Health Coaching for Self-Management in Maintenance Hemodialysis Patients

NCT07685626 | Active Not Recruiting

• 1 other identifier: AHMU-HC-MHD-2026
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a quasi-experimental study designed to evaluate the effects of a health coaching intervention on self-management ability in patients undergoing maintenance hemodialysis. Patients receiving maintenance hemodialysis will be recruited from the hemodialysis center of the study hospital. Participants in the intervention group will receive a structured health coaching intervention in addition to routine care, while participants in the control group will receive routine care. The intervention aims to improve patients' self-management ability by providing individualized health education, goal setting, self-management guidance, follow-up support, and feedback. The main outcome of this study is self-management ability. Secondary outcomes may include self-efficacy, disease knowledge, and treatment adherence.

Conditions

Maintenance Hemodialysis (MHD); End-Stage Kidney Disease (ESKD)

Keywords

Maintenance Hemodialysis; Health Coaching; Self-Management; Self-Efficacy; Nursing Intervention

Outcome Measures

Primary Outcomes (1)

• Self-Management Ability

  Self-management ability will be assessed using the Maintenance Hemodialysis Self-Management Scale at baseline, 3 months after the intervention, and 6 months after the intervention. The scale consists of 20 items and includes four dimensions: problem solving, self-care, partnership, and emotional management. Each item is scored on a 4-point Likert scale, ranging from 1 to 4. The total score ranges from 20 to 80, with higher scores indicating better self-management behavior. Changes in self-management ability across the three time points will be evaluated.

  Baseline, 3 months after the intervention, and 6 months after the intervention

Secondary Outcomes (3)

• Disease Knowledge

  Baseline, 3 months after the intervention, and 6 months after the intervention

• Self-Efficacy

  Baseline, 3 months after the intervention, and 6 months after the intervention

• Treatment Adherence

  Baseline, 3 months after the intervention, and 6 months after the intervention

Study Arms (2)

Health Coaching Group

EXPERIMENTAL

Participants in this group will receive routine treatment and nursing care plus a structured 6-month health coaching intervention. The intervention will be delivered through face-to-face communication during dialysis and follow-up support via a WeChat group. It will follow eight steps: contact, observation, education, reinforcement, clarification, assistance, encouragement, and guidance. The main components include individualized assessment and establishment of electronic health records, hemodialysis-related health education, knowledge reinforcement using the teach-back method, individualized goal setting and action planning, health diary recording, family support, feedback on goal achievement, behavioral encouragement, emotional support, and long-term self-management guidance throughout the 6-month intervention period.

Behavioral: Health Coaching; Other: Routine Care

Routine Care Group

ACTIVE COMPARATOR

Participants in this group will receive routine treatment and nursing care provided by the hemodialysis center during the 6-month study period. Routine care includes regular maintenance hemodialysis, routine nursing assessment, basic health education, dietary and fluid management guidance, vascular access care guidance, medication guidance, and answers to patients' health-related questions as needed. Participants in this group will not receive the structured health coaching intervention.

Other: Routine Care

Interventions

Health Coaching BEHAVIORAL

The health coaching intervention is a structured 6-month behavioral intervention delivered in addition to routine treatment and nursing care. It includes face-to-face communication during dialysis and follow-up support via a WeChat group. The intervention follows eight steps: contact, observation, education, reinforcement, clarification, assistance, encouragement, and guidance. Main components include individualized assessment, hemodialysis-related health education, teach-back-based knowledge reinforcement, individualized goal setting, action planning, health diary recording, family support, feedback on goal achievement, behavioral encouragement, emotional support, and long-term self-management guidance.

Health Coaching Group

Routine Care OTHER

Routine care includes regular maintenance hemodialysis, routine treatment and nursing care, basic health education, dietary and fluid management guidance, vascular access care guidance, medication guidance, and answers to patients' health-related questions as needed during the 6-month study period.

Health Coaching Group; Routine Care Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged ≥18 years who met the diagnostic criteria for ESRD according to the KDIGO 2012 Clinical Practice Guideline, namely a glomerular filtration rate of less than 15 mL/min/1.73 m².
• Patients who have received regular maintenance hemodialysis for at least 3 months, with a dialysis frequency of three times per week.
• Patients with a relatively stable clinical condition and no severe complications that may affect participation in the study.
• Patients who are conscious, have normal communication ability, and are able to cooperate in completing the study procedures and questionnaires.
• Patients who have no plan to change dialysis centers or travel for an extended period during the intervention period.
• Patients who voluntarily agree to participate in this study and provide informed consent.

You may not qualify if:

• Patients with severe cognitive impairment, mental disorder, or communication difficulties that prevent participation in the intervention or completion of questionnaires.
• Patients with severe acute illness or unstable clinical condition.
• Patients who are unable or unwilling to complete the 6-month intervention or follow-up.
• Patients participating in another similar intervention study during the same period.

Sponsors & Collaborators

• Anhui Medical University: lead

Study Sites (1)

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, 230601, China

Location

MeSH Terms

Conditions

Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency, Chronic; Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Graduate Student

Model Details: Participants will be assigned to either the health coaching group or the routine care group according to the quasi-experimental study design. The health coaching group will receive a structured health coaching intervention in addition to routine care, while the routine care group will receive routine care only.

Study Record Dates

• First Submitted: June 29, 2026
• First Posted: July 6, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): August 31, 2026
• Study Completion (Estimated): August 31, 2026
• Last Updated: July 6, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)