This randomized controlled trial aims to evaluate the effect of education based on the Pecha Kucha presentation technique on fluid and dietary adherence in patients undergoing hemodialysis. Patients receiving hemodialysis often experience difficulties in adhering to fluid and dietary restrictions, which may lead to adverse clinical outcomes.

The Pecha Kucha technique is a structured, visually supported presentation format designed to improve understanding and retention of information. In this study, patients in the intervention group will receive education using the Pecha Kucha method, while the control group will receive standard education routinely provided in the dialysis unit.

The study will assess whether this innovative educational approach improves adherence to treatment and clinical parameters. The findings are expected to contribute to improving patient education strategies in hemodialysis care.

Hemodialysis patients are required to adhere to strict fluid and dietary restrictions to prevent complications such as fluid overload, electrolyte imbalance, and increased morbidity. However, maintaining adherence remains a significant challenge in clinical practice. Effective patient education plays a crucial role in improving adherence and clinical outcomes.

The Pecha Kucha presentation technique is an innovative educational method characterized by concise, structured, and visually engaging content. It consists of short, timed presentations designed to enhance attention, comprehension, and retention. This study aims to investigate the effectiveness of Pecha Kucha-based education in improving fluid and dietary adherence among hemodialysis patients.

This study is designed as a randomized controlled trial with two parallel groups: an intervention group receiving Pecha Kucha-based education and a control group receiving standard education. Participants will be recruited from the dialysis unit of Siirt Training and Research Hospital.

Outcome measures will include fluid adherence (e.g., interdialytic weight gain), dietary adherence, and selected clinical parameters such as serum potassium and phosphorus levels. Measurements will be obtained at baseline and after the intervention period.

Ethical approval for this study was obtained from the Siirt University Ethics Committee (Decision No: 2026/01/01/18, Date: January 7, 2026).

The results of this study are expected to provide evidence for the effectiveness of structured and visually supported education methods in improving adherence behaviors and clinical outcomes in hemodialysis patients.

Inclusion Criteria:

• Receiving hemodialysis treatment for at least 6 months
• Aged 18 years or older
• Literate
• Willing to participate in the study

Exclusion Criteria:

• Cognitive or communication impairment
• Participation in a similar education program within the last 3 months
• Presence of terminal illness

Individual participant data will not be shared due to privacy and confidentiality considerations. The data contain sensitive patient information collected in a clinical setting, and sharing such data is restricted by ethical and institutional regulations.

Due to the nature of the educational intervention, blinding of participants and care providers is not feasible.