Volume 6, Issue 2 (June 2019)                   J Educ Community Health 2019, 6(2): 95-101 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohamadian H, Bazarghani A, Latifi S M, Moradgholi A. Effect of Motivational Interviewing on Hypertension, self-care and Quality of Life of Rural Aged People: Application of Health Belief Model. J Educ Community Health. 2019; 6 (2) :95-101
URL: http://jech.umsha.ac.ir/article-1-590-en.html
1- “Research Centre for Social Determinants of Health” and “Health Education and Promotion Department, Health Faculty”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , hmohamadian@razi.tums.ac.ir
2- “Research Centre for Social Determinants of Health” and “Health Education and Promotion Department, Health Faculty”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Biostatistics & Epidemiology Department, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract:   (1459 Views)
 Aims:  High blood pressure as a silent killer can endanger the health of the aged people. The purpose of this study was to assess the effect of motivational interviewing based on the health belief model on hypertension, self-care, and quality of life of rural aged people.
Materials and Methods: This semi-experimental study without a control group, was carried out on 120 rural aged people over 60 years of age, who were covered by city health centers of Ramhormoz in 2017. The subjects were selected through the multistage random sampling method. The aged people participated in the motivational interviewing classes for 1 month each week, 2 sessions in 30-45 minutes. Data were collected using social support, perceived barriers, self-efficacy, self-care, and quality of life questionnaires, before and after the educational intervention. The data were analyzed using the Wilcoxon signed-rank test, Pearson and Filon's z test and path analysis through LISREL 8.5 and  SPSS 22 software.
Findings: After the educational intervention, the mean of systolic, diastolic blood pressure, and the average scores of social support, perceived barriers, self-efficacy, self-care and quality of life was improved significantly (p<0.001). Also, after the educational intervention, the variance of self-care and quality of life increased from %13 and %8 to %40 and %31, respectively.
Conclusion: Motivational interviewing has led to a better explanation of the health belief model in self-care and the quality of life by modifying the mental beliefs of aged people.
Persian Full-Text [PDF 885 kb]   (344 Downloads)    
Type of Study: Research Article | Subject: Self-care of Chronic Diseases
Received: 2018/11/4 | Accepted: 2019/02/26

1. Bloom DE, Luca DL. The global demography of aging: facts, explanations, future. In: Handbook of the economics of population aging. Piggott J, Woodland A, editors. North Holland: Elsevier Science; 2016. pp. 3-56.
2. Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States. Prince George's County, Suitland: United States Census Bureau; 2014.
3. Suzman R, Beard J. Global health and aging [Internet]. Geneva: World Health Organization; 2011 [cited 2016 Oct 23]. Available from: https://www.who.int/ageing/publications/global_health/en/
4. Mirzaie M, Darabi S. Population aging in Iran and rising health care costs. Salmand. 2017;12(2):156-69. [Persian]
5. Safarkhanlou H, Rezaei Ghahroodi Z. The evolution of the elderly population in Iran and the world. Statistics. 2017;5(3):8-16. [Persian]
6. Habibi A, Nikpour S, Seyedoshohadaei M, Haghani H. Health promoting behaviors and its related factors in elderly. Iran J Nurs. 2006;19(47):35-48. [Persian]
7. Nihtilä EK, Martikainen PT, Koskinen SV, Reunanen AR, Noro AM, Häkkinen UT. Chronic conditions and the risk of long-term institutionalization among older people. Eur J Public Health. 2008;18(1):77-84.
8. Manus MB, Bloomfield GS, Leonard AS, Guidera LN, Samson DR, Nunn CL. High prevalence of hypertension in an agricultural village in Madagascar. PloS One. 2018;13(8):e0201616.
9. Rajpura J, Nayak R. Medication adherence in a sample of elderly suffering from hypertension: evaluating the influence of illness perceptions, treatment beliefs, and illness burden. J Manag Care Pharm. 2014;20(1):58-65.
10. Basile JN. Systolic blood pressure: It is time to focus on systolic hypertension—especially in older people. Br Med J. 2002;325(7370):917-18.
11. Hazavehei MM, Dashti S, Moeini B, Faradmal J, Shahrabadi R, Yazdi AH. Factors related to self-care behaviors in hypertensive individuals based on Health Belief Model. Koomesh. 2015;17(1):37-44. [Persian]
12. Pettus AJ, Mendez-Luck CA, Bergeron CD, Ahn S, Towne SD Jr, Ory MG, et al. Internet-based resources for disease self-care among middle-aged and older women with chronic conditions. J Womens Health. 2017;26(3):222-33.
13. Fogari R, Zoppi A. Effect of antihypertensive agents on quality of life in the elderly. Drugs Aging. 2004;21(6):377-93.
14. Roozbahani N, Khorsandi M, Fekrizadeh Z. Self-efficacy of self-care behaviors of elderly patients with hypertension. J Sabzevar Univ Med Sci. 2014;21(5):753-60. [Persian]
15. Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci. 2011;1(3):116-22. [Persian]
16. Linden A, Butterworth SW, Prochaska JO. Motivational interviewing‐based health coaching as a chronic care intervention. J Eval Clin Pract. 2010;16(1):166-74.
17. Benzo R, Vickers K, Ernst D, Tucker S, McEvoy C, Lorig K. Development and feasibility of a self-management intervention for chronic obstructive pulmonary disease delivered with motivational interviewing strategies. J Cardiopulm Rehabil Prev. 2013;33(2):113-23.
18. Bogue BM. Motivational interviewing in corrections: A comprehensive guide to implementing MI in corrections. Washington D.C: US Department of Justice, National Institute of Corrections; 2012.
19. Balán IC, Lejuez CW, Hoffer M, Blanco C. Integrating motivational interviewing and brief behavioral activation therapy: theoretical and practical considerations. Cogn Behav Pract. 2016;23(2):205-20.
20. Eftekhar Ardebili H, Fathi S, Moradi M, Mahmoudi M, Maheri A. Effect of educational intervention based on the Health Belief Model in blood pressure control in hypertensive women. J Mazandaran Univ Med Sci. 2014;24(119):62-71. [Persian]
21. Li G, Hu H, Dong Z, Arao T. Development of the Chinese family support scale in a sample of Chinese patients with hypertension. PLoS One. 2013;8(12):e85682.
22. Kamran A, Sadeghieh Ahari S, Biria M, Malepour A, Heydari H. Determinants of patient’s adherence to hypertension medications: application of health belief model among rural patients. Ann Med Health Sci Res. 2014;4(6):922-27.
23. Warren-Findlow J, Seymour RB, Huber LRB. The association between self-efficacy and hypertension self-care activities among African American adults. J Community Health. 2012;37(1):15-24.
24. Lam WY, Fresco P. Medication adherence measures: an overview. Biomed Res Int. 2015;2015:217047.
25. Jalenques I, Auclair C, Rondepierre F, Gerbaud L, Tourtauchaux R. Health-related quality of life evaluation of elderly aged 65 years and over living at home. Rev Epidemiol Sante Publique. 2015;63(3):183-90. [French]
26. Fields A. Resolving patient ambivalence: a five session motivational interviewing intervention. Vancouver: Hollifield Associates; 2006.
27. Montgomery DC, Peck EA, Vining GG. Introduction to linear regression analysis. Hoboken: John Wiley & Sons; 2012.
28. Steiger JH. Tests for comparing elements of a correlation matrix. Psychol Bull. 1980;87(2):245-51.
29. Farahandi H, Mohebbi B, Tol A, Sadeghi R, Nori Jaliani K. The impacts of blended educational intervention program on blood pressure control and promoting HbA1c among type 2 diabetic patients with hypertension. Razi J Med Sci. 2015;22(131):88-96. [Persian]
30. Prasanna DG, Gopinath C, Yadavender Reddy KB, Rajasekhar DG, Chandrakanth P, Sravanakumari S. Effect of lifestyle modifications on blood pressure in hypertensive patients. Int J Pharm Sci Res, 2015;6(12):5159-63.
31. Izadirad H, Masoudi GR, Zareban I, Shahrakipour M, Jadgal K. The effect of educational program based on BASNEF Model on women’s blood pressure with hypertension. J Torbat Heydariyeh Univ Med Sci. 2013;1(2):22-31. [Persian]
32. Fargally M, Elsadek A, Abdelhady AS, Ghandor A. Effect of lifestyle modification in hypertensive patients in Greater Cairo. Egypt J Hosp Med. 2013;53(1):991-1006.
33. Sadeghi R, Mohseni M, Khanjani N. The effect of an educational intervention according to hygienic belief model in improving care and controlling among patients with hypertension. J Rafsanjan Univ Med Sci. 2014;13(4):383-94. [Persian]
34. Alidoust Ghahfarokhi F, Kiyan Ersi F. Effectiveness of motivational interviewing on depression and hope on dialysis patients in Hajar Hospital of Shahrekord in 2013. J Clin Psychol. 2016;8(4):85-93. [Persian]
35. Khezri R, Ravanipour M, Motamed N, Vahedparast H. Effect of self-management empowering model on the quality of life in the elderly patients with hypertension. Salmand. 2016;10(4):68-79. [Persian]
36. Pignataro RM, Huddleston J. The use of motivational interviewing in physical therapy education and practice: empowering patients through effective self-management. J Phys Ther Educ. 2015;29(2):62-71.
37. Clayton Silver N, Merino-Soto C. Computer programs for comparing dependent correlations. Revista Digital de Investigación en Docencia Universitaria. 2016;10(2):72-82.
38. Canvin K, MacLeod CA, Windle G, Sacker A. Seeking assistance in later life: how do older people evaluate their need for assistance? Age Ageing. 2018;47(3):466-73.

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb