Feasibility of an Internet-based positive psychological intervention for hemodialysis patients with symptoms of depression
Open accessAbstract
BACKGROUND: Depression is a pervasive psychological issue facing hemodialysis (HD) patients. Novel technology-based treatment strategies that deploy psychology-based interventions have not been the focus for therapy and few published studies exist. The aim of the current trial is to determine the feasibility and acceptability of an Internet-based positive psychological intervention in HD patients with comorbid depressive symptoms. METHODS: HD patients (n = 14) with elevated symptoms of depression were enrolled in a single-arm pre-post trial with clinical assessments at baseline and immediately post intervention. Chairside during regularly scheduled HD treatment, patients utilized a web browser to complete online modules promoting skills for increasing positive emotion over a 5-week period using Apple IPads. Targeted skills included noting of daily positive events, gratitude, positive reappraisal, acts of kindness, and mindfulness/meditation. RESULTS: Twelve of 14 patients completed the program for an 85.7% retention rate. Participants felt satisfied with each session and offered consistently positive feedback. On average, participants visited the website 3.5 times per week. Significant improvements were evident for depressive symptoms (15.3 vs. 10.9; p = 0.04), as per the Center for Epidemiological Studies Depression Scale. CONCLUSIONS: An innovative Internet-based positive psychological intervention represents a feasible and useful therapeutic option for HD patients with depressive symptoms.
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The randomized design of this trial extends the promising findings of other positive psychology interventions delivered online and gives confidence that the effect size seen with anxiety is worthy of follow-up.
“The randomized design of this trial extends the promising findings of other positive psychology interventions delivered online [59] and gives confidence that the effect size seen with anxiety is worthy of follow-up.”
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- Authors
- Hernandez, R., Burrows, B., Wilund, K., Cohn, M., Xu, S., & Moskowitz, J. T.
- Affiliations
- School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA
- University of Illinois Urbana-Champaign (US)
- University of California, San Francisco (US)
- Northwestern University (US)
- Venue
- Social Work in Health Care
- Publisher
- Informa UK Limited
- Published
- 2018-10-02
- Volume
- 57
- Issue
- 10
- Pages
- 864-879
- ISSN
- 0098-1389 (ISSN-L)
- 1541-034X
- PMC
- PMC7282478
- OpenAlex
- W2894698616
- Cited by
- 54
- References
- 31
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 15 · 2023: 7 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 5
- FWCI
- 3.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Work in Health Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (1K01HL130712)
- UIUC School of Social Work - Research Incentive Program
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- depression, hemodialysis, positive psychology interventions, online intervention, feasibility, acceptability, gratitude, positive reappraisal, mindfulness, acts of kindness, positive emotions, retention, end-stage renal disease
- MeSH terms
- Aged, Depression, Feasibility Studies, Female, Renal Dialysis, Humans, Kidney Failure, Chronic, Male, Middle Aged, Pilot Projects, Telemedicine, Meditation, Internet, Mindfulness
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