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.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
García-Llana H,Remor E,del Peso G,Celadilla O,Selgas Rdoi
10.1007/s10880-013-9383-ysubject
Has Abstractpub_date
2014-03-01 00:00:00pages
103-15issue
1eissn
1068-9583issn
1573-3572journal_volume
21pub_type
杂志文章abstract：:Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND-...
journal_title：Journal of clinical psychology in medical settings
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journal_title：Journal of clinical psychology in medical settings
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,多中心研究
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journal_title：Journal of clinical psychology in medical settings
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journal_title：Journal of clinical psychology in medical settings
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