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Motivational interviewing in a nurse-led outpatient clinic to support lifestyle behaviour change after admission to a stroke unit: a randomized controlled trial
- Source :
- European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 21(1), 36-45. SAGE Publishing
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Aims Modification of health behaviour is an important part of stroke risk management. However, the majority of people with cardiovascular disease fail to sustain lifestyle modification in the long term. We aimed to evaluate the effectiveness of motivational interviewing to encourage lifestyle behaviour changes after transient ischaemic attack (TIA) or minor ischaemic stroke. Methods and results We performed a randomized controlled open-label phase II trial with blinded endpoint assessment. The intervention consisted of three 15-minute visits in 3 months by a motivational interviewing trained nurse practitioner. Patients in the control group received standard consultation after 1 and 3 months by a nurse practitioner. Primary outcome was lifestyle behaviour change, defined as smoking cessation and/or increased physical activity (30 min/day) and/or healthy diet improvement (5 points at the Food Frequency Questionnaire) at 6 months. We adjusted for age and sex with multivariable logistic regression. Between January 2014 and February 2016, we included 136 patients (of whom 68 were assigned to the intervention group). Twenty-five of 55 patients in the intervention group (45%) and 27 of 61 patients in the control group (44%) had changed their lifestyle at 6 months. We found no effect of motivational interviewing on lifestyle behaviour change after 6 months (aOR 0.99; 95% confidence interval: 0.44–2.26). Conclusion Our results do not support the effectiveness of motivational interviewing in supporting lifestyle behaviour change after TIA or ischaemic stroke. However, the overall lifestyle behaviour change was high and might be explained by the role of specialized nurses in both groups.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Motivational interviewing
Motivational Interviewing
Disease
Ambulatory Care Facilities
Nurse's Role
Brain Ischemia
law.invention
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Randomized controlled trial
law
Intervention (counseling)
Humans
Medicine
Outpatient clinic
030212 general & internal medicine
Life Style
Stroke
Advanced and Specialized Nursing
business.industry
medicine.disease
Confidence interval
Medical–Surgical Nursing
Physical therapy
Smoking cessation
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18731953 and 14745151
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....93732b2483315957f104cb7d143bba01