Please use this identifier to cite or link to this item:
Title: Positive skills intervention to improve psychological adjustment in patients new on haemodialysis (HED-Start): a quantitative analysis
Authors: Lim, Phoebe Xin Hui
Keywords: Social sciences::Psychology
Issue Date: 2022
Publisher: Nanyang Technological University
Source: 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.
Abstract: 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.
Schools: School of Social Sciences 
Fulltext Permission: restricted
Fulltext Availability: With Fulltext
Appears in Collections:SSS Student Reports (FYP/IA/PA/PI)

Files in This Item:
File Description SizeFormat 
FYP Manuscript Final (Full Report).pdf
  Restricted Access
1.6 MBAdobe PDFView/Open

Page view(s)

Updated on Jun 7, 2023


Updated on Jun 7, 2023

Google ScholarTM


Items in DR-NTU are protected by copyright, with all rights reserved, unless otherwise indicated.