Psychological and Exercise Intervention Training for Hemodialysis Patients: A Pilot Study
Bibliographic record
Abstract
Background: Patients with end stage kidney disease (ESKD) have a reduced health related quality of life (HRQoL). This pilot study examined the effect of a 6-month combined cognitive behavioral therapy (CBT) and muscle strength training program on hemodialysis patients. Methods: The outcomes of interest included HRQoL as measured by Short-Form 36 version 2 (SF-36v2), cardiac depression scale, self-efficacy score, 6-minute walk distance (6MWD), physical activity and muscle strengths. Twenty-seven patients were recruited for intervention, but only eight completed the study. Results: At baseline, participants who completed intervention (CI) had a higher role emotional score (P = 0.028), role physical score (P = 0.008) and self-efficacy score (P = 0.019), compared to the participants who dropped out (ID). At the end of intervention, CI had improvements in physical functioning scores (P = 0.040) and 6MWD (P = 0.018), whereas ID had a decline in their role emotional scores (P = 0.045). Conclusions: The result of this study suggests that a combined CBT and physical training intervention can benefit hemodialysis patients, but non-adherence to therapy is common. Self- efficacy could play an important role in therapy adherence in the ESKD population. World J Nephrol Urol. 2014;3(2):83-91 doi: http://dx.doi.org/10. 14740/ wjnu156w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".