title":"J Health Psychol."},{"key":"2026102205033125800_aajag191-B16","doi-asserted-by":"publisher","first-page":"195","DOI":"10.3390\/nursrep11010019","article-title":"Evaluating self-efficacy among patients undergoing dialysis therapy","volume":"11","author":"Almutary","year":"2021","journal-title":"Nurs Rep"},{"key":"2026102205033125800_aajag191-B17","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1186\/s12882-025-04137-9","article-title":"Factors associated with self-care behavior in patients with chronic kidney disease: a systematic review","volume":"26","author":"Riski","year":"2025","journal-title":"BMC Nephrol."},{"key":"2026102205033125800_aajag191-B18","doi-asserted-by":"publisher","first-page":"iii7","DOI":"10.1093\/ndtplus\/sfr151","article-title":"Enabling self-management: selecting patients for home dialysis?","volume":"4","author":"Hutchison","year":"2011","journal-title":"NDT Plus"},{"key":"2026102205033125800_aajag191-B19","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.ijnurstu.2017.06.008","article-title":"Effects of self-management on chronic kidney disease: a meta-analysis","volume":"74","author":"Lin","year":"2017","journal-title":"Int J Nurs Stud."},{"key":"2026102205033125800_aajag191-B20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0180498","article-title":"Association of coping strategies with mortality and health-related quality of life in hemodialysis patients: the Japan Dialysis Outcomes and Practice Patterns Study","volume":"12","author":"Niihata","year":"2017","journal-title":"PLoS One"},{"key":"2026102205033125800_aajag191-B21","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1053\/j.ajkd.2019.02.017","article-title":"Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study","volume":"74","author":"Schouten","year":"2019","journal-title":"Am J Kidney Dis."},{"key":"2026102205033125800_aajag191-B22","doi-asserted-by":"publisher","first-page":"9443","DOI":"10.3390\/ijerph17249443","article-title":"Patient-centered self-management in patients with chronic kidney disease: challenges and implications","volume":"17","author":"Lin","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"2026102205033125800_aajag191-B23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019814","article-title":"Self-management interventions for adults with chronic kidney disease: a scoping review","volume":"8","author":"Donald","year":"2018","journal-title":"BMJ Open"},{"key":"2026102205033125800_aajag191-B24","doi-asserted-by":"publisher","first-page":"e354","DOI":"10.3399\/bjgp16X684985","article-title":"Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial","volume":"66","author":"Eikelenboom","year":"2016","journal-title":"Br J Gen Pract."},{"key":"2026102205033125800_aajag191-B25","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1080\/17437199.2025.2471775","article-title":"Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis","volume":"19","author":"Farris","year":"2025","journal-title":"Health Psychol Rev."},{"key":"2026102205033125800_aajag191-B26","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1186\/s12882-025-04229-6","article-title":"Self-management interventions for adult haemodialysis patients: a scoping review of randomized controlled trials","volume":"26","author":"Friedrich","year":"2025","journal-title":"BMC Nephrol."},{"key":"2026102205033125800_aajag191-B27","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12882-023-03108-2","article-title":"Role of self-management program based on 5A nursing model in quality of life among patients undergoing hemodialysis: a Randomized Clinical Trial","volume":"24","author":"Keivan","year":"2023","journal-title":"BMC Nephrol."},{"key":"2026102205033125800_aajag191-B28","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.pec.2021.05.016","article-title":"A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: perspectives of patients and health care professionals","volume":"105","author":"Boonstra","year":"2022","journal-title":"Patient Educ Couns."},{"key":"2026102205033125800_aajag191-B29","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfae300","article-title":"Informal caregiver burden in dialysis care and how it relates to patients' health-related quality of life and symptoms","volume":"17","author":"Driehuis","year":"2024","journal-title":"Clin Kidney J."},{"key":"2026102205033125800_aajag191-B30","doi-asserted-by":"publisher","first-page":"115","DOI":"10.5414\/cn110436","article-title":"Living well with kidney disease by patient and care-partner empowerment: kidney health for everyone everywhere","volume":"95","author":"Kalantar-Zadeh","year":"2021","journal-title":"Clin Nephrol."}],"container-title":["Journal of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/joneph\/advance-article-pdf\/doi\/10.1093\/joneph\/aajag191\/72330294\/aajag191.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/joneph\/advance-article-pdf\/doi\/10.1093\/joneph\/aajag191\/72330294\/aajag191.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:03:38Z","timestamp":1792659818000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joneph\/advance-article\/doi\/10.1093\/joneph\/aajag191\/8974030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":30,"URL":"https:\/\/doi.org\/10.1093\/joneph\/aajag191","relation":{},"ISSN":["1121-8428","1724-6059"],"issn-type":[{"value":"1121-8428","type":"print"},{"value":"1724-6059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"article-number":"aajag191"}}