Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Coronary artery bypass grafting (CABG) surgery is often performed in elderly patients, but non-adherence to post-CABG guideline medications is a common and serious clinical concern in this age group. A recent systematic review found that higher medication adherence significantly improved primary and secondary prevention of coronary artery disease outcomes in all the included studies. Another systematic review assessed studies published from 1999-2009 about motivational interviews, such as implementation intention, in relation to cardiovascular health. They found that motivational interview was an effective means of changing behavior, while offering promise in improving cardiovascular health status. The study is aimed to investigate effectiveness of long term volitional intervention in proving medication adherence in the CABG patient.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Patients enrolled in the intervention arm will receive two educational sessions on the importance of medication and barriers to adherence |
|
| Usual Care | Active Comparator | The usual care group received routine discharge counseling performed by the cardiologists and nurses. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Interviewing (MI | Behavioral | Five weekly motivational and volitional session sessions and each last about 50 minutes. Five registered psychologists will moderated the session. All MI technique and planing intervention will be used. |
| Measure | Description | Time Frame |
|---|---|---|
| changes in Patient-reported medication Adherence to four therapies (aspirin/antiplatelet; beta blocker; statin; ACE inhibitor) | changes from baseline , 6 Months, 12 months and 18 months after the intervention | |
| Changes in Percent of Patients Adherent to four therapies (aspirin/antiplatelet; beta blocker; statin; ACE inhibitor) Via Refill Records | changes from baseline , 6 Months, 12 months and 18 months after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in psychological predictors of medication adherence (intention, perceived behavioral control and Self-monitoring) | changes from baseline, 6 Months, 12 months and 18 months follow-up | |
| Changes in action planning | The number of planning strategies is used by the patients before, at baseline, six months, twelve months and eighteen months after the intervention |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Amir H Pakpour, PhD | Qazvin University Of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Golestan | Ahvāz | Iran | ||||
| Mehr |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28004259 | Derived | Lin CY, Yaseri M, Pakpour AH, Malm D, Brostrom A, Fridlund B, Burri A, Webb TL. Can a Multifaceted Intervention Including Motivational Interviewing Improve Medication Adherence, Quality of Life, and Mortality Rates in Older Patients Undergoing Coronary Artery Bypass Surgery? A Multicenter, Randomized Controlled Trial with 18-Month Follow-Up. Drugs Aging. 2017 Feb;34(2):143-156. doi: 10.1007/s40266-016-0429-3. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| volitional intervention | Behavioral | Five weekly motivational and volitional session sessions and each last about 50 minutes. Five registered psychologists will moderated the session. All MI technique and planing intervention will be used. |
|
|
| Routine discharge counseling | Behavioral |
|
| changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in coping planning | The number of planning strategies is used by the patients before, at baseline, six months, twelve months and eighteen months after the intervention | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in quality of life | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Mortality rate and Myocardial Infarction | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Beliefs about Medications | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Illness Perceptions | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in habit strength | Patient's habits on medications use before, at baseline, six months, twelve months and eighteen months after the intervention | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in total cholesterol | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in blood pressure | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in triglyceride | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in high-density lipoproteins-cholesterol | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Low-density lipoproteins-cholesterol | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Ahvāz |
| Iran |
| Booali Sina Hospital | Qazvin | 3419759811 | Iran |
| Velayat Hospital | Qazvin | Iran |
| Kosar | Semnan | Iran |
| Shahid Madani | Tabriz | Iran |
| Firoozgar | Tehran | Iran |
| Imam Khomeini | Tehran | Iran |
| Rajaie | Tehran | Iran |
| Shariati | Tehran | Iran |
| Tehran Heart Center | Tehran | Iran |
| Khatam | Zahedan | Iran |
| Mousavi | Zanjan | Iran |
| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
Not provided
Not provided