{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:29:09Z","timestamp":1791851349801,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dietary modification is a crucial component of chronic kidney disease (CKD) management, but the complexity of renal diets leads to significant adherence challenges. Understanding the patient's perspective is vital for developing effective, patient\u2010centred interventions that improve adherence and health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This scoping review aimed to map the available evidence on the reported preferences of patients with CKD regarding nutrition\u2010related health outcomes, and to identify the perceived barriers and facilitators that hinder or support the achievement of these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility Criteria<\/jats:title>\n                    <jats:p>Studies were included if they involved adult patients with CKD and explored their perspectives on nutrition\u2010related outcomes, barriers, or facilitators to dietary management. Qualitative, quantitative, and mixed\u2010methods studies published in English were eligible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of Evidence<\/jats:title>\n                    <jats:p>A systematic search was conducted in June 2025 across four electronic databases (MEDLINE, CINAHL, Embase, and Cochrane Database of Systematic Reviews), supplemented by hand\u2010searching reference lists of included articles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Charting Methods<\/jats:title>\n                    <jats:p>Data were extracted independently using a custom data extraction tool. The identified barriers and facilitators were thematically mapped and categorised according to the World Health Organization Multidimensional Adherence Model (WHO\u2010MAM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four studies met the inclusion criteria. A primary finding was the lack of evidence directly addressing patients' preferred nutrition\u2010related health outcomes. However, preferences could be inferred; patients value reassurance, emotional support, and receiving practical, individualised, and culturally relevant advice. Perceived barriers included: (A) unhelpful, paternalistic communication from healthcare teams; (B) patient factors like feeling overwhelmed and confused; (C) socioeconomic factors such as conflicting cultural norms and social pressures; and (D) therapy\u2010related factors like generic, non\u2010culturally specific advice. Key facilitators included: (A) helpful, empathetic, and collaborative communication styles; (B) patient factors like self\u2010monitoring and psychosocial support; (C) socioeconomic factors such as leveraging cultural health beliefs; and (D) therapy\u2010related factors like health literacy\u2010sensitive materials and dietitian support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a significant gap in the literature regarding the nutrition\u2010related health outcomes that CKD patients prioritise. The findings highlight that the patient\u2013healthcare provider relationship is a pivotal factor influencing adherence. Clinical practice should shift towards a more patient\u2010centred, collaborative, and culturally sensitive model of care. Future research should use qualitative methods to directly investigate patient preferences to inform the co\u2010design of effective dietary interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70261","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:26:46Z","timestamp":1777868806000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patients' Preferences and Perceived Barriers and Facilitators to Achieving Nutrition\u2010Related Health Outcomes in Chronic Kidney Disease: A Scoping Review"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5626-5171","authenticated-orcid":false,"given":"Ahmadreza","family":"Karami","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics, Manchester Royal Infirmary Manchester University NHS Foundation Trust Manchester UK"},{"name":"National Institute for Health 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