Cochrane · systematic review · CD012026
Interventions for improving health literacy in people with chronic kidney disease
Campbell, ZC, Dawson, JK, Kirkendall, SM, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 4.8%Very low 2 · 9.5%Low 14 · 66.7%Moderate 4 · 19%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Educational interventions versus usual care for improving health outcomes in people with chronic kidney disease (CKD)
Population: Improving health outcomes in people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Knowledge: kidney disease‐related knowledge Educational interventions vs usual care | no estimate extracted | 14 studies · 2632 participants | Low Downgraded: risk of bias |
Self‐care behaviour Educational interventions vs usual care | no estimate extracted | 60 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Self‐efficacy Educational interventions vs usual care | no estimate extracted | 2 studies · 579 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
QoL Educational interventions vs usual care | no estimate extracted | 5 studies · 573 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Death Educational interventions vs usual care | no estimate extracted | 2 studies · 908 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
eGFR: mL/min/1.73 m² Educational interventions vs usual care | no estimate extracted | 1 study · 573 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Duration of hospital stayTime frame: days Educational interventions vs usual care | no estimate extracted | 2 studies · 621 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Self‐management training versus usual care for improving health outcomes in people with chronic kidney disease (CKD)
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Knowledge: kidney disease‐related knowledge Self‐management training vs usual care | no estimate extracted | 1 study · 103 participants | Low |
Self‐care behaviour Self‐management training vs usual care | no estimate extracted | 4 studies · 497 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Self‐efficacy Self‐management training vs usual care | no estimate extracted | 5 studies · 417 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
QoL Self‐management training vs usual care | no estimate extracted | 9 studies · 1470 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death Self‐management training vs usual care | no estimate extracted | 1 study · 89 participants | Ungraded |
eGFR Self‐management training vs usual care | no estimate extracted | 3 studies · 855 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Hospitalisation Self‐management training vs usual care | no estimate extracted | 2 studies · 285 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Educational interventions and self‐management training versus usual care for improving health outcomes in people with chronic kidney disease (CKD)
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Knowledge: kidney disease‐related knowledge Educational interventions and self‐management training vs usual care | no estimate extracted | 15 studies · 2185 participants | Low Downgraded: risk of bias |
Self‐care behaviours: self‐report questionnaires (higher is better) Educational interventions and self‐management training vs usual care | no estimate extracted | 4 studies · 913 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Self‐efficacy: self‐report questionnaires (higher is better) Educational interventions and self‐management training vs usual care | no estimate extracted | 8 studies · 687 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
QoL: SF‐12, SF‐36, KDQoL Educational interventions and self‐management training vs usual care | no estimate extracted | 14 studies · 3848 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Death Educational interventions and self‐management training vs usual care | RR 0.73 [0.53, 1.02] | 4 studies · 2801 participants | Moderate Downgraded: risk of bias, inconsistency, publication bias |
eGFR: mL/min/1.73 m² Educational interventions and self‐management training vs usual care | no estimate extracted | 4 studies · 618 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Hospitalisations Educational interventions and self‐management training vs usual care | no estimate extracted | 5 studies · 3110 participants | Low Downgraded: risk of bias, inconsistency, publication bias |