Evaluation of the effect of motivational interviewing counselling on hypertension care

The utilization of behavioural counselling for hypertension within a primary care context

“…MI has been identified as a potential mechanism to promote self-management and health lifestyle practices that can prevent and manage hypertension in the community context (Ma et al, 2014).…”

“…Eight studies were identified and reviewed. Following a critical appraisal of the literature findings, five of the eight studies captured in the review highlight significant decreases in blood pressure related to the MI intervention (Ma et al, 2014;Ogedegbe et al, 2008;Schoenthaler et al, 2015;Svetkey et al, 2009;Woollard et al, 1995) and one study illustrated a non-significant decrease in systolic blood pressure (Miura et al, 2004). The remaining two studies showed no effect on blood pressure but did illustrate other efficacious effects on cholesterol, exercise capacity specifically minutes of walking per week and HbA1c levels (Hardcastle et al, 2013;Willard-Grace et al, 2015).…”

“…The second article by Ma, Zhou, Zhou and Huang (2014), describes a randomized controlled trial involving twelve Registered Nurses delivering MI to Chinese patients with essential hypertension taking at least one antihypertensive medication. The aim of the study was to test the effectiveness of MI counselling compared to usual care for these patients.…”

“…Similarly, the study by Ma et al (2014) previously discussed under the heading, "clinicbased intervention" also examined treatment adherence as one aspect of their study. This was a randomized controlled trial with 120 participants.…”

“…The first study by Ogedegbe et al (2008) measures medication adherence as a primary outcome and uses an objective measurement tool. The second study by Ma et al (2014) measures medication adherence as a secondary outcome using a validated questionnaire. Both studies findings show a favourable effect of MI on medication adherence and subsequent blood pressure readings.…”