An Exploration of Successful Psychosocial Adjustment to Long-Term In-Centre Haemodialysis
Journal article
Elander, J., Kapadi, R., Burton, A. E., Taylor, J., Coyne, E., Selby, N. M., Taal, M. W., Mitchell, K. and Stalker, C. 2023. An Exploration of Successful Psychosocial Adjustment to Long-Term In-Centre Haemodialysis. psychology and health. pp. 1-16. https://doi.org/10.1080/08870446.2023.2231007
| Authors | Elander, J., Kapadi, R., Burton, A. E., Taylor, J., Coyne, E., Selby, N. M., Taal, M. W., Mitchell, K. and Stalker, C. |
|---|---|
| Abstract | Objectives: Haemodialysis extends life for people with end-stage kidney disease (ESKD) worldwide, but it imposes significant psychosocial burdens and there is little evidence about successful adjustment. This study aimed to improve understanding of successful psychosocial adjustment to in-centre haemodialysis (ICHD; dialysis in a hospital or satellite unit). Methods: Individual semi-structured interviews were conducted with a purposive sample of 18 people with ESKD who had all received in-centre haemodialysis in the UK for at least 90 days in the last two years. An inductive thematic analysis was employed to identify themes from the verbatim interview transcripts. Results: There were four themes: 1) reaching a state of acceptance, which described the importance of accepting the necessity of dialysis; 2) taking an active role in treatment, which described how being actively involved in treatment gave participants greater feelings of autonomy and control; 3) utilising social support networks, which described the benefits of instrumental and emotional support; and 4) building emotional resilience, which described the importance of optimism and positivity. Conclusions: The themes demonstrated elements of successful adjustment that could be targeted by interventions to promote psychological flexibility and positive adjustment among people receiving in-centre haemodialysis worldwide. |
| Keywords | Positive adjustment; End-stage kidney disease; Qualitative; Haemodialysis |
| Year | 2023 |
| Journal | psychology and health |
| Journal citation | pp. 1-16 |
| Publisher | Taylor & Francis (Routledge) |
| ISSN | 1476-8321 |
| Digital Object Identifier (DOI) | https://doi.org/10.1080/08870446.2023.2231007 |
| Web address (URL) | https://www.tandfonline.com/doi/full/10.1080/08870446.2023.2231007 |
| Funder | Kidney Care UK |
| University of Derby | |
| Publisher's version | License File Access Level Open |
| Output status | Published |
| Publication dates | |
| Online | 06 Jul 2023 |
| Publication process dates | |
| Accepted | 23 Jun 2023 |
| Deposited | 26 Jul 2023 |
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Elander, James, Harrington, Katherine, Norton, Lin, Robinson, Hannah and Reddy, Peter 2006. Complex skills and academic writing: a review of evidence about the types of learning required to meet core assessment criteria. Assessment & Evaluation in Higher Education. https://doi.org/10.1080/02602930500262379Factors affecting hospital staff judgments about sickle cell disease pain
Elander, James, Marczewska, Malgorzata, Amos, Roger, Thomas, Aldine and Tangayi, Sekayi 2006. Factors affecting hospital staff judgments about sickle cell disease pain. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-005-9042-3Effects of area and family deprivation on risk factors for teenage pregnancy among 13 – 15-year-old girls
Smith, Debbie M. and Elander, James 2006. Effects of area and family deprivation on risk factors for teenage pregnancy among 13 – 15-year-old girls. Psychology, Health & Medicine. https://doi.org/10.1080/13548500500429353Student beliefs and attitudes about authorial identity in academic writing
Pittam, Gail, Elander, James, Lusher, Joanne, Fox, Pauline and Payne, Nicola 2009. Student beliefs and attitudes about authorial identity in academic writing. Studies in Higher Education. https://doi.org/10.1080/03075070802528270Development and evaluation of an intervention to improve further education students' understanding of higher education assessment criteria: three studies
Jessen, Anna and Elander, James 2011. Development and evaluation of an intervention to improve further education students' understanding of higher education assessment criteria: three studies. Journal of Further and Higher Education. https://doi.org/10.1080/03098770903272461New lecturers' beliefs about learning, teaching and assessment in higher education: the role of the PGCLTHE programme
Norton, Lin, Aiyegbayo, Olaojo, Harrington, Katherine, Elander, James and Reddy, Peter 2011. New lecturers' beliefs about learning, teaching and assessment in higher education: the role of the PGCLTHE programme. Innovations in Education and Teaching International. https://doi.org/10.1080/14703297.2010.518426Dyslexia, authorial identity, and approaches to learning and writing: a mixed methods study
Kinder, Julianne and Elander, James 2011. Dyslexia, authorial identity, and approaches to learning and writing: a mixed methods study. British Journal of Educational Psychology. https://doi.org/10.1111/j.2044-8279.2011.02026.xRandomized trial of a DVD intervention to improve readiness to self-manage joint pain
Elander, James, Robinson, Georgina and Morris, John 2011. Randomized trial of a DVD intervention to improve readiness to self-manage joint pain. Pain. https://doi.org/10.1016/j.pain.2011.06.026