Control
The control group received the current care for low QOL scores as dictated by HD unit policy. This included social work review of QOL scores and use of a template to report scores and suggestions back to patients. The control group also received educational sessions and materials without embedded CB-strategies. The control intervention was originally delivered by a social-worker, however, she left the institution and the control sessions were subsequently delivered by either a study social worker, dialysis tech or research assistant that was not involved in the delivery of the study intervention. They received the same amount of contact (eight, 20–30 minute sessions) with investigators as the intervention group.