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

Chair, Sek Ying, Chan, Sally Wai-Chi, Thompson, David R., Leung, Kei-Pui, Ng, Samuel Ka-Chiu and Choi, Kai Chow (2013) 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. Clinical Rehabilitation, 27 12: 1107-1117. doi:10.1177/0269215513490527

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Author Chair, Sek Ying
Chan, Sally Wai-Chi
Thompson, David R.
Leung, Kei-Pui
Ng, Samuel Ka-Chiu
Choi, Kai Chow
Title 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
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
1477-0873
Publication date 2013-12
Year available 2013
Sub-type Article (original research)
DOI 10.1177/0269215513490527
Open Access Status
Volume 27
Issue 12
Start page 1107
End page 1117
Total pages 11
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2014
Language eng
Formatted 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.

Keyword Quality of life
Cardiac rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 10 Jul 2013, 14:45:20 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work