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September 1, 2022Asian Journal of Medical SciencesOpen Access

Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients

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Key result

A health counseling intervention protocol for ischemic heart disease patients was successfully developed and validated through a Delphi process with five experts, achieving high consensus ratings.

Why the study?

Ischemic heart disease is the foremost cause of morbidity and mortality in Sri Lanka, requiring a socio-culturally appropriate counseling protocol to improve adherence to physical activity, diet, and medication.

Population

Panel of five experts

Design

Two-round Delphi consensus process

Authors

CGC. K. W. GamagePZPiyanjali Thamesha de ZoysaABAindralal Balasuriya

Discussion

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Member takes

Overview

Protocol for ischemic heart disease counseling requires prospective trials before adoption; leaves open its clinical effectiveness and implementation.

Structured PICO

P
Population
A panel of five experts participated in a Delphi process to develop a health counseling intervention protocol for ischemic heart disease patients in Sri Lanka.
I
Intervention
Development of a health counseling intervention protocol integrating communication skills, motivational interviewing, goal setting, and problem-solving via a two-round Delphi process.
O
Outcome
Degree of consensus on protocol sections (rated 0-9, retention if ≥70% rated 4 or above)

A socio-culturally appropriate health counseling intervention protocol for IHD patients in Sri Lanka was successfully developed and validated through expert consensus.

Limitations

  • Lengthy time duration in reviewing the protocol during the two rounds of the Delphi review

Cite This Study

Gamage et al. (2022) studied Ischemic heart disease (n=5). Health counseling intervention protocol was evaluated on Degree of consensus on protocol sections. A health counseling intervention protocol for ischemic heart disease patients was successfully developed and validated through a Delphi process with five experts, achieving high consensus ratings.

synapsesocial.com/papers/6a86d86348ef9afcd2a244f1https://doi.org/10.3126/ajms.v13i9.43889
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Also Consider

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  1. 1Effectiveness of a motivated, action-based intervention on improving physical activity level, exercise self-efficacy and cardiovascular risk factors of patients with coronary heart disease in Sri Lanka: A randomized controlled trial protocol2022 · 5 citations
  2. 2The Impact of Intervention Based on Protection Motivation Theory on Treatment Adherence in Patients with Ischemic Heart Disease2022 · 2 citations
  3. 3Impact of health literacy educational intervention on improve medication adherence and blood pressure level in patients with ischemic heart disease2025
  4. 4Into the cognitive constructs related to adherence to treatment in CHD outpatients: the importance of accepting the disease limitations2016 · 5 citations
  5. 5Increasing cardiovascular medication adherence: A medical research council complex mhealth intervention mixed‐methods feasibility study to inform global practice2020 · 13 citations