{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:01:58Z","timestamp":1792270918228,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,5]],"date-time":"2015-11-05T00:00:00Z","timestamp":1446681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Jonas Center for Nursing Excellence"},{"DOI":"10.13039\/100012400","name":"Sigma Theta Tau International","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012400","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic kidney disease is a growing health problem on a global scale. The increasing prevalence of chronic kidney disease presents an urgent need to better understand the knowledge, confidence and engagement in self\u2010managing the disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined group differences in patient activation and health\u2010related quality of life, knowledge, self\u2010management and confidence with managing chronic disease across all five stages of chronic kidney disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study employed a descriptive correlational design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Participants were recruited from five primary care, three nephrology clinics and one dialysis centre in two Midwestern cities in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The convenience sample included 85 adults with hypertension, diabetes mellitus and chronic kidney disease, including kidney failure, who spoke English.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Seven measurements were used to collect data via telephone interviews with participants not receiving haemodialysis, and face\u2010to\u2010face interviews with those receiving haemodialysis at the beginning of their treatment session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analyses indicated that half the participants were female (50.58%), the mean age was 63.21 years (SD\u2009=\u200913.11), and participants with chronic kidney disease stage 3 were the most activated.\n                      <jats:italic>Post hoc<\/jats:italic>\n                      differences were significant in patient activation and blood pressure self\u2010management and anxiety across chronic kidney disease stages, excluding stage 5.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Engaging patients in the self\u2010management of their health care and enhancing patients\u2019 ability to self\u2010manage their blood pressure may work to preserve kidney health. Healthcare providers should collaborate with patients to develop strategies that will maintain patients\u2019 health\u2010related quality of life, like reducing anxiety as kidney disease progress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.12142","type":"journal-article","created":{"date-parts":[[2015,11,5]],"date-time":"2015-11-05T01:48:45Z","timestamp":1446688125000},"page":"15-22","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Patient activation with knowledge, self\u2010management and confidence in chronic kidney disease"],"prefix":"10.1111","volume":"42","author":[{"given":"Michelle L.","family":"Johnson","sequence":"first","affiliation":[{"name":"Bryan College of Health Sciences Lincoln Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lani","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center Lincoln Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet L.","family":"Welch","sequence":"additional","affiliation":[{"name":"Indiana University School of Nursing Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"Hertzog","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center Lincoln Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bunny","family":"Pozehl","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center Lincoln Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Plumb","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center, Nephrology Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,5]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"726","article-title":"National kidney foundation consensus conference on cardiovascular and kidney diseases and diabetes risk: an integrated therapeutic approach to reduced events","volume":"78","author":"Bakris G.","year":"2010","journal-title":"International Society of Nephrology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(03)00036-0"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.05.031"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12326"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2008.01.006"},{"issue":"88","key":"e_1_2_10_8_1","article-title":"Suboptimal blood pressure control in chronic kidney disease stage 3: baseline data from a cohort study in primary care","volume":"14","author":"Fraser S.D.","year":"2013","journal-title":"BMC Family Practice"},{"key":"e_1_2_10_9_1","unstructured":"Healthy People 2020. 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