Please use this identifier to cite or link to this item: https://doi.org/10.1177/0269215513490527
Title: 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
Authors: Chair, S.Y.
Chan, S.W.-C. 
Thompson, D.R.
Leung, K.-P.
Ng, S.K.-C.
Choi, K.C.
Keywords: Cardiac rehabilitation
coronary heart disease
motivational interviewing
randomized controlled trial
Issue Date: Dec-2013
Citation: Chair, S.Y., Chan, S.W.-C., Thompson, D.R., Leung, K.-P., Ng, S.K.-C., Choi, K.C. (2013-12). 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. Clinical Rehabilitation 27 (12) : 1107-1117. ScholarBank@NUS Repository. https://doi.org/10.1177/0269215513490527
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. © 2013 The Author(s).
Source Title: Clinical Rehabilitation
URI: http://scholarbank.nus.edu.sg/handle/10635/125530
ISSN: 02692155
DOI: 10.1177/0269215513490527
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