Comparison of the Effectiveness of Patient-Caregiver Cognitive-Behavioral Intervention on Promoting Adherence to Treatment Behaviors in Hemodialysis Patients in Isfahan

Determining the effectiveness of cognitive-behavioral educational intervention of caregiver on promoting adherence to treatment behaviors in hemodialysis patients in Isfahan

A Randomized experimental intervention (clinical trial) of pre-test-post-test type with control group

First, two centers were selected from hemodialysis centers under the auspices of Isfahan University of Medical Sciences by cluster sampling method and then randomly divided into two groups of intervention and comparison. Then, the participants were selected using a random number table. Patients enter the study after describing the objectives of the study and obtaining consent. The control group receives routine care and advice from hemodialysis patients at the center. In addition to receiving routine hemodialysis care, the intervention team will receive the "Training Program for Chronic Renal Failure and Hemodialysis" application. The researchers then explain to the intervention group how to receive training programs through the application. Evaluation in two stages, 1 month and 3 months after the end of the educational intervention, will be done by a questionnaire (in person, online) and then the data will be collected and analyzed.

Inclusion criteria: 1. Patients who undergo hemodialysis twice a week or more. Patients who have been on dialysis for at least three months. Exclusion criteria: 1. Patients who are hospitalized due to acute diseases. Patients with mental illness. 3. Patients on the kidney transplant list for the next six months.

The intervention group will receive routine hospital training and the "Chronic Kidney Failure and Hemodialysis Training Program" application

Adherence to treatment behavior

The current research is a randomized experimental intervention (clinical trial) of pre-test-post-test type with a control group. The sampling method in this research is multi-stage random cluster sampling: The first stage: Isfahan hemodialysis centers are identified, which includes 4 government hemodialysis centers: Al-Zahra, Farabi, Amin, Ali Asghar and 3 private hemodialysis centers: Zahra Marzieh, Hojjatiyeh and Abolfazl. These centers are almost similar to each other in terms of socio-economic characteristics, and each of them includes heterogeneous groups, and these centers can be considered as clusters. The number of 80 samples is required for the study. Then, the number of hemodialysis patients in each center is specified and the number of patients participating in the study will be determined based on the probability proportional to size (PPS) approach. The second step: simple random method with replacement is used to select patients participating in the study. The list of hemodialysis patients of each center is specified and a code is given to each patient. Each code is written on a sheet and placed inside the box, and then we take the papers one by one and write down the names of the patients and put the sheets back into the box, and this process continues until the desired sample volume is complete. This selection is done by lottery, which shows that it is a random sampling. This method will be implemented for all 7 centers to obtain 80 samples. The third step: 80 samples will be allocated in two control groups (40 samples) and intervention (samples) by simple random sampling method. Each sample is given a code and each code is written on a sheet and placed inside the box and the samples are selected by simple random sampling method and the first 40 samples will be placed in the intervention group and the second 40 samples will be placed in the comparison group.

In this study, blindness is one-way and the subjects do not know which intervention or control groups they are in.

Confidentiality of information is one of the important ethical principles of our study