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Patient Activation: The Cornerstone of Effective Self-Management in Chronic Kidney Disease?

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posted on 06.05.2022, 10:49 by Courtney J Lightfoot, Devika Nair, Paul N Bennett, Alice C Smith, Anthony D Griffin, Madeleine Warren, Thomas J Wilkinson
The importance of patient activation (i.e., the knowledge, skills, and confidence one has in managing one’s own healthcare) in people with long-term conditions, including kidney disease, is growing. Enabling and empowering patients to take a more active role in their health and healthcare is the focus of person-centred care. Patient activation is recognised as a key construct of self-management, as to effectively self-manage a long-term condition, it is required to enable individuals to actively participate in treatment decisions, prevent complications, and manage risk factors. Identifying an individual’s level of activation can help guide and tailor care, and interventions aimed at increasing patient activation may improve patient engagement and health outcomes. In this review, we explore the concepts of patient activation and self-management, the relationship between patient activation and self-management, interventions aimed at improving these, and what these mean to people living with kidney disease.

Funding

C.J.L. and A.C.S. are grateful for research funding from the Stoneygate Trust. This report is supported by the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre and National Institute for Health Research (NIHR) Applied Research Collaboration East Midlands. The views expressed are those of the authors and not necessarily those of the Stoneygate Trust, National Health Service, NIHR, or the Department of Health. D.N. is grateful for funding (K12 HS026395) from Agency for Healthcare Research and Quality or the Patient Centered Outcomes Institute.

History

Citation

Lightfoot, C.J.; Nair, D.; Bennett, P.N.; Smith, A.C.; Griffin, A.D.; Warren, M.; Wilkinson, T.J. Patient Activation: The Cornerstone of Effective Self-Management in Chronic Kidney Disease? Kidney Dial. 2022, 2, 91-105. https://doi.org/10.3390/kidneydial2010012

Author affiliation

Department of Health Sciences

Version

VoR (Version of Record)

Published in

Kidney and Dialysis

Volume

2

Issue

1

Pagination

91 - 105

Publisher

MDPI

eissn

2673-8236

Acceptance date

28/02/2022

Copyright date

2022

Available date

03/03/2022

Language

en

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