Motivational interviewing intervention for the management of hypertension: a meta-analysis
BackgroundImproving medication compliance and self-efficacy in hypertensive patients is of significant importance for their prognosis. This meta-analysis aimed to assess the role of motivational interviewing in reducing systolic and diastolic blood pressure, self-efficacy, quality of life and medica...
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| Language: | English |
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1457039/full |
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| author | Ju Xu Xiaoyan Gu Jiaying Gu Lijuan Zhao Mianxian Li Cheng Hong |
| author_facet | Ju Xu Xiaoyan Gu Jiaying Gu Lijuan Zhao Mianxian Li Cheng Hong |
| author_sort | Ju Xu |
| collection | DOAJ |
| description | BackgroundImproving medication compliance and self-efficacy in hypertensive patients is of significant importance for their prognosis. This meta-analysis aimed to assess the role of motivational interviewing in reducing systolic and diastolic blood pressure, self-efficacy, quality of life and medication adherence in hypertensive patients.MethodsTwo authors searched PubMed, Cochrane Library, Clinicaltrials, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database, Weipu and Wanfang Database up to May 28, 2024 for randomized controlled trials (RCTs) evaluating the role of motivational interviewing on hypertensive patients. The search was restricted to articles published in English and Chinese languages. RevMan 5.4 software was used for meta-analysis.ResultsA total of 16 RCTs were included. The meta-analysis findings demonstrate that motivational interviewing could reduce both systolic pressure [MD = −3.26, 95% CI (−5.16, −1.36), P < 0.001] and diastolic blood pressure [MD = −1.78, 95% CI (−3.48, −0.08), P < 0.001] levels in hypertensive patients, while simultaneously enhancing their self-efficacy [MD = 2.92, 95% CI (1.84, 4.00), P = 0.001], quality of life [MD = 6.99, 95% CI (3.25, 10.74), P = 0.003], and medication compliance [OR = 4.30, 95% CI (1.53, 12.10), P = 0.003]. No significant publication bias across the synthesized outcomes were found by Egger regression analyses (all P > 0.05).ConclusionsMotivational interviewing has been shown to effectively reduce blood pressure in the short term among individuals with hypertension, while simultaneously enhancing their self-efficacy, quality of life, and adherence to medication regimens. |
| format | Article |
| id | doaj-art-8ab27514814040ec918b7f3de506812b |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-8ab27514814040ec918b7f3de506812b2025-01-20T07:20:03ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14570391457039Motivational interviewing intervention for the management of hypertension: a meta-analysisJu Xu0Xiaoyan Gu1Jiaying Gu2Lijuan Zhao3Mianxian Li4Cheng Hong5Department of Nursing, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, ChinaDepartment of Gastroenterology, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, ChinaDepartment of Cardiovascular Medicine, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, ChinaDepartment of Cardiovascular Medicine, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, ChinaDepartment of Cardiovascular Medicine, First Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Cardiovascular Medicine, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, ChinaBackgroundImproving medication compliance and self-efficacy in hypertensive patients is of significant importance for their prognosis. This meta-analysis aimed to assess the role of motivational interviewing in reducing systolic and diastolic blood pressure, self-efficacy, quality of life and medication adherence in hypertensive patients.MethodsTwo authors searched PubMed, Cochrane Library, Clinicaltrials, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database, Weipu and Wanfang Database up to May 28, 2024 for randomized controlled trials (RCTs) evaluating the role of motivational interviewing on hypertensive patients. The search was restricted to articles published in English and Chinese languages. RevMan 5.4 software was used for meta-analysis.ResultsA total of 16 RCTs were included. The meta-analysis findings demonstrate that motivational interviewing could reduce both systolic pressure [MD = −3.26, 95% CI (−5.16, −1.36), P < 0.001] and diastolic blood pressure [MD = −1.78, 95% CI (−3.48, −0.08), P < 0.001] levels in hypertensive patients, while simultaneously enhancing their self-efficacy [MD = 2.92, 95% CI (1.84, 4.00), P = 0.001], quality of life [MD = 6.99, 95% CI (3.25, 10.74), P = 0.003], and medication compliance [OR = 4.30, 95% CI (1.53, 12.10), P = 0.003]. No significant publication bias across the synthesized outcomes were found by Egger regression analyses (all P > 0.05).ConclusionsMotivational interviewing has been shown to effectively reduce blood pressure in the short term among individuals with hypertension, while simultaneously enhancing their self-efficacy, quality of life, and adherence to medication regimens.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1457039/fullmotivational interviewinghypertensioncaretreatmentmanagement |
| spellingShingle | Ju Xu Xiaoyan Gu Jiaying Gu Lijuan Zhao Mianxian Li Cheng Hong Motivational interviewing intervention for the management of hypertension: a meta-analysis Frontiers in Cardiovascular Medicine motivational interviewing hypertension care treatment management |
| title | Motivational interviewing intervention for the management of hypertension: a meta-analysis |
| title_full | Motivational interviewing intervention for the management of hypertension: a meta-analysis |
| title_fullStr | Motivational interviewing intervention for the management of hypertension: a meta-analysis |
| title_full_unstemmed | Motivational interviewing intervention for the management of hypertension: a meta-analysis |
| title_short | Motivational interviewing intervention for the management of hypertension: a meta-analysis |
| title_sort | motivational interviewing intervention for the management of hypertension a meta analysis |
| topic | motivational interviewing hypertension care treatment management |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1457039/full |
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