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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
288
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.
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.
Golestan
Ahvāz, Iran
Mehr
Ahvāz, Iran
Booali Sina Hospital
Qazvin, 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
...and 3 more locations
changes in Patient-reported medication Adherence to four therapies (aspirin/antiplatelet; beta blocker; statin; ACE inhibitor)
Time frame: 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
Time frame: changes from baseline , 6 Months, 12 months and 18 months after the intervention
Changes in psychological predictors of medication adherence (intention, perceived behavioral control and Self-monitoring)
Time frame: 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
Time frame: 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
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in quality of life
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Mortality rate and Myocardial Infarction
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in Beliefs about Medications
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in Illness Perceptions
Time frame: 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
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in total cholesterol
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in blood pressure
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in triglyceride
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in high-density lipoproteins-cholesterol
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in Low-density lipoproteins-cholesterol
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.