Behavioral Intervention and Adherence in Dialysis
Chronic Kidney Disease
About this trial
This is an interventional supportive care trial for Chronic Kidney Disease focused on measuring hemodialysis, behavior change, patient adherence, self management
Eligibility Criteria
Inclusion Criteria:
- Patients will be deemed eligible if they have a mean (averaged over the preceeding four weeks) pre-enrollment, interdialysis weight gain (IWG) greater than 2.5 kg. Other inclusion criteria will include having been receiving hemodialysis for a minimum of three months, patient age over 18 years, and English speaking.
Exclusion Criteria:
- Patients residing in a nursing home/long-term care facility will be excluded from participation primarily due to likelihood of diminished patient self-management of diet and fluid intake in this setting.
Sites / Locations
- Tri-State Dialysis
- University of Iowa renal dialysis program
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Support and discussion
Behavioral Self management
The Support and Discussion protocol will consist of two integrated components: (a) brief educational materials presented at the start of each session, and (b) group leader facilitated discussion following presentation of the educational materials.
Self-Regulation group sessions will be generally highly leader-directed though participants will be regularly encouraged to share their experiences dealing with the dialysis regimen. A consistent attempt will be made to focus all group discussion on self-regulatory principles as they relate to treatment adherence.Session material utilized by group-leaders will be highly structured and detailed across the seven sessions.