Randomized Controlled Trial of Motivational Interviewing to Improve Medication Adherence of Heart Failure Patients in Mainland China: A Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/335430
Category:
Full-text
Type:
Presentation
Title:
Randomized Controlled Trial of Motivational Interviewing to Improve Medication Adherence of Heart Failure Patients in Mainland China: A Pilot Study
Other Titles:
Global Nursing Research: Medication Related Randomized Controlled Trials
Author(s):
Meng, Jing
Lead Author STTI Affiliation:
Non-member
Author Details:
Jing Meng, mengjingw@hotmail.com
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: To evaluate the effects of motivational interview for improving heart failure patients' (1) beliefs about medication, (2) adherence confidence and motivation, (3) medication adherence. Methods: Purposive sampling was used to recruit 120 inpatients who were in Fuwai cardiovascular diseases hospital in Beijing and randomly assigned to an intervention group (IG) or control group (CG). Patients from the IG received 60~80min one to one motivational interview on the basis of routine care and a handbook of heart failure and medication usage. Data on beliefs about medication, adherence confidence and motivation, and medication adherence behavior were collected at baseline, before discharge by interview, one and three months after discharge by phone. The effects of motivational interview were assessed by testing changes in the medication adherence beliefs about medication, adherence confidence and motivation ratings over time using repeated measures ANOVAs and by comparing the ratings of IG to that of CG using t test or X-2 test. Results: 97 patients (49 from IG, 48 from CG) completed data collection three months after discharge. The results were (1) Compared to baseline, medication adherence of IG had significant improvement one and three months after discharge (P < 0.017); Compared to that of control group, the medication adherence of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). (2) Compared to baseline, beliefs about medication of IG had significant improvement one and three months after discharge (P < 0.008); Compared to that of control group, the beliefs about medication of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). (3) Compared to baseline, motivation and confidence of adherence of IG had significant improvement one and three months after discharge (P < 0.008); Compared to that of control group, motivation and confidence of medication adherence of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). Conclusion: It is necessary to have one to one motivational interview among heart failure patients, which can improve beliefs about medication, adherence confidence and motivation, and medication adherence three month after discharge. Conclusion: Motivational interview is useful to improve patients' medication adherence and could be used in clinical practice.
Keywords:
Heart failure; Adherence; Motivational interviewing
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14G10
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleRandomized Controlled Trial of Motivational Interviewing to Improve Medication Adherence of Heart Failure Patients in Mainland China: A Pilot Studyen
dc.title.alternativeGlobal Nursing Research: Medication Related Randomized Controlled Trialsen
dc.contributor.authorMeng, Jingen
dc.contributor.departmentNon-memberen
dc.author.detailsJing Meng, mengjingw@hotmail.comen
dc.identifier.urihttp://hdl.handle.net/10755/335430-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: To evaluate the effects of motivational interview for improving heart failure patients' (1) beliefs about medication, (2) adherence confidence and motivation, (3) medication adherence. Methods: Purposive sampling was used to recruit 120 inpatients who were in Fuwai cardiovascular diseases hospital in Beijing and randomly assigned to an intervention group (IG) or control group (CG). Patients from the IG received 60~80min one to one motivational interview on the basis of routine care and a handbook of heart failure and medication usage. Data on beliefs about medication, adherence confidence and motivation, and medication adherence behavior were collected at baseline, before discharge by interview, one and three months after discharge by phone. The effects of motivational interview were assessed by testing changes in the medication adherence beliefs about medication, adherence confidence and motivation ratings over time using repeated measures ANOVAs and by comparing the ratings of IG to that of CG using t test or X-2 test. Results: 97 patients (49 from IG, 48 from CG) completed data collection three months after discharge. The results were (1) Compared to baseline, medication adherence of IG had significant improvement one and three months after discharge (P < 0.017); Compared to that of control group, the medication adherence of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). (2) Compared to baseline, beliefs about medication of IG had significant improvement one and three months after discharge (P < 0.008); Compared to that of control group, the beliefs about medication of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). (3) Compared to baseline, motivation and confidence of adherence of IG had significant improvement one and three months after discharge (P < 0.008); Compared to that of control group, motivation and confidence of medication adherence of IG had significantly higher score at discharge, one and three months after discharge (P < 0.05). Conclusion: It is necessary to have one to one motivational interview among heart failure patients, which can improve beliefs about medication, adherence confidence and motivation, and medication adherence three month after discharge. Conclusion: Motivational interview is useful to improve patients' medication adherence and could be used in clinical practice.en
dc.subjectHeart failureen
dc.subjectAdherenceen
dc.subjectMotivational interviewingen
dc.date.available2014-11-17T13:52:17Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:52:17Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.