Depression, Kidney Transplant, Pain
Conditions
Keywords
Collaborative care intervention, kidney transplant
Brief summary
The aims of the present study will be to pilot test the efficacy of a collaborative care intervention in patients awaiting kidney transplant to reduce symptoms of depression, pain, fatigue and improve quality of life.
Detailed description
Symptom management is critical to maintain quality of life in those with life limiting conditions. Stepped collaborative care interventions have been widely employed in the primary care setting for the treatment of depression and more recently have been utilized to treat other symptoms (e.g., pain) in a variety of settings. A recent meta-analyses concluded that collaborative care interventions were superior to usual care and are more cost-effective than face to face and pharmacological treatment for depression. Collaborative care interventions have begun to be extended to other settings but have not been tested in patients who are being treated with dialysis. The aims of the present study were to pilot test the efficacy of a collaborative care intervention in patients awaiting kidney transplant to reduce symptoms of depression, pain, fatigue and improve quality of life.
Interventions
BEHAVIORALCollaborative care
Therapist will use iPad (Vidyo) once a week during dialysis for approximately one hour. The therapist will teach the patient cognitive-behavioral strategies to manage their mood and pain. The PI is a clinical psychologist and will provide supervision to the therapist providing the intervention. The sessions for depression will include (1) intake, (2) review of the rational for using CBT to treat depression and/or pain, (3) identifying thought patterns, (4) changing thought patterns, (5) relaxation techniques, (6) rest-activity pacing, and (7) coping strategies. Homework to practice these techniques will be provided after each session.
Sponsors
University of Pittsburgh
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Patient and caregiver will receive an IPAD with Vidyo software to complete the treatment sessions
Eligibility
Sex/Gender
ALL
Age
21 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
Age 18 or older Currently receiving dialysis at UPMC dialysis facility for chronic kidney disease Fluent in English
Exclusion criteria
Under the age of 18 years or over 90 years Not fluent in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression Level | change from baseline at 3 month and 6 month | score on CES-D questionnaire |
| Perceived Stress level | change from baseline at 3 month and 6 month | score on PSS questionnaire |
| degree of Pain | change from baseline at 3 month and 6 month | score on the BPI questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dyadic functioning | change from baseline at 3 month and 6 month | score on the Dyadic functioning questionnaire |
| quality of life | change from baseline at 3 month and 6 month | score on the KDQOL questionnaire |
| level of physical activity (mild, moderate or high) | change from baseline at 3 month and 6 month | calculated score on the International Physical Activity quationnaire |
| sleep quality | change from baseline at 3 month and 6 month | score on the PSQI questionnaire |
Countries
United States
Outcome results
None listed