title: Motivational interviewing promotes adherence and improves wellbeing in pre-dialysis patients with advanced chronic kidney disease.
abstract: Low rates of adherence to medical treatments and adverse emotional states are a widespread problem in advanced chronic kidney disease (ACKD). Motivational interviewing using the stages of change model is an effective combination in promoting behavior modifications. The objective of the present study was to determine the effectiveness of an individual, pre-dialysis intervention program (monthly sessions of 90 min over a 6-month period) in terms of adherence, emotional state and health-related quality of life (HRQL). Forty-two patients were evaluated for adherence, depression, anxiety and HRQL with standardized self-report questionnaires. Biochemical markers were also registered. The results show that after the intervention, patients reported significantly higher levels of adherence, lower depression and anxiety levels, and better HRQL (i.e., general health and emotional role domains). Biochemical parameters were controlled significantly better after the intervention, except for iPTH. These findings highlight the potential benefit of applying individual psycho-educational intervention programs based on motivational interviewing and using the stages of change model to promote adherence and wellbeing in ACKD patients.
authors.affiliation: Nephrology Department, General Hospital, La Paz Biomedical Research Institute (IdiPAZ), La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain, helenagllana@hotmail.com.
authors.forename: Helena
authors.initials: H
authors.lastname: García-Llana
authors.forename: Eduardo
authors.initials: E
authors.lastname: Remor
authors.forename: Gloria
authors.initials: G
authors.lastname: del Peso
authors.forename: Olga
authors.initials: O
authors.lastname: Celadilla
authors.forename: Rafael
authors.initials: R
authors.lastname: Selgas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D003863:Depression; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology; D006435:Renal Dialysis / Q000523:psychology*; D051436:Renal Insufficiency, Chronic / Q000523:psychology* / Q000628:therapy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult