{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:33Z","timestamp":1788815373874,"version":"build-2803163510"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Royal Adelaide Hospital Research Committee Clinical Project Grant","award":["My Ip 12879"],"award-info":[{"award-number":["My Ip 12879"]}]},{"name":"Health Services Charitable Gifts Board","award":["My IP 17519"],"award-info":[{"award-number":["My IP 17519"]}]},{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","award":["MyIP ref#12879"],"award-info":[{"award-number":["MyIP ref#12879"]}],"id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dialysis needle-related distress is prevalent among haemodialysis recipients, with no evidence-based solutions currently available, posing a challenge for both patients and dialysis staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the feasibility, acceptability and processes of a novel intervention to manage needle related distress in haemodialysis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The intervention incorporated (1) psychologist evaluation, (2) a self-managed online cognitive behavioural therapy (CBT) programme and (3) a nursing education programme, with pre- and post-intervention evaluations. The intervention was co-designed with patients, psychologists and dialysis nurses and delivered in a tertiary renal unit in South Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 39 patients referred to the intervention, 18 consented, and only 5 ultimately completed the programme. Barriers to recruitment included the impact of the COVID-19 pandemic, choice of screening tool for needle-fear, discrepancy between self-reported needle-related distress and the distress observed by dialysis nurses. Barriers to intervention delivery included challenges in sustaining patient engagement with the CBT programme due to substantial disease and treatment burden and maintaining nursing staff engagement in high-pressure dialysis environments. Patients who did complete the programme reported it was useful and demonstrated reduction in needle-related distress. The nurse education programme was completed by 133 nurses and was associated with self-reported improvements in knowledge about managing dialysis needle-related distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A self-managed CBT intervention for needle-related distress was challenging to implement in dialysis recipients and would not be suitable for progression to a full clinical trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261437914","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T09:52:04Z","timestamp":1777974724000},"page":"2212-2220","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Process evaluation of a pilot study of a self-managed, online cognitive behavioural therapy programme to address needle-related distress in haemodialysis recipients"],"prefix":"10.1177","volume":"27","author":[{"given":"Gorjana","family":"Radisic","sequence":"first","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"},{"name":"College of Health, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4704-4943","authenticated-orcid":false,"given":"Richard","family":"Le Leu","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"},{"name":"School of Psychology, College of Education, Behavioural and Social Sciences, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn L","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Psychology, College of Education, Behavioural and Social Sciences, Adelaide University, South Australia, Australia"},{"name":"Psychology Department, Royal Adelaide Hospital, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne L J","family":"Burke","sequence":"additional","affiliation":[{"name":"School of Psychology, College of Education, Behavioural and Social Sciences, Adelaide University, South Australia, Australia"},{"name":"Psychology Department, Royal Adelaide Hospital, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Chur-Hansen","sequence":"additional","affiliation":[{"name":"School of Psychology, College of Education, Behavioural and Social Sciences, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Duncanson","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), South Australian Health and Medical Research Institute, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1593-4722","authenticated-orcid":false,"given":"Kathy","family":"Hill","sequence":"additional","affiliation":[{"name":"College of Health, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Macauley","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"McDonald","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"},{"name":"College of Health, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpanjali","family":"Jesudason","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia"},{"name":"College of Health, Adelaide University, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13818"},{"key":"e_1_3_2_3_2","first-page":"172","article-title":"Fear of needles\u2014nature and prevalence in general practice","volume":"38","author":"Wright S","year":"2009","unstructured":"Wright S, Yelland M, Heathcote K, et al. Fear of needles\u2014nature and prevalence in general practice. Aust Fam Physician 2009; 38: 172\u2013176.","journal-title":"Aust Fam Physician"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12752"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2003.50047"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00798.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.229270"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr055"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819869093"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820954717"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0253048"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2013.12039.x"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2023.09.011"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12483"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012111134"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.92.3.276"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-018-9984-x"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-00989-2"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-3-201302050-00583"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-016-0105-8"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013537"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.37526\/1526-744X.2023.50.5.423"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfaa044"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2008.01.024"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12634"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-023-01603-1"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2023.02.1077"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12703"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13576"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2023.2172442"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10840922"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261437914","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298261437914","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261437914","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:49:16Z","timestamp":1788814156000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298261437914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,5]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/11297298261437914"],"URL":"https:\/\/doi.org\/10.1177\/11297298261437914","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,5]]}}}