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Updated: Feb 17, 2026

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
Published on: September 11, 2021
Using Problem-solving Therapy to Improve Problem-solving Orientation, Problem-solving Skills and Quality of Life in
Shiloh D Erdley-Kass1, Darrin S Kass2, Zvi D Gellis3
1a Department of Sociology, Social Work and Criminal Justice , Bloomsburg University , Bloomsburg , Pennsylvania , USA.
Objectives:
To determine the effectiveness of Problem-Solving Therapy (PST) in older hemodialysis (HD) patients by assessing changes in health-related quality of life and problem-solving skills.
Methods:
33 HD patients in an outpatient hemodialysis center without active medical and psychiatric illness were enrolled. The intervention group (n = 15) received PST from a licensed social worker for 6 weeks, whereas the control group (n = 18) received usual care treatment.
Results:
In comparison to the control group, patients receiving PST intervention reported improved perceptions of mental health, were more likely to view their problems with a positive orientation and were more likely to use functional problem-solving methods. Furthermore, this group was also more likely to view their overall health, activity limits, social activities and ability to accomplish desired tasks with a more positive mindset.
Conclusions:
The results demonstrate that PST may positively impact mental health components of quality of life and problem-solving coping among older HD patients.
Clinical Implications:
PST is an effective, efficient, and easy to implement intervention that can benefit problem-solving abilities and mental health-related quality of life in older HD patients. In turn, this will help patients manage their daily living activities related to their medical condition and reduce daily stressors.
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