title: Motivational Interviewing in Dialysis Adherence Study (MIDAS).
abstract: OBJECTIVE
  To examine the feasibility and efficacy of a staff-delivered motivational interviewing technique on treatment, diet, medication, and fluid adherence in adult patients receiving outpatient hemodialysis.
  
  
  METHODS
  A pre-post design was used for this pilot study.
  
  
  METHODS
  Twenty-nine participants were recruited from a non-profit, free-standing hemodialysis clinic in the central United States.
  
  
  METHODS
  Prior to and after the three-month motivational interviewing intervention, three months of adherence data and the Health Care Climate Questionnaire (HCCQ) were collected.
  
  
  RESULTS
  Motivational interviewing appeared to influence dialysis attendance, frequency of shortened treatments, and phosphorous and albumin levels favorably while less favorably impacting interdialytic weight gain. Changes in the HCCQ scores were not statistically significant from pre- to post-intervention, though the trend was in the direction of improvement in autonomy support, a main component of motivational interviewing. Patients and staff found the approach acceptable.
  
  
  CONCLUSIONS
  Motivational interviewing shows promise as an intervention to improve adherence in adults undergoing hemodialysis.
authors.affiliation: University of Missouri, Sinclair School of Nursing, Columbia, MO, USA. russellc@missouri.edu
authors.forename: Cynthia L
authors.initials: CL
authors.lastname: Russell
authors.forename: Nikole J
authors.initials: NJ
authors.lastname: Cronk
authors.forename: Michelle
authors.initials: M
authors.lastname: Herron
authors.forename: Norma
authors.initials: N
authors.lastname: Knowles
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Matteson
authors.forename: Leanne
authors.initials: L
authors.lastname: Peace
authors.forename: Leonor
authors.initials: L
authors.lastname: Ponferrada
mesh_terms: D004509:Education, Nursing, Continuing; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D009042:Motivation; D010349:Patient Compliance; D010865:Pilot Projects; D006435:Renal Dialysis; D011795:Surveys and Questionnaires; D014481:United States