{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:32:25Z","timestamp":1777505545084,"version":"3.51.4"},"reference-count":56,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Kidney Health Dis"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Depression and anxiety are commonly reported (40% and 11%-52%) among adults receiving dialysis, compared with ~10% among all Canadians. Mental health in dialysis care is underrecognized and undertreated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>(1) To describe preferences for mental health support reported by Albertans receiving dialysis; (2) to compare depression, anxiety, and quality-of-life (QOL) domains for people who would or would not engage in support for mental health; and (3) to explore sociodemographic, mental health, and QOL domains that explain whether people would or would not engage in support for mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Alberta, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Adults receiving all modalities of dialysis (N = 2972).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>An online survey with questions about preferences for mental health support and patient-reported outcome measures (Patient Health Questionnaire\u20139 [PHQ-9], Generalized Anxiety Disorder\u20137 [GAD-7], and Kidney Disease QOL Instrument\u201336 [KDQOL-36]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To address objectives 1 and 2, we conducted chi-square tests (for discrete variables) and t tests (for continuous variables) to compare the distributions of the above measures for two groups: Albertans receiving dialysis who would engage or would not engage in support for mental health. We subsequently conducted a series of binary logistic regressions guided by the purposeful variable selection approach to identify a subset of the most relevant explanatory variables for determining whether or not people are more likely to engage in support for mental health (objective 3). To further explain differences between the two groups, we analyzed open-text comments following a summative content analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 384 respondents, 72 did not provide a dialysis modality or answer the PHQ-9. The final data set included responses from 312 participants. Of these, 59.6% would consider engaging in support, including discussing medication with a family doctor (72.1%) or nephrologist (62.9%), peer support groups (64.9%), and talk therapy (60%). Phone was slightly favored (73%) over in person at dialysis (67.6%), outpatient (67.2%), or video (59.4%). Moderate to severe depressive symptoms (PHQ-9 score \u226510) was reported by 33.4%, and most respondents (63.9%) reported minimal anxiety symptoms; 36.1% reported mild to severe anxiety symptoms (GAD-7 score \u22655). The mean (SD) PHQ-9 score was 8.9 (6.4) for those who would engage in support, and lower at 5.8 (4.8) for those who would not. The mean (SD) GAD-7 score was 5.2 (5.6) for those who would engage in support and 2.8 (4.1) for those who would not. In the final logistic regression model, people who were unable to work had 2 times the odds of engaging in support than people who are able to work. People were also more likely to engage in support if they had been on dialysis for fewer years and had lower (worse) mental health scores (odds ratios = 1.06 and 1.38, respectively). The final model explained 15.5% (Nagelkerke R\n                      <jats:sup>2<\/jats:sup>\n                      ) of the variance and with 66.6% correct classification. We analyzed 146 comments in response to the question, \u201cIs there anything else you like to tell us.\u201d The top 2 categories for both groups were QOL and impact of dialysis environment. The third category differed: those who would engage wrote about support, whereas those who would not engage wrote about \u201cdialysis is the least of my worries.\u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>A low response rate of 12.9% limits representativeness; people who chose not to participate may have different experiences of mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Incorporating patients\u2019 preferences and willingness to engage in support for mental health will inform future visioning for person-centered mental health care in dialysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20543581221118436","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T08:47:35Z","timestamp":1661244455000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["How Are Albertans \u201cAdjusting to and Coping With\u201d Dialysis? A Cross-Sectional Survey"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-3416","authenticated-orcid":false,"given":"Kara","family":"Schick-Makaroff","sequence":"first","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Berendonk","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Overwater","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-1294","authenticated-orcid":false,"given":"Laura","family":"Streith","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loretta","family":"Lee","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Escoto","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Cukor","sequence":"additional","affiliation":[{"name":"Rogosin Institute, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Klarenbach","sequence":"additional","affiliation":[{"name":"Faculty of Medicine & Dentistry, Division of Nephrology, University of Alberta, Edmonton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8042-190X","authenticated-orcid":false,"given":"Richard","family":"Sawatzky","sequence":"additional","affiliation":[{"name":"School of Nursing, Trinity Western University, Langley, BC, Canada"},{"name":"Centre for Health Evaluation & Outcome Sciences, St. Paul\u2019s Hospital, Vancouver, Canada"},{"name":"Sahlgrenska Academy, University of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,8,23]]},"reference":[{"key":"bibr1-20543581221118436","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2006.10.001"},{"key":"bibr2-20543581221118436","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.77"},{"key":"bibr3-20543581221118436","volume-title":"Mental and substance use disorders in Canada","author":"Pearson C","year":"2013"},{"issue":"1","key":"bibr4-20543581221118436","volume":"29","author":"Schick-Makaroff K","year":"2020","journal-title":"Qual Life Res"},{"key":"bibr5-20543581221118436","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01840220"},{"issue":"1","key":"bibr6-20543581221118436","first-page":"1","volume":"9","author":"Fernandez L","year":"2022","journal-title":"Can J Kidney Health Dis"},{"key":"bibr7-20543581221118436","doi-asserted-by":"publisher","DOI":"10.1177\/2054358120953284"},{"key":"bibr8-20543581221118436","unstructured":"Canadian Institute for Health Information. Annual statistics on organ replacement in Canada. Dialysis, Transplantation and Donation,2010 to 2019.https:\/\/www.cihi.ca\/sites\/default\/files\/document\/corr-snapshot-2019-en.pdf. Published 2020. 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Unplugging while plugged in\u2014a peer to peer exploration of the impacts of dialysis on the mental wellness of patients with chronic kidney disease. 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Kidney Foundation supported research: Tailoring a pathway for mental health care for Albertans on dialysis. https:\/\/kidney.ca\/Research\/Supported-Research\/ABS\/Tailoring-a-Pathway-for-Mental-Health-Care-for-Alb. Published 2022. Accessed January 25, 2022."},{"key":"bibr55-20543581221118436","first-page":"1","author":"Feldthusen C","journal-title":"Health Expectations"},{"key":"bibr56-20543581221118436","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10380818"}],"container-title":["Canadian Journal of Kidney Health and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20543581221118436","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20543581221118436","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20543581221118436","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:24:22Z","timestamp":1777389862000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20543581221118436"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":56,"alternative-id":["10.1177\/20543581221118436"],"URL":"https:\/\/doi.org\/10.1177\/20543581221118436","relation":{},"ISSN":["2054-3581","2054-3581"],"issn-type":[{"value":"2054-3581","type":"print"},{"value":"2054-3581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"20543581221118436"}}