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July 1, 2021Open Access

The Effect of Applying the Information-Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study.

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Key result

Applying the information-motivation-behavioral skills model significantly increased treatment adherence scores at six months (73.80 vs 52.40) compared to standard care in patients with cardiovascular disease.

Why the study?

Non-adherence complicates the management of patients with cardiovascular disease, motivating an evaluation of an Information-Motivation-Behavioral Skills model-based intervention on treatment adherence.

Population

112 patients with cardiovascular disease in two hospitals in Shiraz, Iran

Comparison

Information-motivation-behavioral skills intervention vs control

Design

Quasi-experimental study

Follow-up

6 months after the end of motivational-educational sessions

Authors

NZNasrin ZahmatkeshanMRMahnaz RakhshanLZLadan Zarshenas

Discussion

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Member takes

Overview

May improve adherence in CVD; hypothesis-generating, requires RCTs before practice change.

PICO

P
Population
110 adults with cardiovascular disease were followed for 9 months to evaluate the effect of an information-motivation-behavioral skills model intervention on treatment adherence.
I
Intervention / Comparator
Information-motivation-behavioral skills (IMB) model vs Standard care (10 motivational-educational sessions over 3 months, plus 6 months of telephone follow-ups)
O
Primary Outcome
Treatment adherence score at 6 months, p=<0.001

Main Result

Absolute Event Rate: 73.8% vs 52.4%

p-value: p=<0.001

Limitations

  • Blinding was not possible due to the nature of the intervention
  • Obligation to use online questionnaires six months after the end of the intervention due to the spread of the Coronavirus
  • Did not consider the number of medications that may affect medication adherence

Cite This Study

Zahmatkeshan et al. (2021) studied Cardiovascular disease (n=110). Information-motivation-behavioral skills (IMB) model vs. Standard care was evaluated on Treatment adherence score at 6 months (p=<0.001). Applying the information-motivation-behavioral skills model significantly increased treatment adherence scores at six months (73.80 vs 52.40) compared to standard care in patients with cardiovascular disease.

synapsesocial.com/papers/6a81815fadfa6baaaee1dd40https://doi.org/10.30476/ijcbnm.2021.88987.1563
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Also Consider

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  1. 1The Effectiveness of the Information-Motivation-Behavioral Skills Model in Promoting Adherence in CABG Patients2010 · 58 citations
  2. 2The Effectiveness of Medication Adherence Interventions Among Patients With Coronary Artery Disease2015 · 35 citations
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