Xiaoyun Li1,2, Silan Yang1, Yishu Wang3, Bingxiang Yang4, Jingping Zhang5. 1. Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000, Hunan, China. 2. Department of Nephrology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. 3. The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. 4. Health Sciences of Wuhan University, Wuhan, Hubei, China. 5. Xiangya Nursing School of Central South University, 172 Tong Zi Po Road, Changsha, 410000, Hunan, China. jpzhang1965@csu.edu.cn.
Abstract
BACKGROUND: Depression is a major risk factor for the morbidity and mortality of cardiovascular disease. A transtheoretical model-based intervention and motivational interviewing have been used to change health risk behaviors and have demonstrated positive effects. To our knowledge, no studies of patients with coronary heart disease (CHD) have used a transtheoretical model-based intervention and motivational interviewing as an intervention to provide dynamic education. Therefore, this study aimed to determine the effects of the transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with CHD. METHOD: A randomized controlled trial was designed. A total of 110 participants were randomly divided into an intervention group (n = 55) and a control group (n = 55). The Hamilton Rating Scale for Depression and the Depression Prevention & Management Survey items (stages of change, perceived benefits, perceived barriers, process of change and self-efficacy) were used to collect data at all time points. Analysis of covariance, chi-square test and repeated measures analysis of variance were used to analyze the data. RESULTS: After the intervention, there were more positive changes in stages of change, higher scores for the cognitive and behavioral levels, the perceived benefits, and self-efficacy, and lower perceived barriers and depression in the intervention group than in the control group. Finally, there were statistically significant differences in the depression scores at different time points in the intervention group (F = 17.814, p = 0.000 < 0.01). CONCLUSIONS: The study showed that a transtheoretical model-based intervention and motivational interviewing exert positive effects on the management of depression in hospitalized patients with CHD. TRIAL REGISTRATION: Clinicaltrials.gov, NCT03953924 (Date assigned: 16/5/2019). Retrospectively registered.
RCT Entities:
BACKGROUND:Depression is a major risk factor for the morbidity and mortality of cardiovascular disease. A transtheoretical model-based intervention and motivational interviewing have been used to change health risk behaviors and have demonstrated positive effects. To our knowledge, no studies of patients with coronary heart disease (CHD) have used a transtheoretical model-based intervention and motivational interviewing as an intervention to provide dynamic education. Therefore, this study aimed to determine the effects of the transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with CHD. METHOD: A randomized controlled trial was designed. A total of 110 participants were randomly divided into an intervention group (n = 55) and a control group (n = 55). The Hamilton Rating Scale for Depression and the Depression Prevention & Management Survey items (stages of change, perceived benefits, perceived barriers, process of change and self-efficacy) were used to collect data at all time points. Analysis of covariance, chi-square test and repeated measures analysis of variance were used to analyze the data. RESULTS: After the intervention, there were more positive changes in stages of change, higher scores for the cognitive and behavioral levels, the perceived benefits, and self-efficacy, and lower perceived barriers and depression in the intervention group than in the control group. Finally, there were statistically significant differences in the depression scores at different time points in the intervention group (F = 17.814, p = 0.000 < 0.01). CONCLUSIONS: The study showed that a transtheoretical model-based intervention and motivational interviewing exert positive effects on the management of depression in hospitalized patients with CHD. TRIAL REGISTRATION: Clinicaltrials.gov, NCT03953924 (Date assigned: 16/5/2019). Retrospectively registered.
Entities:
Keywords:
Coronary heart disease; Depression; Motivational interviewing; Transtheoretical model
Authors: Katrin Ziser; Stefanie Decker; Felicitas Stuber; Anne Herschbach; Katrin Elisabeth Giel; Stephan Zipfel; Stefan Ehehalt; Florian Junne Journal: Front Psychol Date: 2021-03-26