Evidence map›Paper›PMID 41023004›Full record

Trial reportScientific reports2025

Pharmacist-led behavioral change intervention improves adherence and clinical outcomes among hemodialysis patients.

Thuraya Safaa Ansaf, Fadya Yaqoob Al-Hamadani, Sarah Brown, Delyth H James

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06744738 (Pharmacist-led Intervention on Hemodialysis Patients' Therapy Adherence), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06744738 nacompletednot on this map

Pharmacist-led Intervention on Hemodialysis Patients' Therapy Adherence

TypeinterventionalSponsorThuraya Safaa IbrahimRan2024 to 2024Enrolled72ConditionsHemodialysis, End Stage Renal Disease Requiring HemodialysisArmsPharmacist led behavioral change technique
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Thuraya Safaa AnsafDepartment of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq. thuraya.safaa2200m@copharm.uobaghdad.edu.iq.ORCID https://orcid.org/0009-0008-0742-0274
Fadya Yaqoob Al-HamadaniDepartment of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq.
Sarah BrownDepartment of Applied Psychology, Cardiff School of Health Sciences, Cardiff Metropolitan University, Llandaff Campus, 200 Western Avenue, Cardiff, Wales, CF5 2YB, UK.
Delyth H JamesSchool of Medicine, Swansea University, Cardiff, Wales, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving adherence enhances therapeutic outcomes in hemodialysis patients; several approaches, including behavioral interventions, were utilized to improve adherence. Examine the effect of a pharmacist-led behavioral change technique (PL-BCT) intervention on hemodialysis patients' adherence to their complex therapeutic regimen and physical indices. Parallel-group, cluster-randomized, controlled trial, in which the patients were divided into usual care and PL-BCT groups. The intervention was developed based on the Behavior Change Technique Taxonomy (v1). Adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ). After one month of intervention, the PL-BCT significantly increased the total adherence score compared to usual care (950.0 vs. 825.0). Good adherence rate was higher in the PL-BCT group (42.1% vs. 14.7%). The serum phosphate level (5.83 ± 0.90 vs. 5.84 ± 1.04 mEq/L) and interdialytic weight gain (2.0 vs. 2.9 kg) significantly declined in the PL-BCT compared to usual care. In the unadjusted analysis of the relationship between the intervention of good adherence, there was a 4.592-fold increase in the odds of achieving good adherence in the PL-BCT group compared to usual care OR (95%CI): 4.592 (1.662-12.686), p-value = 0.003; this strong association was maintained in the multivariate analysis. The findings of this study suggest that BCTs support adherence among hemodialysis patients and improve certain clinical indices.Trial Registration The clinical trial registration number is NCT06744738, and the registration date is December 20, 2024.

Indexed as

Behavior TherapyKidney Failure, ChronicPatient CompliancePharmacistsRenal DialysisAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTreatment OutcomeAdherenceBehavior therapyChronic renal insufficiencyHemodialysis

Identifiers

PMID41023004
PMCPMC12480847

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.