Enhancing behavioral change with motivational interviewing: a case study in a Cardiac Rehabilitation Unit

Pietrabissa, Giada; Ceccarini, Martina; Borrello, Maria; Manzoni, Gian Mauro; Titon, Annamaria; Nibbio, Ferruccio; Montano, Mariella; Bertone, Gianandrea; Gondoni, Luca Alessandro; Castelnuovo, Gianluca

doi:10.3389/fpsyg.2015.00298

Cited by 22 publications

(22 citation statements)

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“…Meanwhile, emotional state (depression) is important for the effectiveness of intervention to change alcohol consumption. On one hand, this is consistent with the opinion of Pietrabissa et al (2015). Hence, their opinion was that psychosocial attributes, such as depression or anxiety, may influence health related behaviors and constitute barriers to adherence to treatment.…”

Section: The Importance Of Emotional State On the Effectiveness Of Mosupporting

confidence: 84%

“…Unhealthy lifestyle includes changeable risk factors such as smoking, high blood pressure, high cholesterol, lack of physical activity, unhealthy diet, harmful use of alcohol, etc. (Pietrabissa et al, 2015). Still, physical inactivity, smoking, alcohol consumption, and unhealthy diet are contributing to the development of major cardiovascular risk factors (Chingatichifwe et al, 2014;Pietrabissa et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…(Pietrabissa et al, 2015). Still, physical inactivity, smoking, alcohol consumption, and unhealthy diet are contributing to the development of major cardiovascular risk factors (Chingatichifwe et al, 2014;Pietrabissa et al, 2015). Consequently, healthier lifestyle leads to a more successful cardiovascular disease prevention, treatment, and rehabilitation (Linden et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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The Impact Of Psychological Characteristics On The Effectiveness Of Motivational Interviewing Based Psychological Counseling

Petrolienė

Šinkariova

Karpovaite

et al. 2016

ESJ

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It is well known that in order to control the morbidity and mortality of cardiovascular disease patients, their lifestyle should be taken into account (American Heart Association, 2012; Klumbiene et al., 2002). Studies of various disease patients’ manners (Knight et al., 2006; Thompson et al., 2011) confirm that motivational interviewing (Miller & Rollnick, 2013) is an effective method for changing unhealthy behavior. Nevertheless, our practical experience of motivational interviewing based psychological counseling with rehabilitation hospitals’ cardiac patients’ (Sinkariova et al., 2015) revealed noteworthy observations about some participants lack of motivation to change unhealthy behavior. This observation encouraged us to start a study with the aim to find out if cardiac rehabilitation participants’ personality traits and emotional state are related to the effectiveness of motivational interviewing based psychological counseling. The study used a quasi-experiment where cardiac rehabilitation patients were assigned to control (regular rehabilitation, n=55) or experimental (rehabilitation plus motivational interviewing based psychological counseling intervention, n=64) groups. A total of 119 participants (male=83, female=36, M age=60.47, SD=8.762) attended a survey, which included NEO-FFI, HADs, and “Readiness to change questionnaire” at the beginning and end of cardiac rehabilitation. Nonparametric data analysis showed that patients’ personality traits are not related to the effectiveness of motivational interviewing based counseling, whereas depression is positively related to the effectiveness of intervention to change alcohol consumption. Conclusions/Implications: Depression as an expression of emotional state is an important feature for the effectiveness of motivational interviewing based counseling to change cardiac patients’ alcohol consumption. Further understanding of relationships between psychological characteristics and the effectiveness of intervention could help to improve cardiac diseases prevention, treatment, and rehabilitation.

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Section: The Importance Of Emotional State On the Effectiveness Of Mosupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact Of Psychological Characteristics On The Effectiveness Of Motivational Interviewing Based Psychological Counseling

Petrolienė

Šinkariova

Karpovaite

et al. 2016

ESJ

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“…253 MI is one potential strategy for doing this (although is not limited to those athletes presenting as 254 ambivalent or resistant to change). Often a sport psychologist forms part of a multi-discipline 255 scientific support team, where other practitioners may be utilising the principles of sport psychology 256 or MI to increase adherence to target behaviors, for example, injury rehabilitation (Arvinen- previously been used to demonstrate the effectiveness of using MI with a single patient to increase 265 healthy behaviors during cardiac episode rehabilitation (Pietrabissa et al, 2015); to show increased 266 adherence to medication for a patient with schizophrenia (Ertem & Duman, 2016); and to illustrate 267 how MI can be integrated into career counseling interventions (Rochat & Rossier, 2016). The case 268 study method is also now commonplace in sport psychology research (e.g., Thompson & Andersen,269 2012; Wood, Barker & Turner, 2017).…”

Section: The Four ('+') Processes Of MI 179mentioning

confidence: 99%

Enhancing Athlete Engagement in Sport Psychology Interventions Using Motivational Interviewing: A Case Study

Mack

Breckon

O’Halloran

et al. 2019

The Sport Psychologist

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30The clear reporting of the counseling approach (and theoretical underpinning) applied by sport 31 psychologists is often missing, with a tendency to focus on intervention content rather than 32 therapeutic processes and relationship building. Well defined psychotherapies such as Motivational 33Interviewing (MI) can help fill this void and provide an underpinning counseling approach (in an 34 athlete-centred manner) as a framework for delivering interventions such as psychological skills 35 training (PST). This article describes the role of MI as a framework upon which PST sport psychology 36 interventions can be mapped and delivered. The paper presents an athlete case study to explain the 37 role of MI at each phase of the interaction. Robust, well-defined applications of MI in sport require 38 further research although evidence from other psychological domains suggests that it can be 39 successfully blended into sporting contexts. 40

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“…It is well known that unhealthy lifestyle is one of the most important risk factors for the morbidity and mortality from cardiovascular diseases (American Heart Association, 2012;Klumbiene et al, 2002). Risky alcohol consumption, smoking, low physical activity and unhealthy diet are contributing to the unhealthy lifestyle and development of major cardiovascular risk factors (Rinkūnienė et al, 2009;Pietrabissa et al, 2015). According to the results of national study, the same behaviors persist as actual problem among Lithuanian adults nowadays (Grabauskas et al, 2015).…”

Section: Introductionmentioning

confidence: 97%

Psychometrics of the Readiness to Change Questionnaire (Rcq): The Lithuanian Version

Petrolienė¹,

inkariova²,

Zajanckauskaitė-Staskevičienė³

et al. 2016

IJPBA

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Abstract. Background: It is well known that unhealthy lifestyle is one of the most important risk factors for morbidity and mortality due to cardiac diseases. People who suffered or are suffering from heart related problems usually undertake cardiac rehabilitation procedures which help them improve their health and make lifestyle changes. So it is important to have a valid, short, clear measure of readiness to change health behavior in the native (Lithuanian) language as change in lifestyle can be a problematic field in rehabilitation of cardiac patients in Lithuania. According to the results of national study, smoking, unhealthy diet, low physical activity, overweight and risky alcohol consumption persist as actual problem among Lithuanian adults nowadays. The aim of this analysis is to examine psychometric properties of the "Readiness to change questionnaire" (RCQ, Rollnick et al., 1992) among cardiac rehabilitation patients. Methods: The internal consistency, test-retest reliability, concurrent validity and factor structure of the RCQ was examined for 59 cardiac patients aged between 35 and 70 years (Mean = 55.68, SD = 8.62). The questionnaires for alcohol consumption, smoking, physical activity and diet were completed at the beginning and end of rehabilitation. Results: Cronbach's alpha coefficients of the RCQ showed poor to good internal consistency (0.51-0.87) and test-retest reliability Pearson's correlations ranged from 0.31 to 0.84. Concurrent validity is supported for the stages of alcohol consumption and diet. An exploratory factor analysis of the RCQ indicated the three-factor solution for readiness to change alcohol consumption and diet data best. Confirmatory factor analysis indicated that models demonstrate approximate data-model fit. Conclusions: The Lithuanian version of the RCQ is a reliable measure for group testing. Further investigations regarding validity and factor structure are required with a bigger sample size.

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Enhancing behavioral change with motivational interviewing: a case study in a Cardiac Rehabilitation Unit

Cited by 22 publications

References 57 publications

The Impact Of Psychological Characteristics On The Effectiveness Of Motivational Interviewing Based Psychological Counseling

The Impact Of Psychological Characteristics On The Effectiveness Of Motivational Interviewing Based Psychological Counseling

Enhancing Athlete Engagement in Sport Psychology Interventions Using Motivational Interviewing: A Case Study

Psychometrics of the Readiness to Change Questionnaire (Rcq): The Lithuanian Version

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