The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study

Nasrin Zahmatkeshan, Nasrin Zahmatkeshan and Mahnaz Rakhshan, Mahnaz Rakhshan and Ladan Zarshenas, Ladan Zarshenas and Javad Kojuri, Javad Kojuri and Zahra Khademian, Zahra Khademian (2021) The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study. International Journal of Community Based Nursing and Midwifery, 9 (35). pp. 225-237. ISSN pISSN: 2322-2476, eISSN: 2322-4835

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Abstract

Background: Non-adherence complicates the management of patients with cardiovascular disease. This study aimed to determine the effect of applying the information-motivation-behavioral skills (IMB) model on the treatment adherence among these patients.
Methods: This quasi-experimental study was conducted on 112 patients with cardiovascular disease in Nemazee and Al-zahra hospitals in Shiraz, Iran, from October 2019 to July 2020. Eligible patients were selected and divided into intervention and control groups. The intervention was based on an integration of IMB model constructs and included 10 motivational-educational sessions for three months, followed by telephone consultations for six months. Data were collected before, and three and six months after the end of the motivational-educational sessions using adherence questionnaire in patients with chronic diseases, and adherence in chronic disease scale for medication adherence. Data were analyzed using SPSS 22, and descriptive statistics, chi-square, independent t-test, and repeated measure ANOVA were performed. P<0.05 was considered significant.
Results: The intervention and control groups were homogenous based on demographic characteristics. Repeated measure ANOVA findings revealed an increasing trend in the mean scores of the intervention group in treatment adherence from 51.10±3.20 at baseline to 66.40±5.50 three months and 73.80±6.80 six months after the end of the intervention (P<0.001). Furthermore, based on repeated measure ANOVA findings, the mean score of the intervention group in medication adherence significantly increased from 20.10+3 at baseline to 24.10+2.40 three months and 24.50+3.20 six months after the end of the intervention (P<0.001).
Conclusion: Applying the IMB model promoted adherence to treatment and medication among patients with cardiovascular disease. Therefore, such interventions are recommended for these patients.

Item Type:	Article
Uncontrolled Keywords:	Cardiovascular diseases, Educational model, Medication adherence, Psychological model, Treatment adherence
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:46
Last Modified:	04 Jul 2022 00:46
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1312

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