{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T17:04:39Z","timestamp":1793898279867,"version":"4.8.0"},"reference-count":105,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82172543"],"award-info":[{"award-number":["82172543"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The global prevalence of chronic kidney disease (CKD) has continued to rise over time. Pharmacological therapy is the mainstay of conventional CKD treatment; however, many CKD patients find it difficult to adhere to their medication regimen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically evaluate and compare the effects of various self\u2010management support strategies for patients with CKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched PubMed, Embase, The Cochrane Library, Web of Science, and Scopus to identify quasi\u2010randomized and RCTs comparing the effectiveness of different self\u2010management support strategies in CKD patients, The search spanned from database inception to June 24, 2025. Two reviewers independently screened the literature, extracted information, assessed the quality of studies, and we performed analysis using RevMan 5.0 and STATA 14.0 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty\u2010one studies were included, examining 10 strategies. Compared to conventional interventions, face\u2010to\u2010face combined tele\u2010guidance, group visits, tele\u2010guidance, and multi\u2010component structured interventions significantly improved patients' self\u2010efficacy. Surface under the cumulative ranking curve (SUCRA) of different self\u2010management support strategies influencing self\u2010efficacy ranked in the top three were face\u2010to\u2010face combined tele\u2010guidance, group visits and tele\u2010guidance. Empowerment interventions, cognitive behavioral therapy (CBT) and tele\u2010guidance enhanced quality of life compared to conventional interventions. The SUCRA for quality of life ranked highest for empowerment, CBT and face\u2010to\u2010face combined tele\u2010guidance. Additionally, we found that these strategies were beneficial in improving patients' blood pressure, IDWG, renal disease knowledge, and self\u2010management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>The study offers evidence on effective self\u2010management support strategies for CKD patients, highlighting face\u2010to\u2010face combined tele\u2010guidance might be the most effective intervention for increasing self\u2010efficacy, while empowerment might be the most effective intervention for increasing quality of life in CKD patients. These findings can help healthcare providers design better programs to improve patient outcomes. However, more high\u2010quality RCTs are needed to confirm findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO: CRD42024596581<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70090","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:12:44Z","timestamp":1763709164000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Systematic Review and Network Meta\u2010Analysis of the Comparative Effectiveness of Self\u2010Management Support Strategies for Patients With Chronic Kidney Disease"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-4581","authenticated-orcid":false,"given":"Bin","family":"Ma","sequence":"first","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0403-7797","authenticated-orcid":false,"given":"Haixia","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanmin","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Cai","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohe","family":"Ren","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Hou","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ou","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Cheeloo College of Medicine Shandong University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755\u20106686.2012.00305.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010018\u20101989\u2010y"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010021\u201002319\u20109"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2009.05142.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12744"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2021050668"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0109135"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102011\u2010000381"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.05.002"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S402698"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000001163"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007374.pub3"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12555"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13123"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr047"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2196\/53355"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12303"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2012.42.7.1070"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2010.05324.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012111134"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.11.015"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/41092"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010021\u201002344\u20108"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/4295613"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2009.156"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2024.2411019"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3233\/THC\u2010241021"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9547"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12669"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.09.014"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.09.023"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.13098"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2017.09.009"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.10.012"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v10i2.26502"},{"issue":"1","key":"e_1_2_9_38_1","article-title":"The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis","volume":"20","author":"Irajpour A.","year":"2018","journal-title":"Iranian Red Crescent Medical Journal"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.11.008"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/NUR.0000000000000215"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2001.21286"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14608"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744\u20109987.13800"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12957"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12098"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm\u201021\u20101402"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00268"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.2196\/19452"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2007.01963.x"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12623"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.2196\/45531"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496823"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2008.01.024"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.08.042"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.4258\/hir.2020.26.2.93"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13964"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u201010\u2010115"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.13114"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004274.pub4"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06910618"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13924"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.13118"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15627"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12249"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S240756"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-199807000-00009"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010019\u20101309\u2010y"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12672"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2011.05833.x"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686080602600115"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_148_18"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010016\u20101363\u20100"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14182"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.1177\/10547738211033922"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.2196\/33147"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359\u2010023\u201001036\u20102"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.2196\/37314"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2021.10.021"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12357"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.02.032"},{"key":"e_1_2_9_81_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S350867"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12159"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0285156"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.10.2817"},{"key":"e_1_2_9_85_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_1120_20"},{"key":"e_1_2_9_86_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2015.05.005"},{"key":"e_1_2_9_87_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010024\u201003555\u20100"},{"key":"e_1_2_9_88_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12519"},{"key":"e_1_2_9_89_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12348"},{"key":"e_1_2_9_90_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010023\u201003246\u20107"},{"key":"e_1_2_9_91_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10157\u2010015\u20101212\u20101"},{"key":"e_1_2_9_92_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0020\u20107489(03)00095\u20106"},{"key":"e_1_2_9_93_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20100012.2012.01666.x"},{"key":"e_1_2_9_94_1","doi-asserted-by":"publisher","DOI":"10.18295\/squmj.2021.21.01.008"},{"key":"e_1_2_9_95_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010023\u201003311\u20101"},{"key":"e_1_2_9_96_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746\u2010024\u201001114\u20108"},{"key":"e_1_2_9_97_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0b013e31821b0eff"},{"key":"e_1_2_9_98_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010014\u20109597\u20108"},{"key":"e_1_2_9_99_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.07.001"},{"key":"e_1_2_9_100_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/1416404"},{"key":"e_1_2_9_101_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12198"},{"key":"e_1_2_9_102_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16046"},{"key":"e_1_2_9_103_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201054044\u20106"},{"key":"e_1_2_9_104_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.10.056"},{"key":"e_1_2_9_105_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2016.46.4.598"},{"key":"e_1_2_9_106_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S247128"}],"container-title":["Worldviews on Evidence-Based Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.70090","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/wvn.70090","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.70090","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:29:14Z","timestamp":1772962154000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/wvn.70090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":105,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/wvn.70090"],"URL":"https:\/\/doi.org\/10.1111\/wvn.70090","archive":["Portico"],"relation":{},"ISSN":["1545-102X","1741-6787"],"issn-type":[{"value":"1545-102X","type":"print"},{"value":"1741-6787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]},"assertion":[{"value":"2024-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70090"}}