A systematic review of the use of motivational interviewing in the management of hypertension

Ahmad Abdul Ghofar Abdulloh(1*), Ah. Yusuf(2), Nuzul Qur’aniati(3)


(1) Universitas Airlangga
(2) Universitas Airlangga
(3) Universitas Airlangga
(*) Corresponding Author

Abstract


Non-adherence in hypertensive patients is a serious challenge faced by health workers. The motivational interviewing (MI) is a patient-centered intervention and has been shown to change a person's compliance. The aim of this review is to investigate the impact of MI on adherence in hypertensive patients. This review was conducted on four databases, PubMed, Cinahl, Web of Science (WOS), and Scopus. Only randomized controlled trial (RCT) articles were used in this review, the quality assessment of the articles used the JBI critical appraisal tools, the selection and extraction of articles referred to the PRISMA guidelines. There were 5 articles that met the inclusion criteria. MI is applied with 2 methods, conventional and non-conventional. 2 articles showed an increase in medication adherence, 1 article showed adherence to dietary and physical activity recommendations, 1 article showed a change in smoking consumption patterns, and 4 articles showed a decrease in blood pressure in post-intervention hypertensive patients. MI can be an effective option in terms of improving hypertension adherence in the future. Although the evidence is currently validated, more research is needed to explore the evidence for the effectiveness of the combined MI method.

Keywords


Adherence; Hypertension; Motivational interviewing

References


Hameed MA, Dasgupta I. Medication adherence and treatment-resistant hypertension: a review. Drugs Context 2019;8:1–11. https://doi.org/10.7573/dic.212560.

Gebremichael GB, Berhe KK, Zemichael TM. Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018. BMC Cardiovasc Disord 2019;19:121. https://doi.org/10.1186/s12872-019-1091-6.

World Health Organization (WHO). Hypertension. 25 August 2021. https://www.who.int/news-room/fact-sheets/detail/hypertension (accessed January 1, 2023).

Silveira LCJ, Aliti GB, Da Silva EM, Pimentel RP, Gus M, Rabelo-Silva ER. Effect of motivational interviewing in hypertensive patients (MIdNIgHT): study protocol for a randomized controlled trial. Trials 2019;20:414. https://doi.org/10.1186/s13063-019-3486-1.

Vrijens B, Antoniou S, Burnier M, de la Sierra A, Volpe M. Current Situation of Medication Adherence in Hypertension. Front Pharmacol 2017;8:100. https://doi.org/10.3389/fphar.2017.00100.

Lane D, Lawson A, Burns A, Azizi M, Burnier M, Jones DJL, et al. Nonadherence in hypertension: How to develop and implement chemical adherence testing. Hypertension 2022;79:12–23. https://doi.org/10.1161/HYPERTENSIONAHA.121.17596.

Nelson LA, Spieker AJ, Kripalani S, Rothman RL, Roumie CL, Coco J, et al. User preferences for and engagement with text messages to support antihypertensive medication adherence: Findings from a pilot study evaluating an emergency department-based behavioral intervention. Patient Educ Couns 2022;105:1606–13. https://doi.org/10.1016/j.pec.2021.10.011.

Zhou D, Xi B, Zhao M, Wang L, Veeranki SP. Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: the NHANES III Linked Mortality Study. Sci Rep 2018;8:9418. https://doi.org/10.1038/s41598-018-27377-2.

Sohn IS, Kim CJ, Yoo B-S, Kim BJ, Choi JW, Kim D-I, et al. Clinical impact of guideline-based practice and patients’ adherence in uncontrolled hypertension. Clin Hypertens 2021;27:26. https://doi.org/10.1186/s40885-021-00183-1.

Mirniam AA, Habibi Z, Khosravi A, Sadeghi M, Eghbali-Babadi M. A clinical trial on the effect of a multifaceted intervention on blood pressure control and medication adherence in patients with uncontrolled hypertension. ARYA Atheroscler 2019;15:267–74. https://doi.org/10.22122/arya.v15i6.1904.

Conn VS, Ruppar TM, Chase J-AD, Enriquez M, Cooper PS. Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis. Curr Hypertens Rep 2015;17:94. https://doi.org/10.1007/s11906-015-0606-5.

Abughosh S, Wang X, Serna O, Esse T, Mann A, Masilamani S, et al. A motivational interviewing intervention by pharmacy students to improve medication adherence. J Manag Care Spec Pharm 2017;23:549–60. https://doi.org/10.18553/jmcp.2017.23.5.549.

Algabbani FM, Algabbani AM. Treatment adherence among patients with hypertension: findings from a cross-sectional study. Clin Hypertens 2020;26:18. https://doi.org/10.1186/s40885-020-00151-1.

Ebrahim Aliafsari Mamaghani, Edris Hasanpoor, Esmaiel Maghsoodi, Farzaneh Soleimani. Barriers to medication adherence among hypertensive patients in Deprived Rural Areas. Ethiop J Health Sci 2020;30:85–94. https://doi.org/10.4314/ejhs.v30i1.11.

Prihanti GS, Sari NP, Septiani NI, Tobing LPRL, Adrian AR, Ayu NR, et al. The effect of counseling on the adherence of therapeutic hypertension patients. Jurnal Keperawatan 2020;11:110–20. https://doi.org/10.22219/jk.v11i2.11943.

Gikunda C, Gitonga L, Kamweru P. Patient and health system related factors associated with non-adherence to antihypertensive medication among patients at Chuka Referral Hospital, Kenya. Open J Clin Diagn 2021;11:19–46. https://doi.org/10.4236/ojcd.2021.112002.

Kementerian Kesehatan Republik Indonesia. Hipertensi. Jakarta: Pusat Data dan Informasi Kemeneterian Kesehatan Republik Indonesia; 2014.

Alhalaiqa F, Deane KHO, Nawafleh AH, Clark A, Gray R. Adherence therapy for medication non-compliant patients with hypertension: a randomised controlled trial. J Hum Hypertens 2012;26:117–26. https://doi.org/10.1038/jhh.2010.133.

Steffen PLS, Mendonça CS, Meyer E, Faustino-Silva DD. Motivational Interviewing in the Management of Type 2 Diabetes Mellitus and Arterial Hypertension in Primary Health Care: An RCT. Am J Prev Med 2021;60:e203–12. https://doi.org/10.1016/j.amepre.2020.12.015.

Vellone E, Paturzo M, D’Agostino F, Petruzzo A, Masci S, Ausili D, et al. MOTIVATional intErviewing to improve self-care in Heart Failure patients (MOTIVATE-HF): Study protocol of a three-arm multicenter randomized controlled trial. Contemp Clin Trials 2017;55:34–8. https://doi.org/10.1016/j.cct.2017.02.003.

Frost H, Campbell P, Maxwell M, O’Carroll RE, Dombrowski SU, Williams B, et al. Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews. PLoS One 2018;13:e0204890. https://doi.org/10.1371/journal.pone.0204890.

El-Behadli AF, Germann JN, Pratt C, Acosta D, Montiel-Esparza R, Alvarez N, et al. Culturally adapted motivational interviewing for pediatric acute lymphoblastic leukemia adherence: Feasibility and acceptability. Clin Pract Pediatr Psychol 2022. https://doi.org/10.1037/cpp0000447.

Ok E, Kutlu Y. The Effect of Motivational Interviewing on Adherence to Treatment and Quality of Life in Chronic Hemodialysis Patients: A Randomized Controlled Trial. Clin Nurs Res 2021;30:322–33. https://doi.org/10.1177/1054773820974158.

Louwagie G, Kanaan M, Morojele NK, Van Zyl A, Moriarty AS, Li J, et al. Effect of a brief motivational interview and text message intervention targeting tobacco smoking, alcohol use and medication adherence to improve tuberculosis treatment outcomes in adult patients with tuberculosis: a multicentre, randomised controlled tri. BMJ Open 2022;12:e056496. https://doi.org/10.1136/bmjopen-2021-056496.

Mohan A, Vadhariya A, Majd Z, Esse TW, Serna O, Abughosh SM. Impact of a motivational interviewing intervention targeting statins on adherence to concurrent hypertension or diabetes medications. Patient Educ Couns 2021;104:1756–64. https://doi.org/10.1016/j.pec.2020.12.009.

Majd Z, Mohan A, Johnson ML, Essien EJ, Barner JC, Serna O, et al. Patient-Reported Barriers to Adherence Among ACEI/ARB Users from a Motivational Interviewing Telephonic Intervention. Patient Prefer Adherence 2022;16:2739–48. https://doi.org/10.2147/PPA.S360461.

Celano CM, Gianangelo TA, Millstein RA, Chung W-J, Wexler DJ, Park ER, et al. A positive psychology–motivational interviewing intervention for patients with type 2 diabetes: Proof-of-concept trial. The International Journal of Psychiatry in Medicine 2019;54:97–114. https://doi.org/10.1177/0091217418791448.

Mesters I, van Keulen HM, de Vries H, Brug J. Intervention Fidelity of Telephone Motivational Interviewing On Physical Activity, Fruit Intake, and Vegetable Consumption in Dutch Outpatients With and Without Hypertension. Int J Behav Med 2022. https://doi.org/10.1007/s12529-022-10076-8.

Mokhele I, Sineke T, Vujovic M, Fox MP, Ruiter RAC, Onoya D. Using intervention mapping in motivational interviewing training to improve ART uptake in Gauteng, South Africa. J Health Psychol 2022;27:589–600. https://doi.org/10.1177/1359105320962241.

Hogan A, Catley D, Goggin K, Evangeli M. Mechanisms of Motivational Interviewing for Antiretroviral Medication Adherence in People with HIV. AIDS Behav 2020;24:2956–65. https://doi.org/10.1007/s10461-020-02846-w.

Singh P, Campbell T, LeBlanc P, King-Shier KM. Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients. Patient Prefer Adherence 2020;14:757–65. https://doi.org/10.2147/PPA.S234997.

Abughosh SM, Vadhariya A, Johnson ML, Essien EJ, Esse TW, Serna O, et al. Enhancing Statin Adherence Using a Motivational Interviewing Intervention and Past Adherence Trajectories in Patients with Suboptimal Adherence. J Manag Care Spec Pharm 2019;25:1053–62. https://doi.org/10.18553/jmcp.2019.25.10.1053.

Gesinde B, Harry S. The use of motivational interviewing in improving medication adherence for individuals with asthma: a systematic review. Perspect Public Health 2018;XX:1–7. https://doi.org/10.1177/1757913918786528.

Barikani A, Negarandeh R, Moin M, Fazlollahi MR. The Impact of Motivational Interview on Self-Efficacy, Beliefs About Medicines and Medication Adherence Among Adolescents with Asthma: A Randomized Controlled Trial. J Pediatr Nurs 2021;60:116–22. https://doi.org/10.1016/j.pedn.2021.04.020.

Boutin-Foster C, Offidani E, Kanna B, Ogedegbe G, Ravenell J, Scott E, et al. Results from the Trial Using Motivational Interviewing, Positive Affect, and Self-Affirmation in African Americans with Hypertension (TRIUMPH). Ethn Dis 2016;26:51–60. https://doi.org/10.18865/ed.26.1.51.

Silveira LCJ, Aliti G, Vellone E, De Souza RH, Rabelo-Silva ER. Motivational interviewing to reduce blood pressure in hypertensive patients: randomized clinical trial. Eur Heart J 2020;41:2763. https://doi.org/10.1093/ehjci/ehaa946.2763.

Joanna Briggs Institute. Checklist for randomized controlled trials - Critical Appraisal tools for use in JBI Systematic Reviews. JBI 2020.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 2021;10:89. https://doi.org/10.1186/s13643-021-01626-4.

Zabolypour S, Alishapour M, Behnammoghadam M, Abbasi Larki R, Zoladl M. A Comparison of the Effects of Teach-Back and Motivational Interviewing on the Adherence to Medical Regimen in Patients with Hypertension. Patient Prefer Adherence 2020;14:401–10. https://doi.org/10.2147/PPA.S231716.

Michaelis M, Witte (née Farian) C, Schüle B, Frick K, Rieger MA. Can Motivational Interviewing Make a Difference in Supporting Employees to Deal with Elevated Blood Pressure? A Feasibility Study at the Workplace. Int J Environ Res Public Health 2021;18:4179. https://doi.org/10.3390/ijerph18084179.

Okada H, Onda M, Shoji M, Sakane N, Nakagawa Y, Sozu T, et al. Effects of lifestyle advice provided by pharmacists on blood pressure: The COMmunity Pharmacists ASSist for Blood Pressure (COMPASS-BP) randomized trial. Biosci Trends 2017;11:632–9. https://doi.org/10.5582/bst.2017.01256.

Khadoura KJ, Shakibazadeh E, Mansournia MA, Aljeesh Y, Fotouhi A. Effectiveness of motivational interviewing on medication adherence among Palestinian hypertensive patients: a clustered randomized controlled trial. European Journal of Cardiovascular Nursing 2021;20:411–20. https://doi.org/10.1093/eurjcn/zvaa015.

van Keulen HM, van Breukelen G, de Vries H, Brug J, Mesters I. A randomized controlled trial comparing community lifestyle interventions to improve adherence to diet and physical activity recommendations: the VitalUM study. Eur J Epidemiol 2021;36:345–60. https://doi.org/10.1007/s10654-020-00708-2.

Naghavi S, Mehrolhassani MH, Nakhaee N, Yazdi-Feyzabadi V. Effective factors in non-compliance with therapeutic orders of specialists in outpatient clinics in Iran: a qualitative study. BMC Health Serv Res 2019;19:413. https://doi.org/10.1186/s12913-019-4229-4.

Papus M, Dima AL, Viprey M, Schott A-M, Schneider MP, Novais T. Motivational interviewing to support medication adherence in adults with chronic conditions: Systematic review of randomized controlled trials. Patient Educ Couns 2022;105:3186–203. https://doi.org/10.1016/j.pec.2022.06.013.

Aubeeluck E, Al‐Arkee S, Finlay K, Jalal Z. The impact of pharmacy care and motivational interviewing on improving medication adherence in patients with cardiovascular diseases: A systematic review of randomised controlled trials. Int J Clin Pract 2021;75:e14457. https://doi.org/10.1111/ijcp.14457.

Madson MB, Loignon AC, Lane C. Training in motivational interviewing: A systematic review. J Subst Abuse Treat 2009;36:101–9. https://doi.org/10.1016/j.jsat.2008.05.005.


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