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Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care.

Publication ,  Journal Article
Narva, AS; Norton, JM; Boulware, LE
Published in: Clin J Am Soc Nephrol
April 7, 2016

Patient education is associated with better patient outcomes and supported by international guidelines and organizations, but a range of barriers prevent widespread implementation of comprehensive education for people with progressive kidney disease, especially in the United States. Among United States patients, obstacles to education include the complex nature of kidney disease information, low baseline awareness, limited health literacy and numeracy, limited availability of CKD information, and lack of readiness to learn. For providers, lack of time and clinical confidence combine with competing education priorities and confusion about diagnosing CKD to limit educational efforts. At the system level, lack of provider incentives, limited availability of practical decision support tools, and lack of established interdisciplinary care models inhibit patient education. Despite these barriers, innovative education approaches for people with CKD exist, including self-management support, shared decision making, use of digital media, and engaging families and communities. Education efficiency may be increased by focusing on people with progressive disease, establishing interdisciplinary care management including community health workers, and providing education in group settings. New educational approaches are being developed through research and quality improvement efforts, but challenges to evaluating public awareness and patient education programs inhibit identification of successful strategies for broader implementation. However, growing interest in improving patient-centered outcomes may provide new approaches to effective education of people with CKD.

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Published In

Clin J Am Soc Nephrol

DOI

EISSN

1555-905X

Publication Date

April 7, 2016

Volume

11

Issue

4

Start / End Page

694 / 703

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Self Care
  • Renal Insufficiency, Chronic
  • Patient-Centered Care
  • Patient Education as Topic
  • Humans
  • 4202 Epidemiology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clin J Am Soc Nephrol, 11(4), 694–703. https://doi.org/10.2215/CJN.07680715
Narva, Andrew S., Jenna M. Norton, and L Ebony Boulware. “Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care.Clin J Am Soc Nephrol 11, no. 4 (April 7, 2016): 694–703. https://doi.org/10.2215/CJN.07680715.
Narva AS, Norton JM, Boulware LE. Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clin J Am Soc Nephrol. 2016 Apr 7;11(4):694–703.
Narva, Andrew S., et al. “Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care.Clin J Am Soc Nephrol, vol. 11, no. 4, Apr. 2016, pp. 694–703. Pubmed, doi:10.2215/CJN.07680715.
Narva AS, Norton JM, Boulware LE. Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clin J Am Soc Nephrol. 2016 Apr 7;11(4):694–703.

Published In

Clin J Am Soc Nephrol

DOI

EISSN

1555-905X

Publication Date

April 7, 2016

Volume

11

Issue

4

Start / End Page

694 / 703

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Self Care
  • Renal Insufficiency, Chronic
  • Patient-Centered Care
  • Patient Education as Topic
  • Humans
  • 4202 Epidemiology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences