Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial

Lin, Chao Chun; Chiang, Shang Lin; HEITKEMPER, MARGARET M.; Hung, Yi Jen; Lee, Meei Shyuan; Tzeng, Wen‐Chii; Chiang, Li-Chi

doi:10.1016/j.ijnurstu.2016.03.003

Cited by 47 publications

(64 citation statements)

References 51 publications

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“…In contrast with earlier findings in the literature, our findings do not confirm previous research reporting TBHC effects on anxiety [25,26], which can be attributed to a different focus of our TBHC intervention (S2 Table). However, we found an effect of TBHC on the frequency of blood pressure measurements, physical activity and the BMI of participants, while most studies do not show effects on these parameters (blood pressure measurement [29,34,35,38], physical activity [23,[29][30][31][32][33][34][35][36][37], BMI [29-31, 38-40, 70-72]), although there are also studies that have similar results (blood pressure measurement [35,38,70], physical activity [25,28,30,37,38,41,70,72,73], BMI [17,25,74]). However, as our findings are exploratory, we can only assume why we see these effects.…”

Section: Results In Relation To Similar Studiesmentioning

confidence: 78%

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

et al. 2020

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Objective Telephone based health coaching (TBHC) seems to be a promising approach to foster selfmanagement in patients with chronic conditions. The aim of this study was to evaluate the effectiveness of a TBHC on patient-reported outcomes and health behavior for people living with chronic conditions in Germany. Methods Patients insured at a statutory health insurance were randomized to an intervention group (IG; TBHC) and a control group (CG; usual care), using a stratified random allocation before giving informed consent (Zelen's single-consent design). The TBHC was based on motivational interviewing, goal setting, and shared decision-making and carried out by trained nurses. All outcomes were assessed yearly for three years. We used mixed effects models utilizing all available data in a modified intention-to-treat sample for the main analysis. Participants and study centers were included as random effects. All models were adjusted for age, education and campaign affiliation. Results Of the 10,815 invited patients, 4,283 returned their questionnaires at baseline. The mean age was 67.23 years (SD = 9.3); 55.5% were female. According to the model, TBHC was statistically significant superior to CG regarding 6 of 19 outcomes: physical activity in hours per week (p = .030) and in metabolic rate per week (p = .048), BMI (p = .009) (although mainly at baseline), measuring blood pressure (p< .001), patient activation (p< .001), and health literacy (p< .001). Regarding stages of change (p = .005), the IG group also showed statistically different results than the CG group, however the conclusion remains inconclusive. Within-group contrasts indicating changes from baseline to follow-ups and significant

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Section: Results In Relation To Similar Studiesmentioning

confidence: 78%

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

et al. 2020

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“…Although unable to be tested with the current data, MI delivery via telephone might have been preferable to any in‐person adjunctive contact. Telephone MI delivery has been demonstrated to be effective and might be particularly appealing to a lower income population, a group which often faces multiple practical barriers to in‐person treatment delivery.…”

Section: Discussionmentioning

confidence: 99%

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

et al. 2018

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Summary Background Attrition and treatment adherence are notorious challenges in paediatric obesity interventions. Objective To evaluate if brief, pretreatment motivational interviewing (MI) can improve retention (at baseline, post‐assessment and follow‐up assessment) and adherence (i.e. attendance) in a parent‐exclusive paediatric obesity intervention. Methods MI was implemented with parents as an adjunct to a larger randomized controlled trial of Nourishing Our Understanding of Role‐modeling to Improve Support and Health (NOURISH+), a parent intervention for children with overweight ages 5–11 years. Parents (N = 112) were randomized to receive two MI sessions (one telephone and one in person) or reminder calls. Results Parents (91% women; 52% African American) who completed one telephone MI session were more likely to attend baseline (74%) compared with parents who received reminder calls only (53%, p < .001). After a second MI session, there were no group differences in treatment initiation (p > .05). Treatment attendance, post or 4‐month follow‐up assessment completion did not differ between conditions (p > .05). Conclusion One MI session implemented prior to treatment can improve baseline attendance; a second MI session did not enhance these effects. A single‐session telephone‐based MI pretreatment might be a cost and time‐effective strategy to enhance recruitment efforts. Further strategies to address retention and treatment attendance are needed.

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“…Failure attributed to conservative treatment of MS is due to development of programmes based on unidirectional therapies, which are promoted and carried out by a single professional group. 4 Different professionals in isolation have found some beneficial short-term results of treating MS, 22 – 24 among them nursing. 25 , 26 However, recent published tendencies maintain that the approach to achieve long-term efficiency and efficacy for treating MS must be interdisciplinary.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the I²AO² interdisciplinary programme led by nurses on metabolic syndrome and cardiovascular risk: a randomized, controlled trial

Fernández-Ruiz

Paniagua-Urbano²,

Solé-Agustí³

et al. 2018

J Int Med Res

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ObjectiveTo evaluate the effectiveness of an interdisciplinary programme led by nurses in relation to metabolic syndrome (MS) and cardiovascular risk (CVR).MethodsThis randomized, controlled, clinical trial included 74 patients diagnosed with MS (experimental group [EG], n = 37; control group [CG], n = 37). The intervention consisted of a 12-month interdisciplinary programme (pre-test, 6 months of intervention, 12 months of intervention, and 1-year follow-up post-intervention) coordinated by nursing.ResultsWe found a progressive and significant reduction for all clinical, biochemical, and anthropometric parameters analysed at different time points. In the EG, remission of MS by 48.1% in the short term was observed (83.8% in the medium term) and maintained at 1 year post-intervention. In the CG, the prevalence of MS increased by 2.7% from the initial evaluation to study completion. A similar trend was observed for CVR. In the EG, 100% of subjects had a moderate-low risk of CVR at 1 year post-intervention, whereas the CG had CVR in all categories.ConclusionAn interdisciplinary, nurse-led programme improves participants’ metabolic and cardiovascular health, while maintaining long-term effects. Our findings suggest an important role of the professional nurse as a nexus between the patient, different professionals, and the community.

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Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial

Cited by 47 publications

References 51 publications

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

Effectiveness of the I²AO² interdisciplinary programme led by nurses on metabolic syndrome and cardiovascular risk: a randomized, controlled trial

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Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial

Cited by 47 publications

References 51 publications

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

Effectiveness of the I2AO2 interdisciplinary programme led by nurses on metabolic syndrome and cardiovascular risk: a randomized, controlled trial

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Effectiveness of the I²AO² interdisciplinary programme led by nurses on metabolic syndrome and cardiovascular risk: a randomized, controlled trial