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A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis.

Abstract

BACKGROUND

Psychological interventions aimed at improving adherence to fluid-intake restrictions in patients receiving hemodialysis have become increasingly common. To the authors' knowledge, this is the first systematic review of the literature examining the impact of these interventions associated with patient interdialytic weight gain (IWG).

METHODS

A systematic search of the literature was performed on EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PsychINFO. The search was augmented by manually examining reference lists of reviews and retrieved reports. Study quality was graded according to criteria developed by the authors. Two additional independent researchers separately coded a random sample of studies to avoid bias of rating.

RESULTS

Sixteen studies were identified as eligible for inclusion. Relevant information from each included study was extracted and entered into a standardized table. Nearly all studies showed a postintervention decrease in IWG. A number of method weaknesses in the existing literature were identified.

CONCLUSION

Studies investigating psychological interventions aimed at improving adherence to fluid-intake restrictions appear to indicate some success in decreasing IWG. However, confidence regarding the validity of this finding is circumscribed by the prevalent use of investigative designs with inherently high susceptibility to bias. Future studies would benefit from using larger numbers of participants within controlled designs. Clearer description of intervention protocols would foster greater understanding of the contextual appropriateness of different approaches and which treatment components are key to improving adherence to fluid-intake restrictions in patients receiving hemodialysis.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Psychological Medicine, Division of Community Based Sciences, University of Glasgow, Glasgow, UK.

    ,

    Source

    MeSH

    Drinking
    Humans
    Renal Dialysis
    Treatment Refusal

    Pub Type(s)

    Journal Article
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    15696440

    Citation

    Sharp, John, et al. "A Systematic Review of Psychological Interventions for the Treatment of Nonadherence to Fluid-intake Restrictions in People Receiving Hemodialysis." American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 45, no. 1, 2005, pp. 15-27.
    Sharp J, Wild MR, Gumley AI. A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis. Am J Kidney Dis. 2005;45(1):15-27.
    Sharp, J., Wild, M. R., & Gumley, A. I. (2005). A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis. American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 45(1), pp. 15-27.
    Sharp J, Wild MR, Gumley AI. A Systematic Review of Psychological Interventions for the Treatment of Nonadherence to Fluid-intake Restrictions in People Receiving Hemodialysis. Am J Kidney Dis. 2005;45(1):15-27. PubMed PMID: 15696440.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis. AU - Sharp,John, AU - Wild,Matt R, AU - Gumley,Andrew I, PY - 2005/2/8/pubmed PY - 2005/9/9/medline PY - 2005/2/8/entrez SP - 15 EP - 27 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am. J. Kidney Dis. VL - 45 IS - 1 N2 - BACKGROUND: Psychological interventions aimed at improving adherence to fluid-intake restrictions in patients receiving hemodialysis have become increasingly common. To the authors' knowledge, this is the first systematic review of the literature examining the impact of these interventions associated with patient interdialytic weight gain (IWG). METHODS: A systematic search of the literature was performed on EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PsychINFO. The search was augmented by manually examining reference lists of reviews and retrieved reports. Study quality was graded according to criteria developed by the authors. Two additional independent researchers separately coded a random sample of studies to avoid bias of rating. RESULTS: Sixteen studies were identified as eligible for inclusion. Relevant information from each included study was extracted and entered into a standardized table. Nearly all studies showed a postintervention decrease in IWG. A number of method weaknesses in the existing literature were identified. CONCLUSION: Studies investigating psychological interventions aimed at improving adherence to fluid-intake restrictions appear to indicate some success in decreasing IWG. However, confidence regarding the validity of this finding is circumscribed by the prevalent use of investigative designs with inherently high susceptibility to bias. Future studies would benefit from using larger numbers of participants within controlled designs. Clearer description of intervention protocols would foster greater understanding of the contextual appropriateness of different approaches and which treatment components are key to improving adherence to fluid-intake restrictions in patients receiving hemodialysis. SN - 1523-6838 UR - https://www.unboundmedicine.com/medline/citation/15696440/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272638604013058 DB - PRIME DP - Unbound Medicine ER -