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Development of a behavioural self-regulation intervention to improve employment, autonomy and self-esteem in ESRD patients.

Jansen, D., Heijmans, M., Rijken, M. Development of a behavioural self-regulation intervention to improve employment, autonomy and self-esteem in ESRD patients. Psychology & Health: 2008, 23(Suppl. 1), p. 153. Abstract: 22nd European Health Psychology Society (EHPS) Conference 'Behaviour, Health and Healthcare. From Physiology to Policy', 9-12 september 2008 in Bath.
Background: The aim was to develop a psychological intervention for ESRD patients and their partners aimed at maintaining/widening patients’ daily activities including work, and increasing patients’ autonomy and self-esteem. Methods: The intervention was based on self-regulation theory, social learning theory, selfdetermination theory and results of a cross-sectional study on the role of illness/treatment perceptions, and social support/overprotection in perceived autonomy, state self-esteem and employment in dialysis (N=166) and predialysis (N=109) patients. Spring 2008 the intervention was pilot tested for primarily feasibility in three dialysis centers. Findings: The empirical study showed that beliefs about personal and treatment control, the impact of the illness and treatment and overprotection are important determinants. These results as well as the components of the intervention and findings from the pilot study will be presented. Discussion: Focussing on patients’ beliefs, by means of an intervention, might contribute to a greater sense of autonomy, self-esteem, and social participation in general. (aut. ref.)