Clinical trial NCT05054205: Motivational Interview-based Self-management Training
Official title: The Effect on Self-effıcacy of Self-management Program Based on motıvatıonal ıntervıewing in Chronic Obstructive Pulmonary Disease (COPD) patıents: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: COPD
Motivational Interviewing
Self Management
Self-Efficacy
Psychiatric Nursing
Keywords: COPD
Motivational interviewing
Self management
Self-Efficacy
Psychiatric nursing
Lead sponsor: Akdeniz University
Sponsor class: OTHER
Collaborators: name: Aydin Adnan Menderes University
First posted: 2021-09-23
Enrollment: 78
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This randomized controlled experimental study was conducted between March and May 2018 with 39 intervention and 39 control groups, a total of 78 patients in the Chest Diseases Clinic of Chest Diseases Hospital who were treated with COPD. In data collection; ''Patient Data Form'', ''Medical Research Council (MRC) Dyspnea Scale'', ''COPD Self Efficacy Scale (CSES)'' were used.To the experimental group; motivational interview based self-management education was given for 30-45 minutes with groups of 5-8 people, COPD education guide was given, questions were shared with the question-answer method and group interaction was provided. After the self-management education, 3 motivational interviews were conducted 3 days apart with 30-45 minutes. Normal care was continued in the control group. The data were collected in three stages as pre-test, post-test and follow-up.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Chronic Obstructive Pulmonary Disease (COPD) is an important chronic disease that causes increasing mortality and morbidity globally, as well as a social and economic burden. All symptoms (cough, sputum production, etc.), especially dyspnea in COPD, the chronicity of the disease and the need for long-term care limit the lives of the patients. Dyspnea occurring in COPD negatively affects the self-confidence of patients by restricting their activities of daily living, thus causing a decrease in their self-efficacy levels. Low self-efficacy levels cause patients to limit their activities more.

Nurses play an important role in ensuring the management of COPD, supporting patients to continue their activities of daily living, and increasing their self-efficacy levels. Nursing care that includes patient education and counseling is important in providing disease management and symptom control, and increasing the self-efficacy levels of patients. During self-management training, it is necessary to ensure that the patient is an active participant, to use a motivating communication style in the behavior change process and to encourage patients. In this process, it is stated that it is important to use motivational interview techniques in self-management training given by nurses.

Detailed description: This study was conducted to investigate the effect on self-efficacy of self-management education and motivational interview among COPD patients. This randomized controlled experimental study was conducted between March and May 2018 with 39 intervention and 39 control groups, a total of 78 patients in the Chest Diseases Clinic of Chest Diseases Hospital who were treated with COPD. In data collection; ''Patient Data Form'', ''Medical Research Council (MRC) Dyspnea Scale'', ''COPD Self Efficacy Scale (CSES)'' were used. To the experimental group; motivational interview based self-management education was given for 30-45 minutes with groups of 5-8 people, COPD education guide was given, questions were shared with the question-answer method and group interaction was provided. After the self-management education, 3 motivational interviews were conducted 3 days apart with 30-45 minutes. Normal care was continued in the control group. The data were collected in three stages as pre-test, post-test and follow-up. According to the research ethics, self-management education and COPD education guidelines were given to the control group and motivational interviews were conducted. In this study, written consent was obtained from the ethics committee, institutions and patients.

* Self-efficacy levels and dyspnea perception levels of COPD patients are the dependent variables of the study.
* Self-management training and motivational interviewing given to COPD patients are the independent variables of the research.
* Control variables of the study; age, gender, marital status, education status, occupation, employment status, smoking status, duration of being a COPD patient, number of hospitalizations, drug use status, people living with at home, type of warming, participation in COPD education and Pulmonary Rehabilitation program.
* H0: Self-management training and motivational interviewing given to COPD patients have no effect on self-efficacy and dyspnea perception.
* H1: Self-management training and motivational interviewing given to COPD patients have an effect on self-efficacy and dyspnea perception.
* All statistical analyzes were made SPSS 25 package program. The obtained data were analyzed by means of percentage distributions, mean, variance analysis in repeated measures, bonferroni analysis as a further analysis and t test in dependent groups.

Eligibility criteria: Inclusion Criteria:

* To receive inpatient treatment with the diagnosis of COPD,
* To be literate,
* To have the cognitive and mental competence to answer questions,
* Disease symptoms are at a level that does not prevent communication

Exclusion Criteria:

* The patient is in an acute exacerbation period,
* Having dyspnea at a level that prevents cooperation,
* Presence of sensory loss related to vision, hearing and speech,
* Presence of cognitive and mental impairment that prevents communication

Primary outcomes:
measure: Self Efficacy
timeFrame: measuring self-efficacy levels at baseline
measure: Self Efficacy
timeFrame: Change in self-efficacy level immediately after completion of a two-week motivational interview-based self-management training
measure: Self Efficacy
timeFrame: Change in self-efficacy level one month after motivational interview-based self-management training
Secondary outcomes:
measure: Perception of dyspnea
timeFrame: Measuring perception of dyspnea levels at baseline
measure: Perception of dyspnea
timeFrame: Change in perception of dyspnea level immediately after completion of a two-week motivational interview-based self-management program
measure: Perception of dyspnea
timeFrame: Change in perception of dyspnea level one month after motivational interview-based self-management training
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Denizli Buldan Chest Diseases Hospital
state: Buldan
Study officials:
affiliation: Denizli Buldan Chest Diseases Hospital
name: Yeliz Karaçar, M.Sc.
role: PRINCIPAL_INVESTIGATOR
References:
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