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Wong and colleagues address a very important area of adherence to treatment in end-stage renal failure. They have developed a disease management programme of weekly telephone contacts for 6 weeks to improve adherence to diet, fluid and medication regimes. The first and last contacts are with specialist nurses and the intervening ones with trained general nurses who used standardised pro formas and questionnaires. They also discuss health goals and reinforce positive health behaviour.
The programme has been evaluated using a randomised controlled trial involving all patients attending the follow-up clinics at two centres in Hong Kong. The sample size was achieved, and the study was blinded as far as possible.
The outcome measures were a combination of physical and psychological parameters as …