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Journal of Clinical Psychology in Medical Settings

Published in:

01-03-2014

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

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

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2014

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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Title: Motivational Interviewing Promotes Adherence and Improves Wellbeing in Pre-Dialysis Patients with Advanced Chronic Kidney Disease
Authors: Helena García-Llana
Eduardo Remor
Gloria del Peso
Olga Celadilla
Rafael Selgas
Publication date: 01-03-2014
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 1/2014
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-013-9383-y

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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