Clinical Relevance of an Online Self‐Management Intervention in Haemodialysis: A Secondary Data Analysis of the 'Connected We St@nd' Programme.

Background: The 'Connected We St@nd' programme is an Internet‐mediated self‐management intervention that combines health education with psychosocial support, with evidenced feasibility and acceptability in haemodialysis. Objectives: To evaluate the clinical relevance of the programme and to better u...

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Published in:Journal of Renal Care Vol. 51; no. 1; pp. 1 - 18
Main Authors: Sousa, Helena, Ribeiro, Oscar, Bártolo, Ana, Rodrigues, Mário, Costa, Elísio, Quental, Joana, Ribeiro, Fernando, Paúl, Constança, Figueiredo, Daniela
Format: clinical trial equations & formulas glossary research tables/charts Journal Article
Published: Wiley-Blackwell Mar2025
Online Access:View this record in EBSCOhost
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      dt: Mar2025
      vid: 51
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Clinical Relevance of an Online Self‐Management Intervention in Haemodialysis: A Secondary Data Analysis of the 'Connected We St@nd' Programme.
      aug:
        au:
          Sousa, Helena
          Ribeiro, Oscar
          Bártolo, Ana
          Rodrigues, Mário
          Costa, Elísio
          Quental, Joana
          Ribeiro, Fernando
          Paúl, Constança
          Figueiredo, Daniela
        affil: CINTESIS@RISE, Department of Education and Psychology, University of Aveiro, Aveiro, Portugal
      sug:
        subj:
          Hemodialysis
          Self-Management
          Internet-Based Intervention
          Program Implementation Evaluation
          Treatment Outcomes
          Self Report
          Human
          Quasi-Experimental Studies
          Clinical Trials
          Pretest-Posttest Design
          Psychological Well-Being
          Life Purpose
          Quality of Life
          Mental Health
          Power Analysis
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Caregivers
          Scales
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: The 'Connected We St@nd' programme is an Internet‐mediated self‐management intervention that combines health education with psychosocial support, with evidenced feasibility and acceptability in haemodialysis. Objectives: To evaluate the clinical relevance of the programme and to better understand which intervention outcomes/health‐related self‐report measures are most sensitive to reflect changes between pre‐ and post‐intervention assessments. Design: This study followed a pre‐post quasi‐experimental design. Participants: Twenty‐six individuals (16 people on haemodialysis and 10 family caregivers) completed the intervention. Measurements: Participants filled out a web‐based assessment protocol before and after the intervention. To determine the clinical relevance of within‐group pre‐post changes, effect sizes, minimal clinically important differences, and reliable change indexes were calculated. Results: Clinically meaningful results were found on outcome measures with reasonable sensitivity to detect pre‐post changes in the positive affect dimension of subjective well‐being, purpose in life, overall quality of life, and psychological health. The latter was the variable that obtained the greatest number of respondents with reliable post‐intervention improvements. Conclusions: Participation in the programme led to clinically important and reliable improvements in several intervention outcomes, hinting that this evidence‐informed intervention has the potential to be a valuable resource for promoting successful psychosocial adjustment among this population. Suggestions were made to fine‐tune the evaluation and implementation of a large‐scale trial to, in due course, encourage the integration of this technology‐assisted interdisciplinary initiative into existing kidney care services.
      pubtype: Academic Journal
      doctype:
        clinical trial
        equations & formulas
        glossary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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