Patient reported barriers and facilitators of chronic kidney disease care in Sub-Saharan Africa: a mixed methods systematic review using the COM-B model
We used a theory-informed approach to synthesize barriers and facilitators of CKD care and then mapped the identified barriers to behavioral change wheel interventions using the Taxonomy of Behavioral Change Technique. Education, training, enablement, environmental restructuring, and persuasion were commonly mapped to identify barriers. Further research is recommended to identify contextually appropriate interventions to address barriers and capitalize on facilitators.
Authors
- Moses Mwangi Gitonga
- Jacob K. Kariuki (ORCID: https://orcid.org/0000-0003-2423-6029)
- Rebecca Gary (ORCID: https://orcid.org/0000-0003-3290-6432)
- Lisa M. Thompson (ORCID: https://orcid.org/0000-0002-8001-2057)
- Habtamu Abera Areri (ORCID: https://orcid.org/0000-0002-7165-922X)
- Hailemariam Berhe
- Samuel Kimani
- Leul Derbie Ketaw
Institutions
- University of Nairobi (KE)
- Emory University (US)
- Dedan Kimathi University of Technology (KE)
- Addis Ababa University (ET)
- Mekelle University (ET)
Publication Details
- Journal
- BMC Nephrology
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1186/s12882-025-04602-5
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00