Vol 15, No 1 (2020)
Original paper
Published online: 2020-02-27
Rationale for motivational interventions as pivotal element of multilevel educational and motivational project (MEDMOTION)
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DOI: 10.5603/FC.2020.0003
Folia Cardiologica 2020;15(1):6-10.
Abstract
Introduction. The Multilevel EDucational and MOtivational intervention in patients after myocardial infarcTION (MEDMOTION) project has been designed to test the comprehensive strategy of treatment after acute coronary syndrome. The aim of MEDMOTION is to improve the efficacy of secondary prevention, complementing patients’ education with motivational interventions.
Material and methods. Individualised motivation and complex health education, started during hospitalisation and continued after discharge, explaining the pathophysiology and symptoms of the disease, elucidating goals and potential benefits of treatment, and highlighting the risk of premature termination of therapy, with the use of additional methods helping patients to remember the treatment schedule, will be applied to enhance adherence to treatment, resulting in improved clinical outcomes. Interventions targeting the attitudes and knowledge of nurses and physicians form part of the MEDMOTION project, including analysis of the strengths and weaknesses of medical staff in the context of motivation and therapeutic education, workshops on interpersonal (medical staff and patient) communication, motivational and educational strategies.
Conclusion. We believe that motivational actions, complementing educational interventions, are essential for successful secondary prevention after ACS.
Keywords: motivationeducation
References
- Duryée R. The efficacy of inpatient education after myocardial infarction. Heart Lung. 1992; 21(3): 217–225.
- Kubica A, Andruszkiewicz A, Grześk G, et al. Edukacja zdrowotna jako metoda poprawy realizacji programu terapeutycznego. Folia Cardiol Excerpta. 2010; 5(2): 93–99.
- Kubica A, Obońska K, Fabiszak T, et al. Adherence to antiplatelet treatment with P2Y12 receptor inhibitors. Is there anything we can do to improve it? A systematic review of randomized trials. Curr Med Res Opin. 2016; 32(8): 1441–1451.
- Kubica A, Obońska K, Kasprzak M, et al. Prediction of high risk of non-adherence to antiplatelet treatment. Kardiol Pol. 2016; 74(1): 61–67.
- Kubica A, Kasprzak M, Siller-Matula J, et al. Time-related changes in determinants of antiplatelet effect of clopidogrel in patients after myocardial infarction. Eur J Pharmacol. 2014; 742: 47–54.
- Kubica A, Kasprzak M, Obońska O, et al. Impact of health education on adherence to clopidogrel and clinical effectiveness of antiplatelet treatment in patients after myocardial infarction. Folia Med Copernicana. 2015; 3(4): 154–159.
- Butler J, Arbogast PG, BeLue R, et al. Outpatient adherence to beta-blocker therapy after acute myocardial infarction. J Am Coll Cardiol. 2002; 40(9): 1589–1595.
- Kubica A. Współpraca z pacjentem — podstawowy warunek skuteczności terapii w chorobie wieńcowej. Choroby Serca i Naczyń. 2009; 6(3): 131–134.
- Kubica A, Gruchała M, Jaguszewski M, et al. Adherence to treatment — a pivotal issue in long-term treatment of patients with cardiovascular diseases. An expert standpoint. Medical Res J. 2018; 2(4): 123–127.
- Michalski P, Kosobucka A, Pietrzykowski Ł, et al. Effectiveness of therapeutic education in patients with myocardial infarction. Med Res J. 2018; 2(3): 89–96.
- Michalski P, Kosobucka A, Nowik M, et al. Edukacja zdrowotna pacjentów z chorobami układu sercowo-naczyniowego. Folia Cardiol. 2017; 11(6): 519–524.
- Eagle KA, Montoye CK, Riba AL, et al. American College of Cardiology's Guidelines Applied in Practice (GAP) Projects in Michigan, American College of Cardiology Foundation (Bethesda, Maryland) Guidelines Applied in Practice Steering committee. Guideline-based standardized care is associated with substantially lower mortality in medicare patients with acute myocardial infarction: the American College of Cardiology's Guidelines Applied in Practice (GAP) Projects in Michigan. J Am Coll Cardiol. 2005; 46(7): 1242–1248.
- Mehta RH, Montoye CK, Gallogly M, et al. GAP Steering Committee of the American College of Cardiology. Improving quality of care for acute myocardial infarction: the Guidelines Applied in Practice (GAP) Initiative. JAMA. 2002; 287(10): 1269–1276.
- Auer R, Gaume J, Rodondi N, et al. Efficacy of in-hospital multidimensional interventions of secondary prevention after acute coronary syndrome: a systematic review and meta-analysis. Circulation. 2008; 117(24): 3109–3117.
- Miller WR. Motivational interviewing with problem drinkers. Behavioural Psychotherapy. 2009; 11(2): 147–172.
- Miller WR, Rollnick S. Motivational Interviewing: preparing people for change. 2nd ed. Guilford Press, New York 2002.
- Hardcastle S, Taylor A, Bailey M, et al. A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors. Patient Educ Couns. 2008; 70(1): 31–39.
- Hardcastle SJ, Taylor AH, Bailey MP, et al. Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: a randomised controlled trial with a 12-month post-intervention follow-up. Int J Behav Nutr Phys Act. 2013; 10: 40.
- Garbers S, Hunersen K, Nechitilo M, et al. Healthy weight and cardiovascular health promotion interventions for adolescent and young adult males of color: a systematic review. Am J Mens Health. 2018; 12(5): 1328–1351.
- Gianos E, Schoenthaler A, Guo Yu, et al. Investigation of motivational interviewing and prevention consults to achieve cardiovascular targets (IMPACT) trial. Am Heart J. 2018; 199: 37–43.
- Ringen PA, Falk RS, Antonsen B, et al. Using motivational techniques to reduce cardiometabolic risk factors in long term psychiatric inpatients: a naturalistic interventional study. BMC Psychiatry. 2018; 18(1): 255.
- Heckman CJ, Egleston BL, Hofmann MT. Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis. Tob Control. 2010; 19(5): 410–416.
- Dobber J, Latour C, Haan Lde, et al. Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing. BMC Psychiatry. 2018; 18(1).
- Michalski P, Kosobucka A, Pietrzykowski Ł, et al. Knowledge and learning preferences of patients with myocardial infarction. Med Res J. 2017; 1(4): 120–124.
- Kosobucka A, Kasprzak M, Michalski P, et al. Relation of the Readiness for Hospital Discharge after Myocardial Infarction Scale to socio-demographic and clinical factors. An observational study. Med Res J. 2018; 3(1): 32–37.
- Buszko K, Kosobucka A, Michalski P, et al. The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire. Med Res J. 2017; 2(1): 20–28.
- Buszko K, Obońska K, Michalski P, et al. The Adherence Scale in Chronic Diseases (ASCD). The power of knowledge: the key to successful patient — health care provider cooperation. Med Res J. 2016; 1(1): 37–42.
- Kubica A, Kosobucka A, Michalski P, et al. The Adherence in Chronic Diseases Scale — a new tool to monitor implementation of a treatment plan. Folia Cardiol. 2017; 12: 19–26.
- Kubica A, Kosobucka A, Fabiszak T, et al. Assessment of adherence to medication in patients after myocardial infarction treated with percutaneous coronary intervention. Is there a place for newself-reported questionnaires? Curr Med Res Opin. 2019; 35(2): 341–349.
- Kosobucka A, Michalski P, Pietrzykowski Ł, et al. Adherence to treatment assessed with the Adherence in Chronic Diseases Scale in patients after myocardial infarction. Patient Prefer Adherence. 2018; 12: 333–340.
- Buszko K, Pietrzykowski Ł, Michalski P, et al. Validation of the Functioning in Chronic Illness Scale (FCIS). Med Res J. 2018; 3(2): 63–69.
- Kubica A. Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome. Med Res J. 2019; 4(2): 106–109.
- Fonarow GC, Gawlinski A, Moughrabi S, et al. Improved treatment of coronary heart disease by implementation of a Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). Am J Cardiol. 2001; 87(7): 819–822.
- Kubica A, Kochman W, Bogdan M, et al. The influence of undergone percutaneous coronary interventions, and earlier hospitalizations with myocardial infarction on the level of knowledge and the effectiveness of health education in patients with myocardial infarction. Post Kardiol Interw. 2009; 5(1): 25–30.
- Kubica A, Kasprzak M, Obońska K, et al. Discrepancies in assessment of adherence to antiplatelet treatment after myocardial infarction. Pharmacology. 2015; 95(1-2): 50–58.
- Ockene IS, Hayman LL, Pasternak RC, et al. Task Force #4: adherence issues and behavior changes: achieving a long-term solution. 33rd Bethesda Conference. J Am Coll Cardiol. 2002; 40(4): 630–640.
- Cornuz J, Humair JP, Seematter L, et al. Efficacy of resident training in smoking cessation: a randomized, controlled trial of a program based on application of behavioral theory and practice with standardized patients. Ann Intern Med. 2002; 136(6): 429–437.
- Marciniak TA, Ellerbeck EF, Radford MJ, et al. Improving the quality of care for Medicare patients with acute myocardial infarction: results from the Cooperative Cardiovascular Project. JAMA. 1998; 279(17): 1351–1357.
