The effect of positive thinking training on hope and adherence to treatment in hemodialysis patients: a randomized controlled trial

Fatemeh Sabouri · Masoume Rambod · Zahra Khademian

38 citations0/0 files storedBMC Psychology

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Optimism, Hope, and Well-being Dialysis and Renal Disease Management Cancer survivorship and care

Abstract

BACKGROUND: Patients undergoing hemodialysis are exposed to psychological problems, such as despair, which in turn can be a trigger for them to abandon the treatment process. This study aimed to determine the effect of positive thinking training on hope and adherence to treatment in hemodialysis patients. METHODS: This randomized controlled trial was performed on 80 hemodialysis patients referred to two hemodialysis centers in Shiraz, Iran. They were randomly divided into an intervention and a control group. Eight sessions of positive thinking skills training carried out individually on the patients' bedsides. The primary and secondary outcomes were hope and adherence to treatment, respectively. The data were collected using Snyder Hope Questionnaire, End-Stage Renal Disease Adherence Questionnaire, laboratory tests, and weight measurements. Data were analyzed by Chi-square and Paired and Independent T-test using SPSS software version 18. RESULTS: After the intervention, the mean score of hope was significantly higher in the intervention group (42.1 ± 6.1) than in the control group (38.7 ± 6.5) (p = 0.024). Moreover, after the intervention, the mean score of adherence to treatment was significantly higher in the intervention group (1070.2 ± 80.1) compared to the control group (1018.4 ± 105.3) (p = 0.019). In addition, blood urea nitrogen, phosphate and inter-dialytic weight gain were lower in the intervention group compared to the control group after the intervention. CONCLUSIONS: The findings showed that positive thinking interventions could lead to improvement in hope and adherence to treatment in hemodialysis patients. Positive thinking training could be used in caring of hemodialysis patients to improve their hope and adherence to treatment. Trial registration RCT Registry: Iranian Registry of Clinical Trials; RCT registration number: IRCT20180915041044N1; Registration date: 19/12/2018.

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References

2001Handbook of Positive Psychology 1991The will and the ways: Development and validation of an individual-differences measure of hope.1991The will and the ways: Development and validation of an individual-differences measure of hope.1995The psychology of hope: you can get there from here 2007Correlates and predictors of an Arabic translation of the Snyder Hope Scale 2020The effects of mobile apps on stress, anxiety, and depression: overview of systematic reviews

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2023Psychometric Properties of the Positive Thinking Skills Scale (PTSS) among Portuguese Adults 2024The Effect of Hope Therapy on the Management of Hemodialysis Outcomes: A Review Article 2025Hope as a Therapeutic Resource: Systematic Evidence of its Impact on Mental, Physical, and Spiritual Health 2024Association between health-related hope and distress from restrictions in chronic kidney disease and dialysis

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