The Efficacy of a Motivational Nursing Intervention Based on the Stages of Change on Self-care in Heart Failure Patients

Paradis, V.; Cossette, Sylvie; Frasure-Smith, Nancy; Heppell, Sonia; Guertin, Marie-Claude

doi:10.1097/jcn.0b013e3181c52497

Cited by 83 publications

(78 citation statements)

References 42 publications

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“…A long-term modular patient education and counseling program incorporating topics such as self-care, social life, diet, fluid management, disease management, other comorbidity, medication adherence, side effects of medications, exercise, and prevention of HF, each handled by related health care practitioners, will equip and empower the patients with judging and rationalizing ability that could prevent readmissions. The recent success of the motivational interview based on the stages of change trial further testified that a flexible counseling could improve self-care of HF patients (Paradis et al 2010).…”

Section: Discussionmentioning

confidence: 99%

Perspectives of heart failure patients in Malaysia towards medications and disease state management: findings from a qualitative study

et al. 2011

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Aim This study aimed to explore the experiences of readmitted heart failure (HF) patients towards managing their medical problems and to identify factors influencing their adherence to medications. Subject and methods A qualitative exploratory study was conducted among HF patients who were admitted to Penang General Hospital, Malaysia. A purposive sample of 15 male and 5 female patients of various ethnic groups were interviewed using a semi-structured interview guide. The interviews were audiotaped and transcribed verbatim for thematic content analysis. Results The interviewed patients were generally disturbed by the deterioration in physiological function due to HF. They were aware of the importance of taking HF medications and control of fluid intake but not sodium intake. However, the participants still needed more clarification on ways to reduce sodium intake and improve adherence to lifelong medications and diet. The respondents identified individualized patient self-care, disease, and medication counseling that empower patients to monitor their own body condition to enhance adherence. Barriers identified were limited communication with health care practitioners, lack of correct information about medications and HF, difficulty in remembering, complexity of regimens, and lack of compelling HF symptoms. Conclusion The present study has identified empowerment of patients in decision making as the main facilitator to improve adherence. These findings suggest that there is a need for doctors and pharmacists to broaden their involvement in exploring and shaping individual patient's beliefs regarding HF and its management in order to achieve successful treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Perspectives of heart failure patients in Malaysia towards medications and disease state management: findings from a qualitative study

et al. 2011

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“…The possible range of the total scale score was 0 (not at all) to 4 (very much), with a high score reflecting high acceptability. The Cronbach's alpha coefficient was at .68 for the French-language version (Paradis et al, 2010). By Streiner and Norman's (1995) standards, a Cronbach's alpha coefficient of .70 to .90 is considered acceptable.…”

Section: Intervention Descriptionmentioning

confidence: 99%

“…Intervention acceptability was assessed quantitatively and qualitatively with the participating nurses. For the quantitative evaluation, the French-language version (Paradis, Cossette, Frasure-Smith, Heppell, & Guertin, 2010) of the Treatment Acceptability and Preference Questionnaire (TAPQ; Sidani, Epstein, & Miranda, 2006) was used. Participants were asked to rate the intervention in terms of four attributes: appropriateness, suitability, effectiveness, and willingness to comply.…”

Section: Intervention Descriptionmentioning

confidence: 99%

Feasibility, Acceptability, and Preliminary Effects of Educational Intervention to Strengthen Humanistic Practice Among Hemodialysis Nurses in the Canton of Vaud, Switzerland: A Pilot Study

Delmas

O’Reilly

Iglesias

et al. 2016

International Journal for Human Caring

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A mixed-design pilot study was undertaken to examine the feasibility, acceptability, and preliminary effects of an educational intervention based on the theory of human caring delivered to hemodialysis (HD) nurses in Switzerland. Participants were 9 nurses and 22 patients undergoing HD. Results showed that the proposed intervention had a high level of feasibility and acceptability. Following the intervention, participating nurses consolidated their caring attitudes/ behaviours toward patients undergoing HD. The patients, for their part, perceived significant changes in the nurses' caring attitudes/behaviours following the intervention. Further research is needed to examine its effects on a larger population of nurses and patients.

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“…In 2 studies in which symptom occurrence was measured, patients in the intervention group experienced fewer symptoms than with usual care. 61,80 Significant improvement in self-efficacy or perceived control was observed in 1-to-1-based TPE interventions with frequent patient contact 70,81 as opposed to interventions provided within a group format. 82,88 An intervention designed to improve problem-solving skills in patient and family dyads showed a positive effect on change in perceived control.…”

Section: Hf Outcomesmentioning

confidence: 99%

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.

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The Efficacy of a Motivational Nursing Intervention Based on the Stages of Change on Self-care in Heart Failure Patients

Cited by 83 publications

References 42 publications

Perspectives of heart failure patients in Malaysia towards medications and disease state management: findings from a qualitative study

Perspectives of heart failure patients in Malaysia towards medications and disease state management: findings from a qualitative study

Feasibility, Acceptability, and Preliminary Effects of Educational Intervention to Strengthen Humanistic Practice Among Hemodialysis Nurses in the Canton of Vaud, Switzerland: A Pilot Study

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

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