An information‐motivation‐behavioural‐based model and adherence to inhalation therapy and other health outcomes in patients with chronic obstructive pulmonary disease: A pilot randomized controlled trial

Abstract

Aims To explore the feasibility and effects of the programme based on information‐motivation‐behavioural skills (IMB) model (IMB programme) on adherence to inhalation therapy and other health outcomes in chronic obstructive pulmonary disease (COPD) patients. Background Poor adherence to inhalation therapy is common among COPD patients. The IMB model is supported by previous studies as useful in promoting adherence to health behaviours. Methods This pilot randomized controlled trial randomized 35 COPD patients to receive either the IMB‐based programme or usual care. The 4‐week IMB programme consisted of a face‐to‐face and two telephone sessions to empower patients with skills and knowledge on using inhalation therapy and support their goal attainment for treatment compliance. Outcome evaluation including adherence to inhalation therapy, inhalation techniques, disease impact, and quality of life was conducted at baseline and at 6 weeks after randomization. Feasibility of the IMB programme was evaluated by a satisfaction survey and implementation experience. Results Thirty patients completed the study, with an attrition rate of 14.3%. The intervention group (n = 15) had significant improvements in inhalation adherence, inhalation techniques, and quality of life than the control group over the evaluation period. Patient satisfaction survey results and observations on programme implementation suggested the feasibility of the IMB programme. Conclusion A IMB model is a feasible and potentially effective intervention for improving COPD patients' adherence to inhalation therapy.

Analysis of Continuous Nursing Intervention on Aplastic Anemia Patients Based on the “Information-Motivation-Behavioral Skills Model”

“…Nursing researchers can formulate intervention plans according to IMB to study the effects of nursing interventions on specific behaviors. As a behavior change model, the IMB model emphasizes the intervention of patients' information, motivation and behavior and promotes behavior change, which can enhance patients' awareness of self-care and ultimately achieve the goal of improving their quality of life [ 5 – 7 ]. However, there is little research on the application of this method in the intervention of aplastic anemia patients.…”

Effectiveness of eHealth Interventions in Improving Medication Adherence for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review

“…In one study, telephone-based integrated care resulted in significant effects in terms of the percentages of self-reported medication inhaler adherence and observed correct inhaler maneuvers, whereas no effects were found for the percentages of self-reported oral medication adherence [ 22 ]. In another study, telephone-based telemonitoring did not result in significant effects on adherence to the medication regimen, but there were significant effects on the percentages of people adhering at least 80% to the regimen; in both those operationalizations, adherence was measured objectively by an administration tracker attached to the device [ 25 ]. In the last study, telemonitoring and treatment reminders delivered by an internet-linked robot resulted in significant results when medication adherence was measured with a self-reported questionnaire, but nonsignificant results when the percentages of medication adherence were measured objectively by an administration tracker attached to the device [ 24 ].…”

“…The effectiveness of the interventions is shown in Table 1. Of the six included studies, four studies focusing on medication adherence in COPD demonstrated the eHealth intervention to be more effective than care as usual in terms of improving medication adherence on at least one of the operationalizations of adherence [22][23][24][25]. However, three of these four studies reported nonsignificant effects when other operationalizations of medication adherence were used [22,24,25].…”

“…Of the six included studies, four studies focusing on medication adherence in COPD demonstrated the eHealth intervention to be more effective than care as usual in terms of improving medication adherence on at least one of the operationalizations of adherence [22][23][24][25]. However, three of these four studies reported nonsignificant effects when other operationalizations of medication adherence were used [22,24,25]. In addition, two studies found no differences between participants who received the eHealth intervention (ie, online monitoring and as-needed telephone contact) supplemental to care as usual, or care as usual only [26,27].…”

Application of intervention of information motivation behavior skill (IMB) model in the cardiac rehabilitation of patients with coronary heart disease

“…It can stimulate the motivation of individual behavior transformation through participation and sharing, while respecting patients' autonomy, to further improve the effect of rehabilitation. 16,17 The results of this study showed that the nursing satisfaction of patients undergoing Mode-II intervention was higher than that of the patients undergoing the Mode-I intervention. Shen W et al 19 showed that information motivation behavioral skills model (IMB) significantly improved nursing satisfaction, medication compliance, self-care ability and quality of life of patients with aplastic anemia, which is consistent with the results of our study.…”