Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: A review of intervention studies

Janet L. Welch, Charlotte Thomas-Hawkins

Research output: Contribution to journalArticle

36 Scopus citations


Background: We reviewed psycho-educational intervention studies that were designed to reduce interdialytic weight gain (IDWG) in adult hemodialysis patients. Our goals were to critique research methods, describe the effectiveness of tested interventions, and make recommendations for future research. Methods: Medline, PsychInfo, and the Cumulative Index to Nursing and Applied Health (CINAHL) databases were searched to identify empirical work. Each study was evaluated in terms of sample, design, theoretical framework, intervention delivery, and outcome. Results: Nine studies were reviewed. Self-monitoring appears to be a promising strategy to be considered to reduce IDWG. Theory was not usually used to guide interventions, designs generally had control groups, interventions were delivered individually, more than one intervention was delivered at a time, the duration of the intervention varied greatly, there was no long-term follow-up, IDWG was the only outcome, and IDWG was operationalized in different ways. Conclusions: Theoretical models and methodological rigor are needed to guide future research. Specific recommendations on design, measurement, and conceptual issues are offered to enhance the effectiveness of future research.

Original languageEnglish (US)
Pages (from-to)597-608
Number of pages12
JournalInternational Journal of Nursing Studies
Issue number5
StatePublished - Jul 2005


  • Adherence
  • Haemodialysis
  • Hemodialysis
  • Intervention research

ASJC Scopus subject areas

  • Nursing(all)

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