Design and protocol for the Dialysis Optimal Health Program (DOHP) randomised controlled trial

Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are serious and growing health problems with enormous impact on psychological and social functioning. Despite high rates of comorbid depression and anxiety in these patient populations, and the adverse impact these have upon treatment adherence, quality of life, social connectedness and healthcare costs there has been little attention focused on the prevention or management of these problems. Thus, our aim was to evaluate the Dialysis Optimal Health Program (DOHP) that adopts a personcentred approach and engages collaborative therapy to educate and support those diagnosed with ESKD who are commencing dialysi