Farris, Olayinka and Orbell, Sheina and Lamarche, Veronica M and Smith, Richard (2025) Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis. Health Psychology Review, 19 (2). pp. 368-408. DOI https://doi.org/10.1080/17437199.2025.2471775
Farris, Olayinka and Orbell, Sheina and Lamarche, Veronica M and Smith, Richard (2025) Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis. Health Psychology Review, 19 (2). pp. 368-408. DOI https://doi.org/10.1080/17437199.2025.2471775
Farris, Olayinka and Orbell, Sheina and Lamarche, Veronica M and Smith, Richard (2025) Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis. Health Psychology Review, 19 (2). pp. 368-408. DOI https://doi.org/10.1080/17437199.2025.2471775
Abstract
Given the importance of patients' ability to effectively self-manage their kidney disease, researchers have developed interventions focused on improving self-management for patients on dialysis. The review and meta-analysis aimed to evaluate the efficacy of these interventions and identify the characteristics of more effective interventions in this domain. A meta-analysis of randomised controlled trials to promote self-management in patients on dialysis (N = 4201, k = 45) evaluated: the effect of the interventions on psychological, behavioural, and physiological outcomes; the relationships between changes in outcomes; the moderation of outcomes by behaviour change techniques employed in the interventions; and intervention duration. The meta-analysis obtained moderate effect sizes, demonstrating improvement in behavioural (<i>g</i> = 0.50 to 0.65) and physiological health outcomes (<i>g</i> = -0.32 to -0.57). Fewer studies assessed psychological intervention targets, but large effects were obtained for knowledge change and quality of life (<i>g</i> = 0.65 and 1.17, respectively). Improved knowledge was positively associated with improved medication adherence, which in turn was associated with one physiological outcome. Interventions incorporating psychotherapeutic techniques such as CBT or rational emotive therapy achieved superior physiological outcomes, particularly when used in isolation. The findings support the interpretation that intervention strategies to enhance emotional self-management are effective in optimising outcomes for patients on dialysis.
Item Type: | Article |
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Uncontrolled Keywords: | Behavior Therapy; Chronic Disease; Humans; Quality of Life; Randomized Controlled Trials as Topic; Renal Dialysis; Self-Management |
Divisions: | Faculty of Science and Health Faculty of Science and Health > Psychology, Department of |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 29 Jul 2025 11:29 |
Last Modified: | 29 Jul 2025 11:30 |
URI: | http://repository.essex.ac.uk/id/eprint/41340 |
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