Key result
Motivational interviewing significantly reduced median systolic blood pressure to 130 mmHg compared to 140 mmHg in the control group, while also improving medication adherence and self-efficacy in hypertensive individuals.
Why the study?
The study was conducted to evaluate the effect of motivational interviewing on lifestyle, blood pressure, body mass index, self-efficacy perception, and medication adherence in hypertensive individuals.
Does motivational interviewing improve blood pressure, body mass index, self-efficacy, and medication adherence in hypertensive individuals aged 25-45?
RCT (n=75)
Randomized
Yes
Does motivational interviewing improve blood pressure, body mass index, self-efficacy, and medication adherence in hypertensive individuals aged 25-45?
Motivational interviewing may be an effective strategy to improve blood pressure, body mass index, and medication adherence self-efficacy in hypertensive patients.
May support motivational interviewing in young hypertensives; leaves open efficacy in larger confirmatory trials.
Aim: This study aims to analyze the effect of motivational interviewing on the lifestyle, blood pressure, body mass index, selfefficacy perception, and medication adherence of hypertensive individuals.Material and Methods: This study was conducted with hypertensive individuals between the ages of 25 and 45 registered in seven Family Health Centers in Akşehir, Konya. Inclusion in the present study was voluntary, and 80 people who agreed to participate were randomized into two groups as experimental and control groups. However, the present study was completed with 75 participants. Both groups were administered the pre-test, then the experimental group was visited for a total of 5 times: four visits at three-week intervals and one visit after one month. In each visit, a 30 to 45 minute individual motivational interviewing was carried out. The study was completed by administering the last-test to both groups. The study was conducted between February 6 and June 24, 2014, and the data were analyzed using the SPSS 17.0 package.Results: Statistically significant differences were found between the pre-test and last-test scores of the experimental group in terms of Blood Pressure, Body Mass Index, the Medication Adherence SelfEfficacy Scale, and the General Self-Efficacy Scale.Conclusion: Motivational interviewing can be used in ensuring healthy nutrition and regulation of exercise level and blood pressure of hypertensive individuals, and in increasing their selfefficacy and treatment adherence.
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Özpulat et al. (2020) conducted an RCT in Hypertension (n=75). Motivational interviewing vs. Usual care (two home visits at the beginning and end of the study) was evaluated on Systolic Blood Pressure (mmHg) (p=<0.001). Motivational interviewing significantly reduced median systolic blood pressure to 130 mmHg compared to 140 mmHg in the control group, while also improving medication adherence and self-efficacy in hypertensive individuals.
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