Dominic Julien, Kieron O'Connor, Frederick Aardema
The inference-based approach to obsessive-compulsive disorder: A comprehensive review of its etiological model, treatment efficacy, and model of change
Journal of affective disorders
patients receiving incenter hemodialysis experience disproportionate morbidity incur high healthcarerelated costs much cost stems potentially avoidable hospitalizations peer mentorship used effectively improve outcomes patients complex chronic diseases propose testing efficacy peer mentorship hospitalization rates among patients receiving hemodialysis multicenter parallel group randomized controlled pragmatic trial patients treated hemodialysis facilities bronx ny nashville tn study two phases phase 1 enroll train 16 hemodialysis patients 10 bronx ny 6 nashville tn mentors using program focused enhancing selfefficacy dialysis selfmanagement autonomysupportive communication skills phase 2 enroll 200 high risk adults receiving hemodialysis 140 bronx ny 60 nashville tn half randomized intervention half usual care intervention participants assigned weekly telephone calls trained mentors see phase 1 3month period primary outcome phase 1 engagement mentors training change knowledge scores autonomy skills pre posttraining primary outcome phase 2 composite count ed visits hospitalizations end study followup patient participants assigned intervention compared assigned usual care secondary outcomes phase 2 include change trial period validated survey scores measuring perception social support selfefficacy dialysis adherence metrics among intervention participants compared usual care participants peerhd study test feasibility efficacy pragmatic peermentorship program designed patients receiving hemodialysis ed visit hospitalization rates effective peermentorship holds promise scalable patientcentered intervention decrease hospital resource utilization extension morbidity cost patients receiving maintenance incenter hemodialysis clinicaltrialsgov identifier nct03595748 7232018 national institutes diabetes digestive kidney disease niddk 5r18dk118471 funding study provided national institutes diabetes digestive kidney disease r18dk118471 ongoing study complete still collecting data observational followup participants related articles study submitted journal study sponsor funders role design analysis interpretation data content solely responsibility authors necessarily represent official views national institutes health