Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: a randomized controlled trial

Abstract

Background: Depression is a major risk factor for the morbidity and mortality of cardiovascular disease. A transtheoretical model-based intervention and motivational interviewing have been used to change health risk behaviors and have demonstrated positive effects. To our knowledge, no studies of patients with coronary heart disease (CHD) have used a transtheoretical model-based intervention and motivational interviewing as an intervention to provide dynamic education. Therefore, this study aimed to determine the effects of the transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with CHD. Method: A randomized controlled trial was designed. A total of 110 participants were randomly divided into an intervention group (n = 55) and a control group (n = 55). The Hamilton Rating Scale for Depression and the Depression Prevention & Management Survey items (stages of change, perceived benefits, perceived barriers, process of change and self-efficacy) were used to collect data at all time points. Analysis of covariance, chi-square test and repeated measures analysis of variance were used to analyze the data. Results: After the intervention, there were more positive changes in stages of change, higher scores for the cognitive and behavioral levels, the perceived benefits, and self-efficacy, and lower perceived barriers and depression in the intervention group than in the control group. Finally, there were statistically significant differences in the depression scores at different time points in the intervention group (F = 17.814, p = 0.000 < 0.01). Conclusions: The study showed that a transtheoretical model-based intervention and motivational interviewing exert positive effects on the management of depression in hospitalized patients with CHD. Trial registration: Clinicaltrials.gov, NCT03953924 (Date assigned: 16/5/2019). Retrospectively registered.

Barriers to Behavior Change in Parents With Overweight or Obese Children: A Qualitative Interview Study

“…It has since been widely applied for different mental disorders such as depression and eating disorders as well as for enhancing treatment commitment (e.g., medication adherence) in GP practices. A variety of studies showed the effect of motivational interviewing to enhance commitment and further readiness to change (Hettema et al, 2005;Rubak et al, 2005;Azami et al, 2020;Li et al, 2020).…”

Application of health education and promotion theory-based interventions on patients with cardiovascular disease

“…The participants with heart failure (HF),[ 26 27 28 29 30 31 32 33 ] coronary heart disease (CHD),[ 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 ] hypertension (HTN),[ 13 39 40 41 42 43 44 ] coronary artery bypass graft (CABG),[ 20 45 46 47 48 ] myocardial infarctions (MI),[ 17 19 49 50 51 ] patients with pacemaker,[ 52 ] heart valve disease,[ 53 ] and cardiac rehabilitation[ 18 ] were highest and lowest target groups in studied papers, respectively. The detailed characteristics of included studies are revealed in [ Table 2 ].…”

“…TTM as a model of behavior change suggests how individual move through five SOC. [ 5 6 14 15 ] Also, TTM presents ten processes of change and three main constructs to support behavior change. Theory of planned behavior (TPB) considers behavioral intention is the most important determinant of behavior.…”

“…The evidence noted that HBM, TTM, Beliefs, Attitudes, Subjective Norms and Enabling Factors (BAZNEF), TPB, and SCT have been generally used in behavioral studies, primary and secondary preventive health issues. [ 10 11 12 13 14 15 16 17 18 ] In this review, we assessed also other intrapersonal and interpersonal theories/models in three educational, clinical, and practical outcomes among patients with CVDs.…”

Influencers of effective behavior change communication interventions delivered by community health workers in adults: A Scoping Review Protocol

“…Transtheoretical Model (TTM) which was developed nearly four decades earlier (12) has been used to understand the smoking behaviour of adolescents in educational setting (13), explain physical activity self-efficacy among African-American adolescents (14), and even to devise interventions to manage depression in hospitalized patients of coronary artery disease in China. (15) Similarly, Theory of Reasoned Action (TRA) (16) has been used to identify perceptions on teenage pregnancies among American Indians (17), devise school-based interventions to promote breakfast consumption among Iranian children (18) and design self-care facility-based intervention for diabetic Iranian women. (19) Similarly, Theory of Planned Behaviour (TPB) and Social Cognitive Theory (SCT) have been applied to various domains of behaviour change including physical activity promotion.…”