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August 1, 2015Quarterly of Horizon of Medical SciencesOpen Access

Effect of Motivational Interviewing on Adherence to Treatment in Patients with Hypertension

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Key result

Motivational interviewing significantly increased treatment adherence scores and decreased systolic and diastolic blood pressure after 6 months (p<0.05).

Why the study?

Does motivational interviewing improve adherence to treatment and blood pressure in patients with hypertension?

Population

140 hypertensive patients selected from two urban health centers in Gorgan City, Iran

Comparison

Motivational interviewing vs Standard care (control group)

Design

RCT, allocated randomly into two groups

Follow-up

6 months

Authors

KMKamal MirkarimiMHMohammad Reza HonarvarMAMohammad Ariaie

Discussion

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Overview

Motivational interviewing merits routine consideration in hypertension care to improve adherence and BP; confirms RCT efficacy for behavioral support.

Study Design

Type

RCT (n=140)

Randomization

Randomized

Multicenter

Yes

Structured PICO

Does motivational interviewing improve adherence to treatment and blood pressure in patients with hypertension?

P
Population
140 patients with hypertension from two urban health centers in Iran, followed for 6 months.
I
Intervention
Motivational interviewing
C
Comparator
Standard care (control group)
O
Outcome
Adherence to treatment (measured by treatment adherence questionnaire) and blood pressure (systolic and diastolic) at 6 monthspatient reported

Main Result

p-value: p=<0.05

Motivational interviewing is an effective strategy to improve medication adherence and lower blood pressure in patients with hypertension.

Cite This Study

Mirkarimi et al. (2015) conducted an RCT in Hypertension (n=140). Motivational interviewing vs. Standard care was evaluated on Adherence to treatment score (p=<0.05). Motivational interviewing significantly increased treatment adherence scores and decreased systolic and diastolic blood pressure after 6 months (p<0.05).

synapsesocial.com/papers/6a20162d4f3426e554a1a35ehttps://doi.org/10.18869/acadpub.hms.21.3.213
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stress Management Versus Lifestyle Modification on Systolic Hypertension and Medication Elimination: A Randomized Trial2008 · 105 citations
  2. 2Epidemiology and heterogeneity of hypertension in Iran: a systematic review.2008 · 125 citations
  3. 3Physician assessments of medication adherence and decisions to intensify medications for patients with uncontrolled blood pressure: still no better than a coin toss2012 · 117 citations
  4. 4Motivational Interviewing to Improve Adherence to a Behavioral Weight-Control Program for Older Obese Women With NIDDM: A pilot study1997 · 362 citations