Long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in cardiac rehabilitation patients with poor motivation in Hong Kong: a randomized controlled trial
- 4 July 2013
- journal article
- research article
- Published by SAGE Publications in Clinical Rehabilitation
- Vol. 27 (12), 1107-1117
- https://doi.org/10.1177/0269215513490527
Abstract
Objective: To investigate the long-term effects of motivational interviewing on clinical outcomes, psychological outcomes, health-related quality of life among cardiac rehabilitation patients with poor motivation. Design: A randomized controlled trial with blind data collectors. Setting: Cardiac rehabilitation centre. Subjects: A total of 146 cardiac rehabilitation patients with poor motivation. Intervention: All participants received usual care, including exercise and education, while those in the experimental group also received 10 sessions of motivational interviewing, each lasting 30–45 minutes. Main measures: Clinical and psychological outcomes and health-related quality of life were assessed at baseline and at six, nine and 12 months for both groups. Result: There was no significant difference between the two groups at baseline on demographic and clinical outcomes except for monthly family income ( p = 0.034). Patients in the experimental group had higher increases in health-related quality of life (SF-36) scores in bodily pain (88.7 SD 16.7 vs. 87.6 SD 18.7 at month 12, p = 0.044) and role limitation owing to emotional problems (86.9 SD 19.2 vs. 78.6 SD 21.8 at month 9, p = 0.019; 85.8 SD 18.9 vs. 76.9 SD 23.9 at month 12, p = 0.022). No statistically significant group difference was found among other outcomes. Conclusion: The long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in studied patients is limited.Keywords
This publication has 15 references indexed in Scilit:
- Motivational interviewing: a useful approach to improving cardiovascular health?Journal of Clinical Nursing, 2011
- Motivational interviewing to change quality of life for people with chronic heart failure: A randomised controlled trialInternational Journal of Nursing Studies, 2008
- A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factorsPatient Education and Counseling, 2008
- Revisiting Confucianism as a Conceptual Framework for Asian Family StudyJournal of Family Nursing, 2007
- A Motivational Counseling Approach to Improving Heart Failure Self-CareJournal of Cardiovascular Nursing, 2006
- Motivational interviewing to promote physical activity for people with chronic heart failureJournal of Advanced Nursing, 2005
- IMPACT OF MOTIVATIONAL INTERVIEWING AND SKILLS-BASED COUNSELING ON OUTCOMES OF CARDIAC REHABILITATIONJournal of Cardiopulmonary Rehabilitation, 1997
- Social Desirability Bias and the Validity of Indirect QuestioningJournal of Consumer Research, 1993
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983