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Multimodal Strategies for Improving Health Literacy in Adults with CKD
Ann Bonner1, Graeme Drummond Smith2, Thi Thuy Ha Dinh3
1School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Clinical Journal of the American Society of Nephrology : CJASN
|February 13, 2026
Summary
Improving health literacy in chronic kidney disease (CKD) patients is crucial for self-management. Targeted interventions show promise, especially for patient-reported outcomes, but vulnerable groups need better representation.
Area of Science:
- Nephrology
- Public Health
- Health Literacy Research
Background:
- Health literacy is vital for chronic kidney disease (CKD) self-management, encompassing functional, interactive, and critical abilities.
- Low health literacy in CKD patients is linked to poorer health outcomes and is influenced by social determinants of health.
- Recent research highlights the multifaceted nature of health literacy in CKD, emphasizing its connection to health equity.
Purpose of the Study:
- To review recent literature (January 2021-March 2025) on health literacy in adults with CKD.
- To evaluate the effectiveness of current health literacy interventions for CKD patients.
- To identify gaps and propose future directions for improving health literacy in CKD.
Main Methods:
- Scoping review approach utilizing recent studies.
- Analysis of health literacy interventions and their impact on CKD outcomes.
- Focus on both objectively measured and patient-reported outcomes.
Main Results:
- Health literacy interventions showed modest improvements in objective CKD measures (e.g., eGFR, blood pressure).
- Patient-reported outcomes (self-management, knowledge, self-efficacy, quality of life) improved more consistently when health literacy was targeted.
- Vulnerable populations, including those with low health literacy or early CKD, remain underrepresented in studies.
Conclusions:
- Targeted, multimodal health literacy interventions are essential to slow CKD progression and improve health equity.
- Embedding health literacy into organizational policies and training is crucial for sustainable impact.
- Co-design research is recommended to enhance intervention relevance and uptake among diverse CKD patient populations.
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