IRCT201211101599N21 IRCT 2013-05-12 Vice chancellor for Research, Tehran University of Medical Sciences Improving adherence to therapeutic regimen in hemodialysis patients The effect of cognitive-behavioral intervention on adherence to therapeutic regimen and remove of related barriers in hemodialysis patients 2013-05-30 anticipated 70 Complete https://irct.ir/trial/1025 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Two hospitals in Lar and Lamerd will be randomly assigned to the cognitive - behavioral intervention and control groups. These hospitals have equal aspects for hemodialysis and have similar nursing performance. 70 hemodialysis patients who will be admitted in hemodialysis wards of Lar and Lamerd hospitals will be participated in this study by convenience sampling. N/A Chronic renal disease. Intervention 1: Cognitive-behavioral intervention consist of six steps: Step 1: Identifying the problem. In This step, Knowledge, belief, and the barrier to self-care will be determined by person-to-person interviews. Step 2: Creating confidence and commitment. In This step, the patient and the researcher will be signed a contract to begin working on a particular behavior change after face-to-face counseling. Step 3: Increasing awareness of behavior. This step leads to increase in the patient’s awareness of his or her behavior patterns through self-monitoring. The subjects were asked to keep a diary of adherence every day until the next consultation. Step 4: Developing and implementing the action plan. Based on the subject’s behavior, statements in the diary of adherence, a short-term action plan (On an individual basis), will be designed by researcher. Step 5: Evaluating the plan is designed. Impact on behavior change plan will be evaluated. If the subject failed, a new plan that can be achieved will be designed. Step 6: Maintain the desired behavior change to prevent undesirable behavior. The purpose of this step is to maintain and reinforce desired behaviors through motivational phrases. Intervention 2: Control group with no intervention adherence rates and barriers to adherence to treatment is evaluated before and 3 months after.