Show simple item record

dc.contributor.authorSilveira, Luana Claudia Jacobypt_BR
dc.contributor.authorAliti, Graziella Badinpt_BR
dc.contributor.authorSilva, Elisabeth Meyer dapt_BR
dc.contributor.authorPereira, Raví Pimentelpt_BR
dc.contributor.authorGus, Miguelpt_BR
dc.contributor.authorSilva, Eneida Rejane Rabelo dapt_BR
dc.date.accessioned2019-10-17T03:51:56Zpt_BR
dc.date.issued2019pt_BR
dc.identifier.issn1745-6215pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/200770pt_BR
dc.description.abstractBackground Only one-third of hypertensive patients achieve and maintain blood-pressure control. This is attributed to low treatment adherence and has a negative impact on clinical outcomes. Adherence is multidimensional and involves aspects both related to patient characteristics and to the chronic nature of the disease. In this context, motivational interviewing has been proposed as an approach to foster patients’ motivations to change their behavior for the benefit of their own health, thus providing more lasting behavioral changes. Design and methods Single-center, parallel, randomized controlled trial with outcome-assessor blinding. This study will select adult patients (n = 120) diagnosed with hypertension who receive regular follow-up in a specialized outpatient clinic. Patients will be randomly allocated across two groups: the intervention group will have appointments focused on motivational interviewing, while the control group will have traditional appointments. Patients will be monitored face-to-face, once monthly for six months. The primary outcomes will be a reduction of at least 8 mmHg in systolic blood pressure and changes in mean blood pressure measured by 24-h ambulatory blood pressure monitoring. Secondary outcomes include improvement of adherence to a low-sodium diet, adherence to self-care behaviors, regular use of antihypertensive medications, increase or maintenance of physical activity, weight reduction, evaluation of changes in daytime sleepiness, and cessation of smoking. Discussion This study shows an intervention strategy that will be tested and, if effective, warrant replication in monitoring of other chronic diseases.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofTrials. London. vol. 20 (2019), 414, 8 p.pt_BR
dc.rightsOpen Accessen
dc.subjectNursingen
dc.subjectEntrevista motivacionalpt_BR
dc.subjectMotivational interviewingen
dc.subjectHipertensãopt_BR
dc.subjectEstilo de vida saudávelpt_BR
dc.subjectHypertensionen
dc.subjectRandomized clinical trialen
dc.subjectLifestyleen
dc.titleEffect of motivational interviewing in hypertensive patients (MIdNIgHT) : study protocol for a randomized controlled trialpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001104589pt_BR
dc.type.originEstrangeiropt_BR


Files in this item

Thumbnail
   

This item is licensed under a Creative Commons License

Show simple item record