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Erschienen in: Journal of Clinical Psychology in Medical Settings 1/2014

01.03.2014

Motivational Interviewing Promotes Adherence and Improves Wellbeing in Pre-Dialysis Patients with Advanced Chronic Kidney Disease

verfasst von: Helena García-Llana, Eduardo Remor, Gloria del Peso, Olga Celadilla, Rafael Selgas

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 1/2014

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Abstract

Low rates of adherence to medical treatments and adverse emotional states are a widespread problem in advanced chronic kidney disease (ACKD). Motivational interviewing using the stages of change model is an effective combination in promoting behavior modifications. The objective of the present study was to determine the effectiveness of an individual, pre-dialysis intervention program (monthly sessions of 90 min over a 6-month period) in terms of adherence, emotional state and health-related quality of life (HRQL). Forty-two patients were evaluated for adherence, depression, anxiety and HRQL with standardized self-report questionnaires. Biochemical markers were also registered. The results show that after the intervention, patients reported significantly higher levels of adherence, lower depression and anxiety levels, and better HRQL (i.e., general health and emotional role domains). Biochemical parameters were controlled significantly better after the intervention, except for iPTH. These findings highlight the potential benefit of applying individual psycho-educational intervention programs based on motivational interviewing and using the stages of change model to promote adherence and wellbeing in ACKD patients.
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Metadaten
Titel
Motivational Interviewing Promotes Adherence and Improves Wellbeing in Pre-Dialysis Patients with Advanced Chronic Kidney Disease
verfasst von
Helena García-Llana
Eduardo Remor
Gloria del Peso
Olga Celadilla
Rafael Selgas
Publikationsdatum
01.03.2014
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 1/2014
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-013-9383-y

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