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. 2023 Aug 31;2023(8):CD013074. doi: 10.1002/14651858.CD013074.pub2

van der Borg 2016.

Study name Protocol of a mixed method, randomized controlled study to assess the efficacy of a psychosocial intervention to reduce fatigue in patients with End‐Stage Renal Disease (ESRD)
Methods Study design
  • RCT

  • Duration of follow‐up: 9 months

Participants Study characteristics
  • Country: the Netherlands

  • Setting: not reported

  • Inclusion criteria

    • Dialysis patients (either HD or PD at home, a hospital or a dialysis centre)

    • ≥ 18 years

    • Male or female experiencing (severe) fatigue (score CIS scale ≥ 35)

    • Being able to walk/move for at least 10 min with or without a supporting device such as a walking stick; having a sufficient understanding of the Dutch language in order to participate in counselling (group) interviews and fill out the questionnaires adequately

  • Exclusion criteria

    • Dialysis during the night (since it is assumed that patients on day dialysis experience more severe fatigue compared to patients on night dialysis)

    • Participation in other studies or treatments aimed at reducing fatigue

    • Treatment by a psychologist or psychiatrist (for severe psychiatric problems such as depression, psychosis, personality disorders or schizophrenia)

    • Alcohol or drug addiction

Interventions Intervention group
  • Psychosocial counselling sessions led by a social worker (8 modules) + usual treatment


Control group
  • Usual care


Co‐interventions
  • Not reported

Outcomes Planned outcomes
  • Fatigue severity

    • CIS‐fatigue questionnaire: assessed at baseline, post‐intervention/16 weeks, and at 3 and 6‐month follow‐up

  • Quality of life (kidney disease specific)

    • KDQOL: assessed at baseline, post‐intervention/16 weeks, and at 3 and 6‐month follow‐up

      • Coping style

      • Illness cognitions/perceptions

      • Catastrophizing thoughts

      • Depression

      • Social support

      • Overall perceptions

  • Implementation process

    • Interviews and focus groups (qualitative approach): assessed at baseline, post‐intervention/16 weeks, and at 3 and 6‐month follow‐up

  • Patients’ and social workers’ expectations and experiences

    • Interviews and focus groups (qualitative approach): assessed post‐intervention

  • Medical parameters: assessed at baseline, post‐intervention/16 weeks, and at 3 and 6‐month follow‐up

  • Adverse events: assessed post‐intervention

Starting date Not reported. Trial was registered on August 2015
Contact information Wieke E. van der Borg
Phone: not reported
Email: not reported
Notes The Netherlands National Trial Register (NTR): NTR5366. Funding: Dutch Kidney Foundation. Recruitment status: not reported