Document Detail


Motivational Interviewing in Dialysis Adherence Study (MIDAS).
MedLine Citation:
PMID:  21877456     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To examine the feasibility and efficacy of a staff-delivered motivational interviewing technique on treatment, diet, medication, and fluid adherence in adult patients receiving outpatient hemodialysis.
DESIGN: A pre-post design was used for this pilot study.
SAMPLE/SETTING: Twenty-nine participants were recruited from a non-profit, free-standing hemodialysis clinic in the central United States.
METHODS: Prior to and after the three-month motivational interviewing intervention, three months of adherence data and the Health Care Climate Questionnaire (HCCQ) were collected.
RESULTS: Motivational interviewing appeared to influence dialysis attendance, frequency of shortened treatments, and phosphorous and albumin levels favorably while less favorably impacting interdialytic weight gain. Changes in the HCCQ scores were not statistically significant from pre- to post-intervention, though the trend was in the direction of improvement in autonomy support, a main component of motivational interviewing. Patients and staff found the approach acceptable.
CONCLUSIONS: Motivational interviewing shows promise as an intervention to improve adherence in adults undergoing hemodialysis.
Authors:
Cynthia L Russell; Nikole J Cronk; Michelle Herron; Norma Knowles; Michelle L Matteson; Leanne Peace; Leonor Ponferrada
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nephrology nursing journal : journal of the American Nephrology Nurses' Association     Volume:  38     ISSN:  1526-744X     ISO Abbreviation:  Nephrol Nurs J     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909377     Medline TA:  Nephrol Nurs J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  229-36     Citation Subset:  N    
Affiliation:
University of Missouri, Sinclair School of Nursing, Columbia, MO, USA. russellc@missouri.edu
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