{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:33:01Z","timestamp":1777944781063,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","award":["My IP 19251"],"award-info":[{"award-number":["My IP 19251"]}],"id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective self\u2010management is critical in chronic kidney disease, yet many patients report low confidence and engagement in healthcare. Co\u2010designed self\u2010management programmes may strengthen uptake and sustainability, but few have been tested in kidney failure not yet on dialysis populations. This study evaluated the feasibility and acceptability of a self\u2010management programme designed by and for people with chronic kidney disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010arm, pre\u2013post feasibility study in adults with kidney failure (eGFR\u2009\u2264\u200915\u2009mL\/min\/1.73\u2009m\u00b2) not yet on dialysis at an Australian nephrology unit. Patients attending the clinic were invited to participate in a 12\u2010week nurse\u2010led self\u2010management programme, co\u2010designed in partnership with people with kidney disease. The programme included motivational interviewing, structured goal setting, and tailored education delivered via digital or paper format. Feasibility measures included participant recruitment and retention, programme adherence and acceptability, assessed through a post\u2010programme evaluation survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 40 patients invited, 31 consented to enrol on the programme (recruitment rate 31\/40, 78%). All but one participant completed the follow\u2010up survey (30\/31, retention rate 97%), achieving 100% programme adherence among completers. Most participants reported improvements in knowledge, greater confidence in self\u2010management, and valued the nurse support. Participants highlighted the convenience of home\u2010based learning but noted challenges with small\u2010screen readability and requested additional video resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A co\u2010designed, nurse\u2010led self\u2010management programme was feasible and highly acceptable for people with kidney failure not yet on dialysis. Findings support further evaluation in a larger controlled trial. Integration of this programme into routine care could strengthen patient readiness for kidney replacement therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70051","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T12:41:32Z","timestamp":1771245692000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Acceptability of a Co\u2010Designed Self\u2010Management Programme for People Living With Kidney Failure"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0689-3300","authenticated-orcid":false,"given":"Laura E.","family":"Lunardi","sequence":"first","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"},{"name":"College of Health Adelaide University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard K. Le","family":"Leu","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"},{"name":"School of Psychology, College of Education, Behavioural and Social Sciences Adelaide University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Bastin","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul N.","family":"Bennett","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique","family":"Borlace","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0495-5093","authenticated-orcid":false,"given":"Jie","family":"Zeng","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Myers","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merrilyn","family":"Bradbrook","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Bradbrook","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhanee","family":"Lester","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Effie","family":"Johns","sequence":"additional","affiliation":[{"name":"CNARTS, CALHN Consumer Reference Group Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Britton","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9695-0761","authenticated-orcid":false,"given":"Shilpanjali","family":"Jesudason","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"},{"name":"College of Health Adelaide University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyamsundar","family":"Muthuramalingam","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothea","family":"Dumuid","sequence":"additional","affiliation":[{"name":"Alliance for Research in Exercise Nutrition and Activity (ARENA), College of Health Adelaide University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa A.","family":"Matricciani","sequence":"additional","affiliation":[{"name":"College of Health Adelaide University Adelaide South Australia Australia"},{"name":"Alliance for Research in Exercise Nutrition and Activity (ARENA), College of Health Adelaide University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Australian Bureau of Statistics.2021.Remoteness Structure July 2021\u2013June 2026."},{"key":"e_1_2_13_3_1","unstructured":"Australian Human Rights Commission.2025.Guidelines on Equal Access to Digital Goods and Services: Universal Design Principles. 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