Pragmatic Insights Into a Nurse-Delivered Motivational Interviewing Intervention in the Outpatient Cardiac Rehabilitation Setting

Abstract

Pragmatic insights into a nurse-delivered motivational interviewing intervention in the outpatient cardiac rehabilitation setting ABSTRACT PURPOSE: Despite an increasing interest in motivational interviewing as a strategy to facilitate behavior change in people with cardiovascular disease, its use specifically in cardiac rehabilitation (CR) appears minimal. Therefore, it is unclear if 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, CR patients allocated to the intervention group participate in two motivational interviewing sessions with a motivational interviewing-trained nurse. To ascertain treatment fidelity, this process review comprised three sources: (1) the extant literature on motivational interviewing; (2) reflections of the project team; and (3) data derived from

Variations in meanings of the personal core value “Health”

“…Patients in a cardiac rehabilitation study rated “health” as one of their most important values [42]. Endorsing the value “health” predicted improved physical activity among firefighters [28].…”

Motivational interviewing: a useful approach to improving cardiovascular health?

“…Table 2 gives an overview of empirical studies using motivational interviewing in clients at risk of or with established CHD or heart failure. Of these six studies, one reported the use of motivational interviewing alone in outpatient cardiac rehabilitation (Everett et al. 2008), one to improve heart failure self‐care (Riegel et al.…”

“Talking the walk to walk the talk”: A qualitative report of patients’ experiences of undergraduate nursing students using motivational interviewing

“…[5] The precise mechanism of behavior change is not well understood, however the most influential features of MI that contribute to modifying health habits include collaborative spirit and ability to motivate a patient. [4,13,22,23] Previous research findings demonstrate how nursing students embodied MI spirit and motivation in their patient encounters and this is significant because clinician spirit and patient motivation are considered interdependent catalysts for behavior change. [13,14] In this research, spirit and motivation contributed to patients' perceptions of a collaborative alliance with the nursing students that was different from the information-focused and expert-driven experiences with 'typical' health providers.…”