HED-Start: Evaluating a Positive Skills Intervention for Patients New on Haemodialysis

This study tests a wellbeing skills program for people who have just started kidney dialysis (hemodialysis) in Singapore. Starting dialysis is a major life change, and this program aims to help patients develop positive coping skills and improve their quality of life during this difficult adjustment period. **You may be eligible if...** - You have end-stage kidney disease and started hemodialysis with the National Kidney Foundation Singapore within the last 90 days - You are at least 21 years old - You can speak and read English or Mandarin **You may NOT be eligible if...** - You are unable or unwilling to give consent or be randomly assigned to a group - You have cognitive or psychiatric conditions that prevent participation - You are already in another intervention study - You are near end-of-life on a palliative care pathway Talk to your doctor to see if this trial is right for you.