Effectiveness of a health literacy intervention targeting both chronic kidney disease patients and health care professionals in primary and secondary care: a quasi-experimental study
2024

Health Literacy Intervention for Kidney Disease Patients

Sample size: 195 publication 10 minutes Evidence: moderate

Author Information

Author(s): Boonstra Marco D., do Amaral Matheus S. Gurgel, Navis Gerjan, Stegmann Mariken E., Westerhuis Ralf, Almansa Josue, de Winter Andrea F., Reijneveld Sijmen A.

Primary Institution: University Medical Center Groningen

Hypothesis

Does the 'Grip on your Kidneys' intervention improve self-management and health outcomes in chronic kidney disease patients and healthcare professionals?

Conclusion

The 'Grip on your Kidneys' intervention reduced hypertension and improved consultation quality, but did not significantly affect self-management or patient activation.

Supporting Evidence

  • Patients in the intervention group showed a 14.2% decrease in hypertension.
  • More lifestyle topics were discussed in consultations for the intervention group.
  • Professionals improved their use of health literacy strategies after the intervention.

Takeaway

This study tested a program to help kidney disease patients understand their health better, which helped some patients lower their blood pressure but didn't change how they managed their health overall.

Methodology

A quasi-experimental study with 147 patients and 48 professionals, comparing an intervention group receiving 'Grip on your Kidneys' to a control group receiving usual care.

Potential Biases

Potential performance bias due to treatment policies within different organizations.

Limitations

The intervention had no significant effect on self-management and patient activation, and there may have been a performance bias due to the study design.

Participant Demographics

Patients aged 18 and older with chronic kidney disease, including those with varying levels of health literacy.

Statistical Information

P-Value

0.004 for CKD stage comparison, 0.001 for eGFR comparison

Confidence Interval

[0.20, 0.99] for hypertension reduction

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s40620-024-02058-8

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