Clinical trial NCT06358534: The Effect of Acceptance and Commitment Therapy in Patients With Chronic Renal Failure
Official title: The Effect of Acceptance and Commitment Therapy-based Psychoeducation Given to Chronic Renal Failure Patients on Illness Adaptation, Psychological Resilience and Life Satisfaction
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Kidney Failure, Chronic
Keywords: Kidney Failure, Chronic
Acceptance and Commitment Therapy
Psychiatric Nursing
psychological flexibility
Lead sponsor: Recep Tayyip Erdogan University
Sponsor class: OTHER
First posted: 2024-04-10
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: pretest-posttest, control and intervention groups
Primary purpose: SUPPORTIVE_CARE

Brief summary: Psychological flexibility, life satisfaction and adaptation to the disease of individuals with chronic kidney disease were increased with psychoeducation based on acceptance and commitment therapy to be given to individuals with chronic kidney disease.

Detailed description: Chronic renal failure is a condition that affects the kidneys and has long-term consequences for physical, psychological, and social well-being. It reduces quality of life, productivity, and independence, leading to increased costs and the need for care. In order to ensure treatment compliance and maintain living standards, it is important to enhance individuals' readiness for treatment. While there are psychological intervention studies during the treatment process, there are few studies that focus on psychological readiness before dialysis. This study highlights acceptance and determination-based approaches to help individuals become aware of their feelings and thoughts and accept them, minimizing resistance to treatment and improving treatment compliance. By managing negative emotions and thoughts towards the treatment, this study aims to increase disease compliance, provide psychological support during pre-dialysis trainings, diversify the use of acceptance and commitment therapy-based approaches, and promote psychosocial support in chronic diseases in psychiatric nursing practices.

Eligibility criteria: Inclusion Criteria:

* Acceptance to participate in the research
* Diagnosis of CKD Stage 4-5
* GFR below 29ml/min/1.72m2
* 18 years of age and over
* Being literate
* No barriers to verbal communication
* No psychiatric treatment

Exclusion Criteria:

* Receiving haemodialysis and peritoneal dialysis treatment,
* Pregnancy
* The presence of a psychiatric disorder requiring treatment,
* Individuals with transplantation and rejection transplantation

Primary outcomes:
measure: Chronic Disease Adaptation Scale (CHAS):
timeFrame: 8 weeks
measure: Acceptance and Action Questionnaire-II Scale (AAQ-II)
timeFrame: 8 weeks
measure: Life Satisfaction Scale
timeFrame: 8 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Rize
country: Turkey
facility: Recep Tayyip Erdoğan University Faculty of Health Sciences
state: Güneysu
Study officials:
affiliation: Recep Tayyip Erdogan University
name: kübra berber
role: PRINCIPAL_INVESTIGATOR
References: