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The main advantage of patient-to-patient peer counseling is that it benefits both the client and the peer mentors as real and authentic experiences are shared. Since both individuals go through similar experiences, they can share common feelings. Although there are studies in the literature showing the effectiveness of peer support groups in different patient groups, studies on chronic kidney disease patients are limited. There are no studies on the effects of these programs on caregivers. This study will be conducted to examine the effects of peer support program applied to chronic kidney patients on patient outcomes and caregivers.
This study was planned to be conducted with a randomized controlled experimental design to examine the effect of the peer support program applied to Chronic Kidney patients on patient outcomes and caregivers.
Patients diagnosed with Chronic Kidney Disease and receiving haemodialysis (HD) as a renal replacement method constitute the population of the study. In the a priori power analysis performed to calculate the number of subjects, the effect size was taken as 1.3 (d) based on reference studies. Accordingly, it was found that 34 subjects should be included in the calculation for the independent two-sample t-test according to 0.95 power and 0.05 alpha. The sample of the study will consist of 25 intervention and 25 control CKDs who fulfil the inclusion criteria, taking into account the dropout status.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group (Peer support) | Other | "Peer mentors" will be determined among the participant patients in accordance with the peer mentor guide selection criteria. The determined peer mentors will participate in the "Peer Mentor Training Programme". Implementation of the research; Peer support programme for the intervention group will be carried out for 10 weeks in accordance with the peer guide-client implementation plan Standard follow-up and training programme will be applied to the control group in accordance with the procedures of the institution. The data collection forms used in the research process will be collected at the stages specified in the study flow plan and data entry will be made by the researcher. |
|
| Control group (Standart care) | Other | No intervention will be made by the researcher to the control group. The standard care of the institution will be applied to the patients. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Peer Support Program | Behavioral | Implementation of the research; Peer support programme for the intervention group will be carried out for 10 weeks in accordance with the peer guide-client implementation plan. Standard follow-up and training programme will be applied to the control group in accordance with the procedures of the institution. |
| Measure | Description | Time Frame |
|---|---|---|
| Adaptation to the disease. | "End Stage Renal Disease Adaptation Questionnaire (ESRD-AQ)" Total score varies between 0 and 1200. As the score obtained from the scale increases, the level of treatment compliance increases. | The scale will be completed before the intervention and at 3, 7 and 9 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Self-Care | "Chronic Dialysis Patients' Self-Care Agency (SCA)" Scores obtained from the scale are between 0-44. As the score decreases, it is evaluated as self-care power is not good. | The scale will be completed before the intervention and at 3, 7 and 9 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient outcomes | "Data collection form for patients (The target Kt/V in dialysis patients is between 1.2-1.4. , Kt/V(K - urea dialyzer clearance, t - dialysis time, V - urea volume of distribution))" | The Kt/V value of all patients calculated before the intervention and the change in the value measured 3, 7 and 9 weeks after the intervention will be completed by the researcher. |
Inclusion and Exclusion Criteria For Peer Mentor Inclusion Criteria;
For Patient Inclusion Criteria;
Exclusion criteria for all participants
Losses to follow-up
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| Name | Affiliation | Role |
|---|---|---|
| Canan Yüksel Acar, Msc | Acibadem Universty | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Canan Yüksel Acar | Istanbul | 34752 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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The study will start after obtaining official institutional permissions. The researcher will examine the profile of patients receiving treatment at the dialysis center. After this stage, the following steps will be followed
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Intervation group (Peer support) Control group (Standart care)
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| Standart care | Behavioral | The standard care provided by the institution will continue. |
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| Caregivers on Care Burden | "Caregiver Burden Scale for family caregivers of hemodialysis patients" Sub-dimension scores, internal consistency of 0.87, 0.70, 0.76, 0.70, 0.70 and 0.53 indicate an increase in care burden. | The scale will be completed by the patients before the intervention and at 9th week. |