Regaining control during dialysis: development and evaluation of a psychosocial intervention

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    A frequently reported problem by dialysis patients is a low sense of perceived control, which is related to decreased well-being. This study was aimed at developing and examining the effectiveness of a psychosocial intervention for enhancing perceived control in dialysis patients with low perceived control. First, we studied the psychological mechanisms underlying improvements in well-being in patients undergoing renal transplantation. Results suggest that both reductions in goal disturbance and improvements in perceived control are important for reductions in distress in the process of transplantation. Second, we studied the concept of perceived control from a patient perspective. Results from interviews show that perceived control comprised different meanings, and that it is possible to both experience and not experience control in specific life domains. Factors that facilitated a sense of control included the use of helpful coping strategies and experiencing that decisions are being made together with the health care specialist. Factors that decreased a sense of control included feelings of dependence and experiencing that decisions are not being made together with the health care specialist. More than half of the patients that were approached for the study reported low perceived control, especially those with more comorbidities and experiencing problems in daily living. However, a large majority of these patients did not accept care for regaining control, especially older patients. The main reason for not accepting care was that they perceived no burden. We found preliminary evidence for the possible effectiveness of the intervention.
    Originele taal-2English
    KwalificatieDoctor of Philosophy
    Toekennende instantie
    • Rijksuniversiteit Groningen
    Begeleider(s)/adviseur
    • Ranchor, Adelita, Supervisor
    • Navis, Gerjan, Supervisor
    • Schroevers, Maya, Supervisor
    • Westerhuis, Ralf, Co-supervisor
    Datum van toekenning1-dec.-2021
    Plaats van publicatie[Groningen]
    Uitgever
    Gedrukte ISBN's978-94-6421-526-7
    DOI's
    StatusPublished - 2021

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