The Effects of an Individual and Family Self-Management Program for Slowing Disease Progression via a Mobile Application on Self-Management Behaviors and Clinical Outcomes in Patients with Stage 3 Chronic Kidney Disease in Thailand: A Quasi-Experimental Study.
Purpose: Stage 3 chronic kidney disease (CKD) is highly prevalent and often progresses to end-stage renal disease without effective self-management. This study examined the effects of an Individual and Family Self-Management Program delivered via a mobile communication application on self-management...
| Publicado en: | Korean Journal of Adult Nursing Vol. 38; no. 1; pp. 1 - 17 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Korean Society of Adult Nursing
Feb2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191911751&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191911751 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12254886 BKLA jtl: Korean Journal of Adult Nursing issn: 12254886 maglogo: N pubinfo: dt: Feb2026 vid: 38 iid: 1 pid: 69073 pub: Korean Society of Adult Nursing artinfo: ui: 191911751 191911751 191911751 10.7475/kjan.2025.1027 191911751 ppf: 1 ppct: 16 formats: fmt: @attributes: type: P tig: atl: The Effects of an Individual and Family Self-Management Program for Slowing Disease Progression via a Mobile Application on Self-Management Behaviors and Clinical Outcomes in Patients with Stage 3 Chronic Kidney Disease in Thailand: A Quasi-Experimental Study. aug: au: Kulsuwan, Suphitsara Chantamit-O-Pas, Chutima Ponpinij, Panicha Chantamit-O-Pas, Pattanapong affil: Master's Student, Nursing Science Program at the Faculty of Nursing, Burapha University, Chon Buri, Thailand sug: subj: Renal Insufficiency, Chronic Therapy Self-Management Methods Family Theory Methods Mobile Applications Utilization Health Behavior Disease Progression Prevention and Control Glomerular Filtration Rate Evaluation Systolic Pressure Evaluation Diastolic Pressure Evaluation Glycated Hemoglobin Blood Treatment Outcomes Evaluation Human Male Female Middle Age Aged Aged, 80 and Over Thailand Ambulatory Care Facilities Tertiary Health Care Randomized Controlled Trials Random Assignment Quasi-Experimental Studies Comparative Studies Descriptive Statistics Data Analysis Software Questionnaires Pretest-Posttest Control Group Design Chi Square Test Fisher's Exact Test Paired T-Tests Unpaired T-Tests Analysis of Covariance Body Mass Index Biological Markers Blood Creatinine Blood Kidney Function Tests Family Therapy Family Psychosocial Factors Patient Compliance Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: Stage 3 chronic kidney disease (CKD) is highly prevalent and often progresses to end-stage renal disease without effective self-management. This study examined the effects of an Individual and Family Self-Management Program delivered via a mobile communication application on self-management behaviors and clinical outcomes among patients with stage 3 CKD. Methods: A 12-week quasi-experimental study with a pretest-posttest control group design was conducted among 50 patients with stage 3 CKD at a tertiary hospital in Thailand, between January and May 2024. The intervention group received a self-management program grounded in Individual and Family Self-Management Theory and delivered via the LINE chatbot. The program included educational content, self-regulation strategies, and structured family support, while the control group received usual care. Outcomes included self-management behaviors, estimated glomerular filtration rate (eGFR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and hemoglobin A1c (HbA1c). Analysis of covariance was used to adjust for baseline differences. Results: After adjustment for baseline values, the intervention group showed significantly greater improvements in self-management behaviors (F=7.92, p<.05) and eGFR (F=52.92, p<.001) compared with the control group. Significant reductions were also observed in SBP (F=26.84, p<.001), DBP (F=12.61, p<.05), and HbA1c levels (F=7.74, p<.05). Conclusion: A mobile-based Individual and Family Self-Management Program effectively improved self-management behaviors and key clinical outcomes among patients with stage 3 CKD, supporting the integration of family engagement and digital technology in chronic disease care. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|