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Table 1 Items from social worker assessments used to define psychosocial factors

From: Association of social worker-assessed psychosocial factors with 30-day hospital readmissions among hemodialysis patients

Psychosocial factors Question/item Possible responses
Mental health domain
History of substance abuse Has the patient ever had a history of substance abuse? • No
• Yes
Depression or anxiety Are there signs/symptoms present for depression or anxiety problems? • No
• Yes
Social support domain
Relationship status What is the patient’s relationship status? • Domestic partner
• Married
• Divorced
• Single
• Widowed
• Separated
Living alone With whom does the patient live? • Lives alone
• Lives with parents
• Spouse
• Children
• Significant other
• Friend
• Relative
• Other
Frequency of social support What is the level of involvement of family and friend on a regular basis? • Daily
• Weekly
• Monthly
• Less frequently than monthly
Independence domain
Impaired memory Does the patient appear to have a problem with the following? Short term memory
• No
• Yes
Long term memory
• No
• Yes
Current employment Current employment? • Employed full-time
• Employed part-time
• Retired
• Medical leave of absence
• Unemployed-by choice
• Unemployed disabled
• Unemployed-looking for work
• Other
Mobility impairment Ambulatory assistance? • None
• Cane/crutch
• Walker or
• Manual wheelchair
• Electric wheelchair
• Limb prosthesis
Type of housing Living status? • Home
• Condo
• Mobile home
• Apartment
• Rents house
• Assisted living
• Homeless
• Public housing shelter
• Long term care facility(SNF)
• Acute rehabilitation center
• Correctional facility
• Adult family home
• Adult group home
Ease of adherence domain
Coming to dialysis Over the past month, how easy or difficult has it been for you to come to each hemodialysis treatment? • N/A
• Very easy
• Somewhat easy
• Neither easy nor difficult
• Somewhat difficult
• Very difficult
Completing dialysis sessions Over the past month, how easy or difficult has it been for you to complete the full-prescribed hemodialysis treatment time? • N/A
• Very easy
• Somewhat easy
• Neither easy nor difficult
• Somewhat difficult
• Very difficult
Taking medications Over the past month, how easy or difficult has it been for you to take medications as prescribed? • N/A
• Very easy
• Somewhat easy
• Neither easy nor difficult
• Somewhat difficult
• Very difficult
Adhering to dietary restrictions Over the past month, how easy or difficult has it been for you to follow dietary restrictions? • N/A
• Very easy
• Somewhat easy
• Neither easy nor difficult
• Somewhat difficult
• Very difficult
Adhering to fluid restrictions Over the past month, how easy or difficult has it been for you to follow fluid restrictions? • N/A
• Very easy
• Somewhat easy
• Neither easy nor difficult
• Somewhat difficult
• Very difficult
  1. N/A Not applicable