Clinical trial NCT04174638: The Effect of Motivational Interviewing and Education Based on Watson's Theory of Human Caring in Hemodialysis
Official title: Effect of Motivational Interviewing and Education Based on Watson's Theory of Human Caring in Individuals Receiving Hemodialysis: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Renal Disease
Adherence, Treatment
Quality of Life
Satisfaction, Patient
Keywords: Compliance
Motivational Interviewing
Models, Nursing
Nursing
Patient Satisfaction
Quality of Life
Randomized Controlled Trial
Renal Dialysis
Lead sponsor: Akdeniz University
Sponsor class: OTHER
First posted: 2019-11-22
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study is a parallel group randomized controlled study
Primary purpose: SUPPORTIVE_CARE

Brief summary: * Motivational interviewing and education based on Watson's Theory of Human Caring have an effect on increasing adherence to fluid intake in individuals receiving hemodialysis treatment.
* Motivational interviewing and education based on Watson's Theory of Human Caring have an effect on increasing adherence to diet in individuals receiving hemodialysis treatment.
* Motivational interviewing and education based on Watson's Theory of Human Caring have an effect on increasing adherence to drug management in individuals receiving hemodialysis treatment.
* Intervention group who receiving Motivational interviewing and education based on Watson's Theory of Human Caring would satisfied with introduced intervention.
* Motivational interviewing and education based on Watson's Theory of Human Caring have an effect on increasing quality of life in individuals receiving hemodialysis treatment.

Detailed description: The intervention group received 15 minute motivational interviewing based on Watson's Theory of Human Caring once a month for 12 weeks and one session 30 minutes education with educational booklet based on Watson's Theory of Human Caring. The control group received usual care. Adherence to fluid intake, diet and drug management, physical parameters and quality of life was measured at baseline and 12th week. The patient satisfaction was measured in the intervention group at 12th week.

Eligibility criteria: Inclusion Criteria:

* Patients who were receive hemodialysis at Hemodialysis Unit of University Hospital in Antalya, Turkey
* Patients who had 1 and above from Diet And Fluid Non-Adherence Questionnaire total score
* Patients who had 0 or 1 score from 1.2. and 6. questions or 3., 4. and 5. questions in the Modified Morisky Scale.
* Patients who receiving Hemodialysis treatment for at least 3 months
* Patients who were over 18 years of age,
* Patients who had orientation of individual, place and time
* Patients who were literate
* Patients who no barriers to written or verbal communication
* Patients who agree to participate in the study

Exclusion Criteria:

* Patients who had psychiatric disease
* Patients who had diagnosis of malignancy

Primary outcomes:
measure: Change From Baseline in Adherence to Fluid Intake on the Fluid Control in Hemodialysis Patients Scale at Week 12
timeFrame: baseline and 12 week
measure: Change From Baseline in Adherence to Diet on the Scale for Dietary Behaviors in Hemodialysis Patients at Week 12
timeFrame: Baseline and 12 week
measure: Change From Baseline in Adherence to Drug Management on the Modified Morisky Scale at Week 12
timeFrame: Baseline and 12 week
measure: Change From Baseline in Adherence to Participation in Dialysis Sessions on the Hemodialysis Session Participation Form at Week 4,8,12
timeFrame: baseline and 4, 8, 12 week
measure: The Mean of Satisfaction of the Intervention Group From the Introduced Intervention Based on Theory Using Watson Caritas Patient Score at Week 12
timeFrame: 12 week
measure: The Mean of Satisfaction From the Motivational Interviewing Evaluated With Motivational Interview Evaluation Form at Week 12
timeFrame: 12 week
measure: Change From Baseline in Quality of Life on the Kidney Disease Quality of Life Instrument 36 Scale at Week 12
timeFrame: baseline and 12 week
Secondary outcomes:
Other outcomes:
Locations:
city: Antalya
country: Turkey
facility: Şefika Tuğba Yangöz
Study officials:
affiliation: Akdeniz University
name: Zeynep ÖZER, PhD, RN
role: STUDY_DIRECTOR
References:
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citation: Kim K, Kang GW, Woo J. The Quality of Life of Hemodialysis Patients Is Affected Not Only by Medical but also Psychosocial Factors: a Canonical Correlation Study. J Korean Med Sci. 2018 Apr 2;33(14):e111. doi: 10.3346/jkms.2018.33.e111.
citation: Marcus C. Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model. Health Psychol Behav Med. 2014 Jan 1;2(1):482-495. doi: 10.1080/21642850.2014.900450. Epub 2014 Apr 28.
citation: Nabolsi MM, Wardam L, Al-Halabi JO. Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. Int J Nurs Pract. 2015 Feb;21(1):1-10. doi: 10.1111/ijn.12205. Epub 2013 Oct 11.
citation: Beto JA, Schury KA, Bansal VK. Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary. Int J Nephrol Renovasc Dis. 2016 Feb 2;9:21-33. doi: 10.2147/IJNRD.S76831. eCollection 2016.
citation: Efe D, Kocaoz S. Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in Turkey. Jpn J Nurs Sci. 2015 Apr;12(2):113-23. doi: 10.1111/jjns.12055. Epub 2014 Aug 13.