Examining internet-delivered cognitive behaviour therapy for patients with chronic kidney disease on haemodialysis: A feasibility open trial

Chan, Ramony; Dear, Blake F.; Titov, Nickolai; Chow, Josephine; Suranyi, Michael

doi:10.1016/j.jpsychores.2016.08.012

Cited by 37 publications

(70 citation statements)

References 40 publications

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“…Internet-based interventions have gained popularity in recent years. One study conducted Internet-delivered, CBT education lessons, researchers contacted participants via telephone and email regularly, and participants showed clinically significant improvements in depression, anxiety, and general distress (Chan, Dear, Titov, Chow, & Suranyi, 2016). Furthermore, another study conducted positive psychological interventions via teaching subjects to participate in associated activities, for instance, focusing on daily positive events, positive reappraisal of stressful events, and simple mindfulness meditation practices.…”

Section: Discussionmentioning

confidence: 99%

Nonpharmacological Interventions for Depressive Symptoms in End-Stage Renal Disease: A Systematic Review

et al. 2019

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Depressive symptoms are common in patients with end-stage renal disease, which can affect treatment and prognosis. We aimed to evaluate the effects of nonpharmacological interventions for depressive symptoms in end-stage renal disease. Eligible studies were identified using PubMed, Web of Science, the Cochrane Library, Embase, and PsycNET (up to March 2019). We identified 24 studies including 1,376 patients. We found that psychological intervention (−0.60, 95% confidence interval [CI] = [–0.87, –0.33]), exercise (−1.13, 95% CI = [–1.56, –0.69]), and manual acupressure (−0.26, 95% CI = [–0.50, 0.03]) were associated with a significant effect on depressive symptoms. However, few studies reported adverse events, and conclusions about safety should be drawn cautiously. While the available data show that nonpharmacological interventions are potential strategies to alleviate depressive symptoms of patients with end-stage renal disease, recommendation of the most efficacious interventions for this population will require future randomized controlled trials with large-scale, long-term intervention.

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Section: Discussionmentioning

confidence: 99%

Nonpharmacological Interventions for Depressive Symptoms in End-Stage Renal Disease: A Systematic Review

et al. 2019

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“…Although the relationship between depression and HRQoL in CKD is well established ( 8 - 9 ) , it can be deepened with respect to the commitment of each domain that integrates it. Studies with chronic renal patients undergoing hemodialysis have also shown an association between quality of life, sociodemographic characteristics ( 10 - 12 ) and comorbidities ( 13 ) .…”

Section: Introductionmentioning

confidence: 99%

Quality of life of chronic kidney patients on hemodialysis and related factors

Pretto

Winkelmann

Hildebrandt

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to verify the association between the health-related quality of life of chronic renal patients on hemodialysis with sociodemographic, clinical, depression and medication adherence characteristics. Method: a cross-sectional study with 183 chronic renal patients undergoing hemodialysis in the state of Rio Grande do Sul, Brazil. A sociodemographic and clinical questionnaire, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and Morisky Medication Adherence Scale - eight items were used. Among the variables, comorbidities, complications of kidney disease and intercurrences during and after hemodialysis were evaluated. The analysis was performed with descriptive and analytical statistics. Results: 55.2% of the patients were 60 years old or older, 35.0% were hypertensive, with regular quality of life, average of 62.61. Scores below average in the dimensions of quality of life were mainly associated with repetitive infections and edema as complications of the disease, pain during hemodialysis and weakness afterwards. Low drug adherence resulted in a worse quality of life, impacting ten of the 20 dimensions evaluated and depression in all, except for patient satisfaction. Conclusion: reduced quality of life in this population is associated with depressive symptoms, complications such as repetitive infections, pain and anemia, weakness after the dialysis session and low medication adherence. Actions aimed at changing these factors can promote well-being.

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“… 64 Cognitive Behavioural Therapy and psychoeducation have been shown to have a significant benefit on reducing anxiety and depression in patients undergoing dialysis. 62 , 65 - 67 There is a large emotional toll associated with having CKD, especially when it comes to deciding on and initiating dialysis. 38 , 49 , 68 Anxiety, depression, and the emotional impact of dialysis are additional patient quality metrics that must be incorporated into CKD guidelines as they have been shown to predict patient morbidity, mortality, and QOL.…”

Section: Reviewmentioning

confidence: 99%

Barriers to Education and Shared Decision Making in the Chronic Kidney Disease Population: A Narrative Review

Cassidy

Getchell²,

Harwood

et al. 2018

Can J Kidney Health Dis

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Purpose of review:Provision of education to inform decision making for renal replacement therapy (RRT) is a key component in the management of chronic kidney disease (CKD), yet patients report suboptimal satisfaction with the process of selecting a dialysis modality. Our purpose is to review the influencers of RRT decision making in the CKD population, which will better inform the process of shared decision making between clinicians and patients.Sources of information:PubMed and Google Scholar.Methods:A narrative review was performed using the main terms “chronic kidney disease,” “CKD,” “dialysis,” “review,” “decision-making,” “decision aids,” “education,” and “barriers.” Only articles in English were accessed. The existing literature was critically analyzed from a theoretical and contextual perspective and thematic analysis was performed.Key findings:Eight common themes were identified as influencers for decision making. “Patient-focused” themes including social influence, values and beliefs, comprehension, autonomy and sociodemographics, and “clinician-focused” themes including screening, communication, and engagement. Early predialysis education and decision aids can effectively improve decision making. Patient-valued outcomes need to be more fully integrated into clinical guidelines.Limitations:This is not a systematic review; therefore, no formal tool was utilized to evaluate the rigor and quality of studies included and findings may not be generalizable.Implications:Standardized comprehensive RRT education programs through multidisciplinary health teams can help optimize CKD patient education and shared decision making. Involving patients in the research process itself and implementing patient values and preferences into clinical guidelines can help to achieve a patient-centered model of care.

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Examining internet-delivered cognitive behaviour therapy for patients with chronic kidney disease on haemodialysis: A feasibility open trial

Cited by 37 publications

References 40 publications

Nonpharmacological Interventions for Depressive Symptoms in End-Stage Renal Disease: A Systematic Review

Nonpharmacological Interventions for Depressive Symptoms in End-Stage Renal Disease: A Systematic Review

Quality of life of chronic kidney patients on hemodialysis and related factors

Barriers to Education and Shared Decision Making in the Chronic Kidney Disease Population: A Narrative Review

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