Piloting an intervention for improving treatment adherence

INTERVENTION: Self‐affirmation: The self‐affirmation intervention used in this study consists of ten questions with Yes or No responses which require the respondent to consider times when they have been kind to others ((Reed & Aspinwall, 1998). Control patients completed ten matched control questions with no self‐affirming properties (Reed & Aspinwall, 1998). The treatment was delivered at baseline and repeated at 1, 3 and 6 months Follow Up Length: 12 month(s) CONDITION: Topic: Renal disorders; Subtopic: Renal disorders; Disease: All Renal disorders ; Urological and Genital Diseases PRIMARY OUTCOME: Psychological responses; Timepoint(s): Self‐reported responses to the health risk information, intention and self‐efficacy, assessed immediately after the first presentation of the health risk information. SECONDARY OUTCOME: Interdialytic weight gain; Timepoint(s): Reduction in interdialytic weight gain assessed at 1, 3, 6, 9 and 12 months INCLUSION CRITERIA: 1. Adult (over 18 years) haemodialysis patients 2. Fluency in spoken and written English 3. 3 months from initiation of dialysis 4. Three month Interdialytic Weight Gain (IDWG) > 2.0 kg 5. Residual renal urea clearance (KRU) <1 ml/min or reported urine output<200 ml per day Patients recruited to the observational study will not need to meet inclusion criteria points 4 and 5 Target Gender: Male & Female