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Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies.
Int J Nurs Stud. 2005 Jul; 42(5):597-608.IJ

Abstract

BACKGROUND

We reviewed psycho-educational intervention studies that were designed to reduce interdialytic weight gain (IDWG) in adult hemodialysis patients. Our goals were to critique research methods, describe the effectiveness of tested interventions, and make recommendations for future research.

METHODS

Medline, PsychInfo, and the Cumulative Index to Nursing and Applied Health (CINAHL) databases were searched to identify empirical work. Each study was evaluated in terms of sample, design, theoretical framework, intervention delivery, and outcome.

RESULTS

Nine studies were reviewed. Self-monitoring appears to be a promising strategy to be considered to reduce IDWG. Theory was not usually used to guide interventions, designs generally had control groups, interventions were delivered individually, more than one intervention was delivered at a time, the duration of the intervention varied greatly, there was no long-term follow-up, IDWG was the only outcome, and IDWG was operationalized in different ways.

CONCLUSIONS

Theoretical models and methodological rigor are needed to guide future research. Specific recommendations on design, measurement, and conceptual issues are offered to enhance the effectiveness of future research.

Authors+Show Affiliations

Department of Adult Health, Indiana University School of Nursing, Indianapolis, 46202, USA. jwelch@iupui.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15921991

Citation

Welch, Janet L., and Charlotte Thomas-Hawkins. "Psycho-educational Strategies to Promote Fluid Adherence in Adult Hemodialysis Patients: a Review of Intervention Studies." International Journal of Nursing Studies, vol. 42, no. 5, 2005, pp. 597-608.
Welch JL, Thomas-Hawkins C. Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies. Int J Nurs Stud. 2005;42(5):597-608.
Welch, J. L., & Thomas-Hawkins, C. (2005). Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies. International Journal of Nursing Studies, 42(5), 597-608.
Welch JL, Thomas-Hawkins C. Psycho-educational Strategies to Promote Fluid Adherence in Adult Hemodialysis Patients: a Review of Intervention Studies. Int J Nurs Stud. 2005;42(5):597-608. PubMed PMID: 15921991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies. AU - Welch,Janet L, AU - Thomas-Hawkins,Charlotte, PY - 2004/07/13/received PY - 2004/09/10/revised PY - 2004/09/16/accepted PY - 2005/6/1/pubmed PY - 2005/9/1/medline PY - 2005/6/1/entrez SP - 597 EP - 608 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 42 IS - 5 N2 - BACKGROUND: We reviewed psycho-educational intervention studies that were designed to reduce interdialytic weight gain (IDWG) in adult hemodialysis patients. Our goals were to critique research methods, describe the effectiveness of tested interventions, and make recommendations for future research. METHODS: Medline, PsychInfo, and the Cumulative Index to Nursing and Applied Health (CINAHL) databases were searched to identify empirical work. Each study was evaluated in terms of sample, design, theoretical framework, intervention delivery, and outcome. RESULTS: Nine studies were reviewed. Self-monitoring appears to be a promising strategy to be considered to reduce IDWG. Theory was not usually used to guide interventions, designs generally had control groups, interventions were delivered individually, more than one intervention was delivered at a time, the duration of the intervention varied greatly, there was no long-term follow-up, IDWG was the only outcome, and IDWG was operationalized in different ways. CONCLUSIONS: Theoretical models and methodological rigor are needed to guide future research. Specific recommendations on design, measurement, and conceptual issues are offered to enhance the effectiveness of future research. SN - 0020-7489 UR - https://www.unboundmedicine.com/medline/citation/15921991/Psycho_educational_strategies_to_promote_fluid_adherence_in_adult_hemodialysis_patients:_a_review_of_intervention_studies_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(04)00174-9 DB - PRIME DP - Unbound Medicine ER -