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. 2022 Dec 6;2022(12):CD012026. doi: 10.1002/14651858.CD012026.pub2

Tucker 1989.

Study characteristics
Methods Study design
  • Parallel RCT


Duration of study
  • Not reported


Duration of follow‐up
  • 18 weeks

Participants General information
  • Setting: single centre

  • Country: USA

  • Inclusion criteria: average inter‐dialysis fluid weight gain in last 3 months ≥ 4 pounds

  • Exclusion criteria: not reported


Baseline characteristics
  • Number: intervention group 1 (26); intervention group 2 (26); intervention group 3 (26); control group (25)

  • Mean age ± SD: 53.4 ± 14.7 years

  • Sex (M/F): 44/59

  • Stage of CKD: ESKD on HD

Interventions Intervention type
  • Self‐management individual versus control


Intervention group 1
  • Self‐monitoring, nurse praise, monetary rewards and self‐reinforcement


Intervention group 2
  • Self‐monitoring, nurse praise, monetary rewards and self‐reinforcement

  • Behavioural control technique


Intervention group 3
  • Self‐monitoring, nurse praise, monetary rewards and self‐reinforcement

  • Behavioural control technique

  • Family support


Control group
  • Usual care

Outcomes Potassium
Daily fluid gain
Social support scale
Compliance
Notes Conflict of interest
  • Not reported


Funding source
  • "Supported by grant DK35280‐02 from the National Institutes of Health"


Other information
  • Not requested

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised block procedure
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded. No mention of whether staff blinded
Nursing staff giving intervention could not have been blinded
Blinding of outcome assessment (detection bias)
Subjective outcomes High risk Self reported fluid intake
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk Medical record data for IDWG
Incomplete outcome data (attrition bias)
All outcomes Unclear risk No mention of loss to follow‐up
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Unclear risk Monetary gifts, short follow‐up period