Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis

Multiple psycho-behavioural demands are a common issue in the critical transition of patients onto haemodialysis. Interventions guided by self-management and cognitive–behavioural therapy to improve psycho-behavioural outcomes are effective but tend to be resource and time intensive. Positive psycho...

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Main Author: Lim, Phoebe Xin Hui
Other Authors: Ho Moon-Ho Ringo
Format: Final Year Project
Language:English
Published: Nanyang Technological University 2022
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Online Access:https://hdl.handle.net/10356/156405
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spelling sg-ntu-dr.10356-1564052023-03-05T15:46:49Z Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis Lim, Phoebe Xin Hui Ho Moon-Ho Ringo Konstadina Griva School of Social Sciences konstadina.griva@ntu.edu.sg, HOmh@ntu.edu.sg Social sciences::Psychology Multiple psycho-behavioural demands are a common issue in the critical transition of patients onto haemodialysis. Interventions guided by self-management and cognitive–behavioural therapy to improve psycho-behavioural outcomes are effective but tend to be resource and time intensive. Positive psychology interventions for End-Stage Kidney Disease (ESKD) are lacking. This randomized controlled trial aimed to determine the effectiveness of HED-Start, a positive skills intervention to improve psychological adjustment (illness perceptions, distress symptoms and adjustment) in patients new on haemodialysis (<6 months at baseline). Haemodialysis patients (n = 99) were randomized to control (n = 58) or HED-Start (n = 41). HED-Start comprised 4 fortnightly sessions focusing on positive emotions, acceptance, cognitive reframing, affirmations, and life-orientated goal setting. Self-report questionnaires [distress/mood (HADS; SPANE); quality of life (WHOQOL-BREF, KDQOL-SF, BIPQ); self-management skills (BFS, heiQ, CD-RISC-2, CDSES)] were collected at baseline and at 12 weeks follow up. Intention-to-treat analyses were conducted. Significant improvements over time were noted in favour of HED-Start for SPANEnegative (p = .049), BIPQtotal (p = .049), BFStotal (p = .021), BFS personal growth subscale (p = .006), and positive and active engagement in life heiQ subscale (p = .015). There were no other significant effects. Despite currently having an underpowered sample, HED-Start had initial significant, positive effects on adjustment indices, suggesting that interventions that enhance new haemodialysis patients’ abilities to accept situations and find meaning are promising. Bachelor of Social Sciences in Psychology 2022-04-16T10:11:04Z 2022-04-16T10:11:04Z 2022 Final Year Project (FYP) Lim, P. X. H. (2022). Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis. Final Year Project (FYP), Nanyang Technological University, Singapore. https://hdl.handle.net/10356/156405 https://hdl.handle.net/10356/156405 en application/pdf Nanyang Technological University
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Social sciences::Psychology
spellingShingle Social sciences::Psychology
Lim, Phoebe Xin Hui
Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
description Multiple psycho-behavioural demands are a common issue in the critical transition of patients onto haemodialysis. Interventions guided by self-management and cognitive–behavioural therapy to improve psycho-behavioural outcomes are effective but tend to be resource and time intensive. Positive psychology interventions for End-Stage Kidney Disease (ESKD) are lacking. This randomized controlled trial aimed to determine the effectiveness of HED-Start, a positive skills intervention to improve psychological adjustment (illness perceptions, distress symptoms and adjustment) in patients new on haemodialysis (<6 months at baseline). Haemodialysis patients (n = 99) were randomized to control (n = 58) or HED-Start (n = 41). HED-Start comprised 4 fortnightly sessions focusing on positive emotions, acceptance, cognitive reframing, affirmations, and life-orientated goal setting. Self-report questionnaires [distress/mood (HADS; SPANE); quality of life (WHOQOL-BREF, KDQOL-SF, BIPQ); self-management skills (BFS, heiQ, CD-RISC-2, CDSES)] were collected at baseline and at 12 weeks follow up. Intention-to-treat analyses were conducted. Significant improvements over time were noted in favour of HED-Start for SPANEnegative (p = .049), BIPQtotal (p = .049), BFStotal (p = .021), BFS personal growth subscale (p = .006), and positive and active engagement in life heiQ subscale (p = .015). There were no other significant effects. Despite currently having an underpowered sample, HED-Start had initial significant, positive effects on adjustment indices, suggesting that interventions that enhance new haemodialysis patients’ abilities to accept situations and find meaning are promising.
author2 Ho Moon-Ho Ringo
author_facet Ho Moon-Ho Ringo
Lim, Phoebe Xin Hui
format Final Year Project
author Lim, Phoebe Xin Hui
author_sort Lim, Phoebe Xin Hui
title Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
title_short Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
title_full Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
title_fullStr Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
title_full_unstemmed Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
title_sort positive skills intervention to improve psychological adjustment in patients new on haemodialysis (hed-start): a quantitative analysis
publisher Nanyang Technological University
publishDate 2022
url https://hdl.handle.net/10356/156405
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