Abstract: FR-PO1041
Beyond the Chair: Identifying the Psychosocial "Interest Gap" of In-Center Hemodialysis
Session Information
- Hemodialysis: Clinical Challenges, Patient-Centered Outcomes, and Quality of Life
October 23, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 801 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Eldaher, Mia E., Allegheny Health Network, Pittsburgh, Pennsylvania, United States
- Arora, Sonaya, Allegheny Health Network, Pittsburgh, Pennsylvania, United States
- Cetra, Carissa, Allegheny Health Network, Pittsburgh, Pennsylvania, United States
Background
Patients undergoing in-center hemodialysis (ICHD) treatments spend substantial weekly awake hours in dialysis units, often leading to depression, isolation, and reduced quality of life. This study aimed to identify the "interest gap"— the discrepancy between current and desired activities for ICHD patients.
Methods
A cross-sectional survey at five rural, suburban, and inner-city ICHD centers collected data on demographics, current activities, and interest in social and interactive programs. Statistical analysis identified trends.
Results
The cohort (N=127) was 62% male with 54% between the ages of 60-79, 81% non-working, 23% active on the transplant list. 29% of patients have been on dialysis between 3 to 5 years. While 93% of patients recognized dialysis as life-saving, 51% of patients reported frequent boredom during treatments. Boredom peaked in age range 50-59 (68%) and patients not on the transplant list (55%). Current activities on treatment are largely passive (watching tv [80%], napping [56%]). Data shows significant interest in social and interactive opportunities: speaking with volunteers (56%) and playing games (e.g. Bingo, 61%). Other desired activities included stationary exercise (23%) and virtual museum tours (13%). Female patients were more interested in social gaming than males (76% vs 55%). Age group 50-59 showed the highest demand for volunteer companionship (72%); however, willingness to interact with volunteers decreased with increased years on dialysis (<2 years 85% willingness vs >2 years 48% willingness).
Conclusion
These findings demonstrate a high prevalence of boredom and a strong desire for interactive opportunities among ICHD patients. This "interest gap" suggests that the current passive entertainment is insufficient, and patients are interested in participating in more engaging activities. Implementing low-cost, high-impact interventions would revolutionize the psychosocial environment of in-center dialysis units. Future studies are needed to assess if such interventions would improve patient outcomes or quality metrics.