Haemodialysis-induced Symptom
Conditions
Keywords
sleep disturbance, tiredness, itching & numbness
Brief summary
Self-management intervention may decrease symptom burden and improve functioning over time.
Detailed description
Self-management intervention (strategies) may decrease symptom burden (sleep disturbance, tiredness; itching and numbness) and improve functioning (social, physical and emotional) over time(baseline, 3 weeks and 8 weeks).
Interventions
Participants in the intervention group will receive printed self management strategies each of the 5 symptoms, a symptom diary with the self-management strategies and a 15 minutes discussion. The intervention script will instruct participants on how to use the printed strategies by PI and RA #1. Week 3
The control or usual care group will receive a symptom diary designed for the control group without any strategies and a 5 minutes discussion on how to complete the diary from RA# 1. The PI will make weekly follow up calls on the same schedule as the intervention group starting week 4 until week 7 for a total of 4 calls focusing on enhancing healthy eating skills & adherence to renal diet and fluid restriction without discussing any intervention with the group.
Sponsors
Study design
Eligibility
Inclusion criteria
1. age ≥ 18 years old, 2. on HD three times a week, 3. received HD for ≥ six months, 4. read and write English, 5. have telephone service.
Exclusion criteria
* history of dementia, * acquired immunodeficiency syndrome (AIDS) and active cancer, and * inability to give informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decrease symptom burden | 8 weeks | The study aims are: 1\. To compare the differences between the self management intervention and control group on the following outcomes: 1. Decreased symptoms: itching, tiredness, numbness, sleep disturbance (difficulty falling asleep & difficulty staying asleep); 2. Adherence to treatment diary Improved social functioning, physical functioning and emotional status. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of implementing self management intervention | 5 weeks | To evaluate the feasibility of implementing the self management intervention for a larger randomized controlled studyTreatment delivered (number of interventions sessions delivered and strategies used); Treatment receipts (understanding of strategies); and Treatment enactment (reported perception of usefulness of the strategies). |
Countries
United States