title: Effect of a self-efficacy promotion training programme on the body weight changes in patients undergoing haemodialysis.
abstract: BACKGROUND
  Haemodialysis is the most common form of medical management of patients affected by end-stage renal disease (ESRD). For haemodialysis to be successful, strict fluid and weight control is recommended. Education, in terms of self-care activities, is an important intervention for improving patients' outcomes. A self-efficacy promotion training programme can be an effective strategy to bring about behavioural change. The aim of this study was to investigate the effect of a self-efficacy promotion training programme on the body weight changes in patients undergoing haemodialysis.
  
  
  METHODS
  In this single-blind quasi-experimental study, we recruited a convenience sample of 63 patients undergoing haemodialy-sis from two teaching hospitals and allocated them randomly to the experimental or control group. Patients in the experimental group received a six-session self-efficacy promotion training programme while the control group received the routine care of the institute. Mean body weight gain and self-efficacy were measured before, immediately and two months after the study.
  
  
  RESULTS
  The groups did not differ significantly regarding the study variable before the study. However, immediately and two months after the study, the mean body weight gain and self-efficacy in the experimental group were significantly lower and higher, respectively, than the control group (p < 0.05).
  
  
  CONCLUSIONS
  Implementing a self-efficacy promotion training programme is effective in decreasing weight gain and increasing self-efficacy in patients undergoing haemodialysis. Nurses in haemodialysis units can use self-efficacy promotion training programmes as an effective intervention for improving patients' outcomes.
authors.affiliation: Medical and Surgical Nursing Department, Tehran University of Medical Sciences, Tehran, Iran. aliasgha@sina.tums.ac.ir
authors.forename: Mansooreh
authors.initials: M
authors.lastname: Aliasgharpour
authors.forename: Maryam
authors.initials: M
authors.lastname: Shomali
authors.forename: Masoumeh Zakeri
authors.initials: MZ
authors.lastname: Moghaddam
authors.forename: Sograt
authors.initials: S
authors.lastname: Faghihzadeh
mesh_terms: D000368:Aged; D001835:Body Weight; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D006435:Renal Dialysis; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D016037:Single-Blind Method; D015430:Weight Gain