Talking therapy for depression in haemodialysis patients Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient participants: 1. Adults of all genders, 18 years and above, undergoing regular dialysis for chronic kidney disease at the study hospital. 2. Willing and having the mental capacity to consent to screening. 3. Score of between 5 - 14 in the PHQ-9 screening 4. Willing to participate in the trial and able to provide written informed consent. 5. Patients on medication for depression will be included. Health Care Workers: 1. Having worked in haemodialysis unit for a minimum of 3 months. 2. A non-mental health specialist member of the multidisciplinary team including nurses, dialysis technicians, healthcare support workers or nursing assistants. 3. Expected to be based at the dialysis unit for the duration of the intervention. 4. Willing to participate and deliver the intervention.
Exclusion criteria
Exclusion criteria: 1. Patients with cognitive, hearing or memory impairment hindering conversation and comprehension. 2. Patients with altered consciousness or comatose patients. 3. Those with severe depression or mental illnesses (psychosis, bipolar disorder, substance abuse etc) 4. Those unable or unwilling to continue dialysis at the study hospital during the intervention period such as those undergoing renal transplant. 5. Patient unable to consent due to diminished capacity. 6. Patients already receiving psychotherapy for depression. 7. Patients scoring 15 or more on PHQ-9, indicating severe depression or those expressing suicidal ideation.
Countries
Pakistan