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Social Skills Training and Cognitive Restructuring for Adolescents on Hemodialysis

Childrens Hospital, Los Angeles

The purpose of this study was to test a social skills and cognitive restructuring intervention designed for adolescents undergoing hemodialysis. A single-case experimental design with multiple baselines across subjects was used. Cognitive restructuring and assertive skills training were incorporated into eight weekly instructional modules. A convenience sample of 6 adolescents entered the program; 3 subjects completed the program. Data were analyzed using visual analysis. Although no striking changes could be seen between pre- and post-intervention phases for self-efficacy and self-report of assertive behaviors, there was a trend toward growth in overall social skills for 2 subjects. Another subject made some obvious increases in all areas of self-efficacy in comparison to other subjects. This study points out the merit of identifying depression as factor in cognitive impairment and the exercise of personal efficacy.

Clinical Nursing Research, Vol. 2, No. 2, 188-211 (1993)
DOI: 10.1177/105477389300200208


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