Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2020 Mar 30;20(1):420.
doi: 10.1186/s12889-020-08568-x.

Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: a randomized controlled trial

Xiaoyun Li  1   2 , Silan Yang  1 , Yishu Wang  3 , Bingxiang Yang  4 , Jingping Zhang  5
Affiliations
Randomized Controlled Trial

Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: a randomized controlled trial

Xiaoyun Li et al. BMC Public Health. .

Abstract

Background: Depression is a major risk factor for the morbidity and mortality of cardiovascular disease. A transtheoretical model-based intervention and motivational interviewing have been used to change health risk behaviors and have demonstrated positive effects. To our knowledge, no studies of patients with coronary heart disease (CHD) have used a transtheoretical model-based intervention and motivational interviewing as an intervention to provide dynamic education. Therefore, this study aimed to determine the effects of the transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with CHD.

Method: A randomized controlled trial was designed. A total of 110 participants were randomly divided into an intervention group (n = 55) and a control group (n = 55). The Hamilton Rating Scale for Depression and the Depression Prevention & Management Survey items (stages of change, perceived benefits, perceived barriers, process of change and self-efficacy) were used to collect data at all time points. Analysis of covariance, chi-square test and repeated measures analysis of variance were used to analyze the data.

Results: After the intervention, there were more positive changes in stages of change, higher scores for the cognitive and behavioral levels, the perceived benefits, and self-efficacy, and lower perceived barriers and depression in the intervention group than in the control group. Finally, there were statistically significant differences in the depression scores at different time points in the intervention group (F = 17.814, p = 0.000 < 0.01).

Conclusions: The study showed that a transtheoretical model-based intervention and motivational interviewing exert positive effects on the management of depression in hospitalized patients with CHD.

Trial registration: Clinicaltrials.gov, NCT03953924 (Date assigned: 16/5/2019). Retrospectively registered.

Keywords: Coronary heart disease; Depression; Motivational interviewing; Transtheoretical model.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Conceptual framework
Fig. 2
Fig. 2
Intervention flow diagram
Fig. 3
Fig. 3
Patient flow diagram
See this image and copyright information in PMC

References

    1. Dalen JE, Alpert JS, Goldberg RJ, Weinstein RS. The epidemic of the 20(th) century: coronary heart disease. Am J Med. 2014;127(9):807–812. doi: 10.1016/j.amjmed.2014.04.015. - DOI - PubMed
    1. Ministry of health P . China Health Statistics Yearbook. Beijing: China Union Medical University Publisher; 2012.
    1. Hu Dayi MC. Cardiology practice 2011: new developments and clinical cases. Beijing: People's Medical Publishing House; 2011.
    1. Pajak A, Jankowski P, Kotseva K, Heidrich J, de Smedt D, De Bacquer D. Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III study. Eur J Prev Cardiol. 2013;20(2):331–340. doi: 10.1177/2047487312441724. - DOI - PubMed
    1. Zhu Jifang LY, Chaorong C, Li L. Investigation of anxiety and depression status and influencing factors in patients with coronary heart disease. Laser Magazine. 2014;35(9):127–129.

Publication types

Associated data