The effectiveness of a psychoeducational intervention on health outcomes of patients undergoing haemodialysis: A randomized controlled trial

Abstract

Aim The aim of this work is to examine the effectiveness of a psychoeducational intervention on self‐efficacy (primary outcome), anxiety, depression, treatment adherence, and health‐related quality of life (HRQoL) of patients undergoing haemodialysis. Methods A two‐group randomized controlled trial of 124 patients (65 and 59 patients in the intervention and control groups, respectively) recruited from a tertiary hospital in Singapore was conducted. Data were collected from January 2015 to June 2016. Outcomes were measured at baseline and 1, 3, and 6 months after the intervention. General linear model was used to analyse data. Results Our findings showed significant group effect on HRQoL (effects of kidney disease on daily life; p = 0.041), time effect on all outcomes (p < 0.05; except for treatment adherence behaviours and HRQoL [burden of kidney disease]), and group * time interaction effect on anxiety (p = 0.040) and depression (p = 0.003), with the intervention group reporting better outcomes. Conclusions The positive effects of our intervention on patients' self‐efficacy, psychological well‐being, treatment adherence attitudes, and HRQoL implied its potential use in dialysis/renal centres to improve patients' self‐care and health outcomes.

Effectiveness of psychoeducational interventions on psychological distress and health-related quality of life among patients with maintenance hemodialysis: a systematic review and meta-analysis

“…In terms of allocation concealment, two studies [ 36 , 37 ] provided no information and were assessed as unclear. The baseline of most of the 14 studies was homogeneous, but three out of 14 studies [ 18 , 38 , 39 ] found some baseline imbalance (e.g., in health information teaching clinic attendance, HADS-depression score and effects of kidney disease on daily [18] , and in PHQ9 score [38] , and in stress and depression score [39] ).…”

“…One study [40] blinded participants of the treatment assignments using attention placebo control. In 5 studies [ 18 , 39 , 41 – 43 ], the outcome assessors were blinded. In most of the studies, the same treatment was used in both groups, except for the intervention.…”

“…This review included 14 RCTs, among which four studies [ 37 , 39 , 42 , 44 ] were conducted in China, three [ 36 , 41 , 45 ] in Iran, two [ 38 , 43 ] in America, and one study in Singapore [18] , Turkey [46] , Australia [47] , Mexico [48] , and Jordan [40] , respectively. These studies were published between 2005 and 2022.…”

“…Fourteen studies involving 1134 MHD patients were included in this review. The sample size of included studies ranged from 32 [37] to 154 [18] . The attrition rate of all studies ranged from 3.3% [41] to 48.8% [47] .…”

“…In recent years, more and more studies have been on improving patients’ quality of life [ 18 , 19 ]. Several previous reviews have summarized effective non-pharmacological interventions for improving health-related quality of life in patients undergoing maintenance hemodialysis, including psychosocial interventions, cognitive behavioral therapy interventions, physical exercise, and sensory training [ 20 – 24 ].…”