Authors
Alimzhan Muxunov, Dina Kalinina, Ikechi Okpechi, Racquel Lowe-Jones, Abduzhappar Gaipov, Zhanat Kuanshaliyeva, Symbat Bayakhmetova, Meruyert Madikenova, Antonio Sarria-Santamera
Published in
Public health reviews. Volume 47. Pages 1609108. Epub Jun 30, 2026.
Abstract
Adoption of recommended self-management behaviors has been associated with a lower risk of disease progression, cardiovascular morbidity, and mortality in patients with chronic kidney disease (CKD). This systematic review aims to identify factors associated with the adherence of non-dialysis-dependent CKD (NDD-CKD) patients to recommended self-management practices.
Following PRISMA guidelines, we searched PubMed, Embase, Scopus, Medline, and CINAHL Plus databases from 1st January 2010 to 30th June 2024. The extracted data included associations of variables with self-management scores. The findings were descriptively presented in a grouped tabular form. The study was registered with the PROSPERO, CRD42024547304.
From 1,914 studies identified, 16 cross-sectional studies with 3,658 participants were selected for inclusion. Objective CKD knowledge, health literacy, self-efficacy and social support consistently showed positive associations with self-management across multiple studies.
This systematic review revealed multiple factors associated with self-management in NDD-CKD patients, with disease-related knowledge, health literacy, and self-efficacy showing the most consistent positive associations across studies. Healthcare providers and policymakers should develop and implement health literacy and awareness programs as a strategy for improving patient outcomes.
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=547304, identifier CRD42024547304.
PMID:
42454249
Bibliographic data and abstract were imported from PubMed on 15 Jul 2026.
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