TANAFFOS (Respiration)

TANAFFOS (Respiration)

Effects of Motivational Interviewing on Treatment Adherence among Patients with Chronic Obstructive Pulmonary Disease: a Randomized Controlled Clinical Trial

Authors
Hamid Naderloo 1
Zohre Vafadar 2
Alireza Eslaminejad 3
Abbas Ebadi 4
1 Department of Critical Care Nursing, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran,
2 Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran,
3 Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran,
4 Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Abstract
Background: Treatment non-adherence is a leading cause of rehospitalization among patients with chronic obstructive pulmonary disease. Motivational interviewing is a client-centered participatory counseling strategy which enhances motivation for change. The aim of this study was to examine the effects of motivational interviewing on treatment adherence among patients with chronic obstructive pulmonary disease. Materials and Methods: This randomized controlled clinical trial was done on 54 hospitalized patients using a two-group repeated measures design. Patients in the intervention group (n=27) received motivational interviewing and lifestyle-related educations, while their counterparts in the comparison group (n=27) solely received lifestyle-related educations. Treatment adherence was measured before, one month, and two months after the intervention. Results: At baseline, there was no significant difference between the groups regarding treatment adherence (P>0.05); however, one and two months after the intervention, between-group differences regarding treatment adherence were statistically significant (p <0.05). Conclusion: Motivational interviewing promotes treatment adherence among patients with chronic obstructive pulmonary disease.
Keywords
Treatment adherence
Motivational interviewing
Chronic obstructive pulmonary disease
TANAFFOS (Respiration)
Volume 17, Issue 4 - Serial Number 4
Autumn 2018
Pages 241-249