The aims of the present study will be to pilot test the efficacy of a collaborative care intervention in patients awaiting kidney transplant to reduce symptoms of depression, pain, fatigue and improve quality of life.
Symptom management is critical to maintain quality of life in those with life limiting conditions. Stepped collaborative care interventions have been widely employed in the primary care setting for the treatment of depression and more recently have been utilized to treat other symptoms (e.g., pain) in a variety of settings. A recent meta-analyses concluded that collaborative care interventions were superior to usual care and are more cost-effective than face to face and pharmacological treatment for depression. Collaborative care interventions have begun to be extended to other settings but have not been tested in patients who are being treated with dialysis. The aims of the present study were to pilot test the efficacy of a collaborative care intervention in patients awaiting kidney transplant to reduce symptoms of depression, pain, fatigue and improve quality of life.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
10
Therapist will use iPad (Vidyo) once a week during dialysis for approximately one hour. The therapist will teach the patient cognitive-behavioral strategies to manage their mood and pain. The PI is a clinical psychologist and will provide supervision to the therapist providing the intervention. The sessions for depression will include (1) intake, (2) review of the rational for using CBT to treat depression and/or pain, (3) identifying thought patterns, (4) changing thought patterns, (5) relaxation techniques, (6) rest-activity pacing, and (7) coping strategies. Homework to practice these techniques will be provided after each session.
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
Depression Level
score on CES-D questionnaire
Time frame: change from baseline at 3 month and 6 month
Perceived Stress level
score on PSS questionnaire
Time frame: change from baseline at 3 month and 6 month
degree of Pain
score on the BPI questionnaire
Time frame: change from baseline at 3 month and 6 month
Dyadic functioning
score on the Dyadic functioning questionnaire
Time frame: change from baseline at 3 month and 6 month
level of physical activity (mild, moderate or high)
calculated score on the International Physical Activity quationnaire
Time frame: change from baseline at 3 month and 6 month
sleep quality
score on the PSQI questionnaire
Time frame: change from baseline at 3 month and 6 month
quality of life
score on the KDQOL questionnaire
Time frame: change from baseline at 3 month and 6 month
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