TREATMENT
Review: multicomponent educational interventions improve some outcomes in predialysis and dialysis care
| The first 150 words of the full text of this article appear below. |
J L Mason
Ms J L Mason, University Hospitals of Leicester NHS Trust, Leicester, UK; jo.l.mason@uhl-tr.nhs.uk
Are multicomponent educational interventions that include both informational and psychological components effective in patients with kidney disease?
Studies selected compared structured educational interventions (including both informational and psychological components) with usual care in patients >18 years of age who had kidney disease (early stage chronic kidney disease [CKD], predialysis, and dialysis care). Studies of patients with kidney transplants were excluded. Outcomes included time to dialysis (in predialysis care), survival, self-efficacy, diet and fluid concordance, depression, anxiety, and quality of life.
Medline, CINAHL, EMBASE/Excerpta Medica, PsycINFO, Cochrane Controlled Trials Register, and reference lists were searched (all to Mar 2007) for randomised controlled trials (RCTs). 22 RCTs (n = 1967, age 19–82 y) met the selection criteria: 5 RCTs evaluated predialysis care, and 17 RCTs evaluated dialysis care. Jadad scores ranged from 1 to 3 out
University of Tennessee Health Science Center, Memphis, Tennessee, USA
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