The Effect of Mindfulness Compassionate Living Practice on Hemodialysis Patients

ConditionHemodialysis Patients

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-65

SponsorAtaturk University

About this trial

There are studies evaluating the effects of mindfulness-based practices on individuals receiving HD treatment. No studies have been found on how Mindfulness Compassionate Life application reduces stress, increases self-efficacy and quality of life in individuals receiving HD treatment. Considering the stress situations experienced by individuals receiving HD treatment, it is thought that the evidence-based effect of Mindfulness Compassionate Living application on individuals\' stress, self-efficacy and quality of life is important.

The population of the research will consist of 90 Hemodialysis patients who were treated in Bingöl State Hospital Dialysis Unit during the specified date range. Sample size of the research; Calculated using the GPower computer program. With the power analysis, it was calculated that at the α = 0.05 level, the effect size would be strong 150, 153 (d = 0.8) and the power of the study would be 90%, and that at least 68 patients should be included in the sample. Patients who meet the research criteria and agree to participate in the research will be randomly assigned to one experimental and one control group.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Being diagnosed with chronic renal failure

Being over 18 years of age,

Being willing to participate in the study

Being open to communication and collaboration

Disqualifiers

Having a diagnosis of acute renal failure,

Having a current hospital stay,

Lack of openness to communication and collaboration,

Trial design

Design model

Parallel

Treatments tested in this trial

1: How We Evolved - Threat, Impulse, and Soothing Systems
Behavioral
The practice of "Breath break with kindness" will be applied for 5 minutes. Afterwards, 15 minutes of information on threats, impulses and soothing systems, "A safe place" application for 11 minutes, "Courtesy meditation" for 10 minutes. After each application, 10 minutes of feedback will be received from the participants.
Session 2: Threat and Self-Compassion
Behavioral
The practice of "breathing with kindness" will be done for 7 minutes. The practice of "Building a compassionate relationship with resilience" will be held for 12 minutes, and the practice of "Kindness meditation: a benevolent" will take place for 11 minutes. "A hand over your heart" application will be made for 3 minutes and "A compassionate comrade" application will be done for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.
Session 3: Unraveling the Knots of Desire and Patterns Agenda
Behavioral
The practice of "breathing with kindness" will be done for 7 minutes. "Building a compassionate relationship with desire" 12 minutes, "Guided meditation to discover the inner pattern" 10 minutes and "Courtesy meditation: a good friend" 11 minutes. Except for the "breath break with kindness" application, 3 minutes of feedback will be received from the participants after each application
Session 4: Internalizing compassion
Behavioral
The "pretend-to-be" practice for the participants to observe themselves will be made for 10 minutes. The practice of "internalizing compassion" will be done for 7 minutes, "kindness meditation: a neutral person" practice for 10 minutes, and "kindness towards your body" for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.
Session 5: Me and others - Expanding the circle
Behavioral
The "a compassionate letter" practice with the participants will continue for 15 minutes. "meditation: the 'difficult' person" 8 minutes, "compassion and breathing: yourself" 10 minutes and "compassionate breathing: others" 7 minutes. A "compassionate break" application is performed for 7 minutes.
Session 6: Growing happiness
Behavioral
The practice of "Revisiting the good" is carried out for 10 minutes with the participants. "Forgive yourself", "wish for forgiveness", "forgive others", "gratitude" practices will be held for 5 minutes each and will take 20 minutes in total. "Courtesy meditation: groups and all beings" will be practiced for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.
Session 7: Weaving Wisdom and Compassion into Daily Life
Behavioral
Participants will be given 10 minutes to choose a day in their life and allow a few minutes to pause mindfully. The practice of "a breather for wise and compassionate action" is 10 minutes, the practice of "calmness meditation" is 8 minutes, and the practice of "sharing the joy meditation" is 8 minutes. After each application, 3 minutes of feedback will be received from the participants.
Session 8: Living with the Heart
Behavioral
The participants are told about the applications they can apply for, where they need help to develop compassion towards self-healing skills, and the entire training will be evaluated for 20 minutes. The "river of life" application is carried out for 20 minutes. 10 minutes of feedback will be received after the application.

Treatment groups

68 Participants

are divided into 8 treatment groups

Treatment groups

See each treatment group below.

Group A: Session 1: How We Evolved - Threat, Impulse, and Soothing SystemsExperimental treatment 1 intervention

Group B: Session 2: Threat and Self-CompassionExperimental treatment 1 intervention

Group C: Session 3: Unraveling the Knots of Desire and Patterns AgendaExperimental treatment 1 intervention

Group D: Session 4: Internalizing compassionExperimental treatment 1 intervention

Group E: Session 5: Me and others - Expanding the circleExperimental treatment 1 intervention

Group F: Session 6: Growing happinessExperimental treatment 1 intervention

Group G: : Session 7: Weaving Wisdom and Compassion into Daily LifeExperimental treatment 1 intervention

Group H: Session 8: Living with the HeartExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Introductory Information Form

The form consists of 14 questions containing information about the patient treated in the dialysis unit, created by the researcher within the scope of the literature. The created form includes questions regarding the patient's age, gender, educational status, marital status, number of children (if any), economic status and disease process.

Time frame

up to 1 day

Secondary outcomes

Perceived Stress Scale

It was developed by Cohen, Kamarck and Mermelste in 1983 to determine the perceived stress level of participants. The scale was adapted to Turkish by Bilge, Öğce, Genç and Oran (2007), and the Cronbach alpha value was found to be 0.82 in the reliability study. In the scale, some situations that include the feelings and thoughts that individuals may have experienced during the past month are given. Individuals marked the situation in each item by thinking about how much they lived during the last month. The scale is five-point Likert type. A high total score means a high level of perceived stress. In the reliability study of the scale, Cronbach's alpha value was found to be 0.86.

Time frame

up to 1 day

Other outcomes

Self-Efficacy Scale

Developed by Sherer and Madduks in 1982, ÖEYÖ was adapted into Turkish by Gözüm and Aksayan in 1999. ÖEYÖ is a 5-point Likert type self-assessment scale. The scale has 23 items and four subgroups, for each item; It is required to mark one of the options: 1."Does not describe me at all", 2."Describes me a little", 3."I am undecided", 4."Describes me well", 5."Describes me very well". A minimum of 23 and a maximum of 115 points can be obtained from the scale. A high total score from the scale indicates that the individual's perception of SEE is at a good level.

Time frame

up to 1 day

Quality of Life Index-Dialysis III Version

The Turkish validity and reliability study of the scale, which was developed by Ferrans and Powers in 1987, was conducted by Korkut in 2007. The Cronbach alpha reliability coefficient of the scale is 0.90 (20). The scale consists of two different sections expressing satisfaction and importance and each section consists of 34 items. With a total of 68 items and six-point Likert-type items, in the satisfaction section, from "very satisfied" to "very dissatisfied"; and in the importance part, the answers are given from "very important" to "very unimportant". Additionally, there are four sub-dimensions in each section: health and function, socio-economic, psychological-beliefs and family dimension.

Time frame

up to 1 day

Self-Compassion Scale Short Form

The Turkish validity and reliability of the scale developed by Neff (2003) was conducted by Yıldırım and Sarı in 2018. It has been confirmed that the scale has a structure consisting of 11 items, a single dimension, and two complementary components (positive component and negative component). The internal consistency coefficient of the scale was calculated as .75. PSQ-K is recommended to be used in studies that will use total scores to measure self-compassion.

Time frame

up to 1 day

Mindful Awareness Scale

It was developed by Brown and Ryan27 for the purpose of evaluating individuals' BF level. In the validity and reliability study of the scale conducted on a university sample in Turkey, the Cronbach alpha coefficient was found to be 0.80.28 The scale is a one-dimensional, six-point Likert type evaluation scale consisting of 15 questions. The minimum and maximum score that individuals can get from the scale is between 15 and 90. High scores indicate high BF level.

Time frame

up to 1 day

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ataturk University

Lead sponsor

Source ClinicalTrials.gov

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