Long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in cardiac rehabilitation patients with poor motivation in Hong Kong: A randomized controlled trial

Sek Ying Chair*, Sally Wai Chi Chan, David Thompson, Kei Pui Leung, Samuel Ka Chiu Ng, Kai Chow Choi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

27 Citations (Scopus)

Abstract

Objective: To investigate the long-term effects of motivational interviewing on clinical outcomes, psychological outcomes, health-related quality of life among cardiac rehabilitation patients with poor motivation. Design: A randomized controlled trial with blind data collectors. Setting: Cardiac rehabilitation centre. Subjects: A total of 146 cardiac rehabilitation patients with poor motivation. Intervention: All participants received usual care, including exercise and education, while those in the experimental group also received 10 sessions of motivational interviewing, each lasting 3045 minutes. Main measures: Clinical and psychological outcomes and health-related quality of life were assessed at baseline and at six, nine and 12 months for both groups. Result: There was no significant difference between the two groups at baseline on demographic and clinical outcomes except for monthly family income (p = 0.034). Patients in the experimental group had higher increases in health-related quality of life (SF-36) scores in bodily pain (88.7 SD 16.7 vs. 87.6 SD 18.7 at month 12, p = 0.044) and role limitation owing to emotional problems (86.9 SD 19.2 vs. 78.6 SD 21.8 at month 9, p = 0.019; 85.8 SD 18.9 vs. 76.9 SD 23.9 at month 12, p = 0.022). No statistically significant group difference was found among other outcomes. Conclusion: The long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in studied patients is limited.

Original languageEnglish
Pages (from-to)1107-1117
Number of pages11
JournalClinical Rehabilitation
Volume27
Issue number12
DOIs
Publication statusPublished - 01 Dec 2013

Keywords

  • Cardiac rehabilitation
  • coronary heart disease
  • motivational interviewing
  • randomized controlled trial

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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