What does this research mean for the field?

Nurse-delivered motivational interviewing is feasible and well received by outpatient cardiac rehabilitation patients, showing promise for supporting behavior change. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2008Journal of Cardiopulmonary Rehabilitation and PreventionOpen Access

Pragmatic Insights Into a Nurse-Delivered Motivational Interviewing Intervention in the Outpatient Cardiac Rehabilitation Setting

Q: What is the clinical evidence from this study?

Study design: Other. Population: Cardiovascular disease requiring cardiac rehabilitation (n=104). Intervention: Nurse-delivered motivational interviewing vs. Standard 6-week cardiac rehabilitation program. Primary outcome: 6-minute walk test.

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Key result

Nurse-delivered motivational interviewing proves well received by cardiac rehabilitation patients while clinical efficacy remains blinded.

n=104

Population

Patients in the outpatient cardiac rehabilitation setting participating in an ongoing randomized controlled…

Design

Other, randomized controlled trial

Authors

BEBronwyn EverettUniversity of Wollongong PDPatricia M. DavidsonHeart Failure & Transplant NSNoella SheerinChildren's Hospital at Westmead

Discussion

Member takes

Implication

Supports acceptability of nurse-led MI in CR programs; extends feasibility data but leaves efficacy open pending unblinding.

Structured PICO

Population

104 patients attending an outpatient cardiac rehabilitation program participating in a randomized controlled trial of nurse-delivered motivational interviewing.

Intervention

2 motivational interviewing sessions delivered by a motivational interviewing-trained nurse

Outcome

Treatment fidelity and patient reception of the motivational interviewing intervention

Nurse-delivered motivational interviewing is a feasible and well-received intervention that holds promise for facilitating behavior change in outpatient cardiac rehabilitation.

Limitations

Patients attending a cardiac rehabilitation program may already be motivated to initiate behavior change.
Participants voluntarily consented to the RCT, meaning they may not be typical of 'resistant' patients.
Addressing multiple risk factors in cardiac rehabilitation makes the intervention more complex than single-behavior interventions.
Clinical outcomes are currently blinded and not reported in this process review.

Cite This Study

Everett et al. (2008) studied Cardiovascular disease requiring cardiac rehabilitation (n=104). Nurse-delivered motivational interviewing vs. Standard 6-week cardiac rehabilitation program was evaluated on 6-minute walk test. Nurse-delivered motivational interviewing was well received by cardiac rehabilitation patients who appreciated the opportunity to discuss personal issues, though clinical efficacy data remain blinded.

synapsesocial.com/papers/6aa898eec1e0da62af1b0d5e https://doi.org/10.1097/01.hcr.0000311511.23849.35

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Pragmatic Insights Into a Nurse-Delivered Motivational Interviewing Intervention in the Outpatient Cardiac Rehabilitation Setting

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Pragmatic Insights Into a Nurse-Delivered Motivational Interviewing Intervention in the Outpatient Cardiac Rehabilitation Setting

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider