Pragmatic insights into a nurse-delivered motivational interviewing intervention in the outpatient cardiac rehabilitation setting
MetadataShow full item record
PURPOSE: Despite an increasing interest in motivational interviewing as a strategy to facilitate behavior change in people with cardiovascular disease, its use in cardiac rehabilitation (CR) appears minimal. Therefore, it is unclear whether the clinical method of motivational interviewing requires modification for the CR population, in which it could be argued that people are motivated and engaged. The purposes of this report are to describe processes in incorporating motivational interviewing in the CR setting and to discuss insights gained regarding the use of this intervention.METHODS: As part of a randomized controlled trial currently recruiting in the CR setting, patients allocated to the intervention group participate in 2 motivational interviewing sessions with a motivational interviewing-trained nurse. To ascertain treatment fidelity, this process review comprised 3 sources: (1) the extant literature on motivational interviewing, (2) reflections of the project team, and (3) data derived from audiotaped interviews.RESULTS: Key observations reflect that the motivational interviewing technique is well received, with patients appreciating the opportunity to "tell their story." Preliminary qualitative data revealed that patients rate "health" and "family" as their most important values, with many commenting on their recovery phase as a "second chance."CONCLUSIONS: This report demonstrates that motivational interviewing is potentially useful and has significant promise in the CR setting. Discussion of pragmatic considerations as well as outcome data should assist clinicians in implementing this model of intervention in the CR setting.
A link to the journal can be found at: http://www.jcrjournal.com/
Showing items related by title, author, creator and subject.
Improving health outcomes by preventing intensive care related infection in Malaysia Intensive Care Unit (INVEST study)Soh, Kim Lam (2012)Ventilator-associated pneumonia (VAP), catheter-related blood stream infection (CRBSI) and pressure ulcers (PU) are well recognized complications in intensive care units (ICUs). Many of these are preventable but can also ...
Hardcastle, Sarah; Taylor, A. (2014)Despite the compelling evidence of the health benefits of being physically active, few people are sufficiently active to benefit their health and there is a need to focus on effective interventions to increase motivation ...
An intervention to train group exercise class instructors to adopt a motivationally adaptive communication style: a quasi-experimental study protocolHancox, Jennie; Quested, Eleanor; Thogersen-Ntoumani, Cecilie; Ntoumanis, Nikos (2015)Introduction: According to self-determination theory (SDT), individuals in position of authority can have a powerful impact on the motivation of the individuals they instruct via the type of communication style they use. ...