Mindfulness-based stress reduction Intervention for improving Nutritional status and Depression Study

Depression is the most common psychological problem in patients undergoing dialysis. My DreamRCT is a multi-center, randomized controlled trial to study the effect mindfulness-based stress reduction (MBSR) on nutritional status and depression in end-stage renal disease (ESRD) patients on hemodialysis. 

Patients on dialysis with depression will be randomized 1:1 to usual care versus usual care plus MBSR. Nutritional and depression assessment will be done at 3, 6 and 12 months.  

Outcome measures: • Quality of life • Hospitalization(related primarily to depression or to a medical problem) • Suicides or suicide attempts • Compliance with hemodialysis treatment • Number of withdrawals from dialysis treatment • Number of withdrawals from the treatment intervention • Adverse events potentially attributable to the intervention or control treatment • All-cause mortality