A novel health behaviour intervention to promote adherence in kidney failure.
Christopher M Celano, Juliana Zambrano, Lauren Harnedy and 6 others
PMID 35638610WHAT IT FOUND
A 12-week phone program was feasible and well accepted by 10 adults on haemodialysis.
Exploratory changes in mood, adherence and activity were seen but not proven, and the study had no control group.
Key findings
01Participants completed 9.4 of 12 sessions (78%), above the a priori feasibility threshold.
02Accelerometer-measured physical activity increased by 763 steps per day and moderate-to-vigorous activity by 4.4 minutes per day.
03Individual positive psychology exercises led to immediate significant improvements in happiness and optimism ratings.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 10 participants were analysed, and 9 provided follow-up data. The study had no control group, so changes cannot be separated from time or other factors. Participants were self-selected and all received haemodialysis. This limits generalisability. Many outcomes were self-reported, which may be prone to reporting bias. Patients were not involved in developing the intervention or designing the study.
Declared interests
Dr Celano received salary support for research from BioXcel Pharmaceuticals and honoraria for talks from Sunovion Pharmaceuticals on topics unrelated to this study; the authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that the programme improves adherence, mood or clinical outcomes. It was a single-arm pilot with 10 participants and no control group, and the efficacy analyses were exploratory.