Motivational Interviewing After Coronary Stenting

NCT07659951 | Completed

• 1 other identifier: 2024-BİAEK/08-04
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to examine the effect of motivational interviewing on healthy lifestyle behaviors and biochemical parameters in patients who underwent stent implantation after coronary angiography. Specifically, it investigated whether a structured motivational interviewing program could improve patients' health-promoting behaviors and positively influence biochemical outcomes such as blood lipid levels and body mass index (BMI). The research was designed as a randomized controlled study and was conducted in the cardiology outpatient clinic of a training and research hospital in Istanbul. The study included patients diagnosed with coronary artery disease who had undergone coronary angiography followed by stent implantation and were being followed in the outpatient clinic. Participants were randomly assigned to either the intervention group or the control group. In the intervention group, patients received a motivational interviewing-based program over a three-month period. This program included face-to-face educational sessions lasting approximately 30-45 minutes, focusing on coronary artery disease, risk factors, healthy nutrition, physical activity, stress management, sleep regulation, and smoking cessation. In addition, participants received reminder messages twice a week to support behavioral change and encourage adherence to healthy lifestyle practices. The control group continued their routine medical follow-up and standard care without additional intervention. Data were collected at baseline and at the end of the third month. In the intervention group, data were additionally collected at the end of the first month. Both groups were evaluated using the Health-Promoting Lifestyle Profile II scale, and biochemical parameters including HDL, LDL, total cholesterol, triglycerides, and BMI were measured and recorded. The study aimed to determine whether motivational interviewing could serve as an effective nursing intervention to promote sustainable lifestyle changes and improve clinical outcomes in patients with coronary artery disease following stent implantation.

Conditions

Coronary Artery Disease

Keywords

Coronary Artery Disease; Coronary Angiography; Education of Patients; Motivational Interviewing; Health Promotion

Outcome Measures

Primary Outcomes (3)

• Health-Promoting Lifestyle Behaviors

  Health-promoting lifestyle behaviors were assessed using the Health-Promoting Lifestyle Profile II (HPLP-II) scale. The scale consisted of six sub-dimensions: spiritual growth, interpersonal relationships, nutrition, physical activity, health responsibility, and stress management.

  Baseline, 1 month (intervention group), and 3 months after intervention.

• Blood Lipid Profile

  Blood lipid parameters including HDL cholesterol, LDL cholesterol, total cholesterol, and triglycerides were measured using a biochemical monitoring form.

  Baseline and 3 months after intervention.

• Body Mass Index (BMI)

  Body mass index was calculated as weight in kilograms divided by height in meters squared (kg/m²).

  Baseline and 3 months after intervention.

Study Arms (2)

Motivational Interviewing Program Group

EXPERIMENTAL

Participants received a motivational interviewing program supported by education and twice-weekly reminder messages for three months in addition to routine outpatient follow-up.

Behavioral: Motivational Interviewing

Routine Care Control Group

NO INTERVENTION

Participants received routine cardiology outpatient follow-up and standard care without motivational interviewing or reminder messages.

Interventions

Motivational Interviewing BEHAVIORAL

A structured motivational interviewing program delivered by a trained researcher, supported by patient education and reminder messages aimed at improving healthy lifestyle behaviors and cardiovascular risk factor management.

Motivational Interviewing Program Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged over 18 years,
• Able to understand Turkish and literate,
• Patients who had undergone stent placement after coronary angiography (at least 1 month after stent implantation or balloon angioplasty),
• Patients whose health status was appropriate for participation in the study,
• Patients who owned a mobile phone.

You may not qualify if:

• Patients with a diagnosed psychiatric disorder,
• Patients with whom communication could not be established,
• Patients with poor general health status.

Sponsors & Collaborators

• Biruni University: lead

Study Sites (1)

Biruni University

Istanbul, Zeytinburnu, 34010, Turkey (Türkiye)

Location

Related Publications (20)

• Uysal, H., & Enç, N. (2012). Motivational interview for compliance in patients with chronic heart failure. Turkish Journal of Cardiovascular Nursing, 3(3), 33-38. https://doi.org/10.5543/khd.2012.004

  RESULT

• Savucu, Y. (2020). Healthy life style behaviors. Journal of Sport and Recreation Researches, 2(1), 34-43.

  RESULT

• Özdemir, H., & Taşcı, S. (2013). Motivational interviewing technique and use of nursing. Journal of the Faculty of Health Sciences of Erciyes University, 1(1), 41-47.

  RESULT

• Ögel, K. (2009). Motivational interviewing. Türkiye Klinikleri Journal of Psychiatry-Special Topics, 2(2), 41-44.

  RESULT

• Koplay, M., & Erol, C. (2013). Coronary artery disease. Turkish Journal of Radiology Seminars, 1(1), 57-69. https://doi.org/10.5152/trs.2013.007

  RESULT

• Kızılırmak, M., & Demir, S. (2018). The motivational interview and using in nursing. Gümüşhane University Journal of Health Sciences, 7(4), 103-109.

  RESULT

• Gür, G., & Sunal, N. (2019). Determination of health perception and healthy lifestyle behaviors in patients with coronary artery disease. Journal of Health Sciences and Professions, 6(2), 210-219. https://doi.org/10.17681/hsp.420313

  RESULT

• Bilgin, S., & Evcimen, H. (2020). The use of motivational interview technique in overweight and obese adolescents. Journal of Duzce University Health Sciences Institute, 10(2), 258-262. https://dx.doi.org/10.33631/duzcesbed.553805

  RESULT

• Bahar, Z., Beşer, A., Gördes, N., Ersin, F., & Kıssal, A. (2008). Healthy Life Style Behavior Scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing, 12(1), 1-13.

  RESULT

• Alpay, S. & Şahin, E. (2024). Use of motivational interviewing technique in obstetrics and gynecology nursing and midwifery postgraduate theses in Turkey. Journal of Women's Health Nursing, 10(2), 104-118.

  RESULT

• Akdemir, N., & Özer, Z. C. (2021). Coronary artery diseases and nursing care. In: Internal Medicine and Nursing Care. Akdemir N (ed.). Akademisyen Publishing, pp. 553-568.

  RESULT

• Açıkgöz, D., & Taşkın Yılmaz, F. (2025). The relationship of cardiovascular disease risk factors knowledge level and health perception with adherence to medication in coronary artery. University of Health Sciences Journal of Nursing, 7(2), 105112. https://doi.org/10.48071/sbuhemsirelik.1636048

  RESULT

• Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81.

  PMID: 3644262 RESULT

• Savaşan, A., Ayten, M., & Ergene, O. (2013). Hopelessness and healthy life style behaviors in patients with coronary artery disorder. Journal of Psychiatric Nursing, 4(1). https://doi.org/10.5505/phd.2013.07279

  RESULT

• Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract. 2005 Apr;55(513):305-12.

  PMID: 15826439 RESULT

• Methapatara W, Srisurapanont M. Pedometer walking plus motivational interviewing program for Thai schizophrenic patients with obesity or overweight: a 12-week, randomized, controlled trial. Psychiatry Clin Neurosci. 2011 Jun;65(4):374-80. doi: 10.1111/j.1440-1819.2011.02225.x.

  PMID: 21682813 RESULT

• Kwiecinski J, Tzolos E, Williams MC, Dey D, Berman D, Slomka P, Newby DE, Dweck MR. Noninvasive Coronary Atherosclerotic Plaque Imaging. JACC Cardiovasc Imaging. 2023 Dec;16(12):1608-1622. doi: 10.1016/j.jcmg.2023.08.021.

  PMID: 38056987 RESULT

• Jebari-Benslaiman S, Galicia-Garcia U, Larrea-Sebal A, Olaetxea JR, Alloza I, Vandenbroeck K, Benito-Vicente A, Martin C. Pathophysiology of Atherosclerosis. Int J Mol Sci. 2022 Mar 20;23(6):3346. doi: 10.3390/ijms23063346.

  PMID: 35328769 RESULT

• Dobber J, Latour C, Snaterse M, van Meijel B, Ter Riet G, Scholte Op Reimer W, Peters R. Developing nurses' skills in motivational interviewing to promote a healthy lifestyle in patients with coronary artery disease. Eur J Cardiovasc Nurs. 2019 Jan;18(1):28-37. doi: 10.1177/1474515118784102. Epub 2018 Jun 15.

  PMID: 29905499 RESULT

• Bjorkegren JLM, Lusis AJ. Atherosclerosis: Recent developments. Cell. 2022 May 12;185(10):1630-1645. doi: 10.1016/j.cell.2022.04.004. Epub 2022 May 2.

  PMID: 35504280 RESULT

Related Links

• Related Info
• Related Info
• Related Info

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Participants were randomly assigned to either an intervention group or a control group in a parallel-group design. The intervention group received a motivational interviewing program supported by education and twice-weekly reminder messages for three months, while the control group received routine outpatient care. Outcomes were assessed at baseline and at the end of the third month in both groups, with an additional assessment at the first month in the intervention group.

Study Record Dates

• First Submitted: June 11, 2026
• First Posted: June 22, 2026
• Study Start: November 17, 2025
• Primary Completion: December 10, 2025
• Study Completion: March 10, 2026
• Last Updated: June 22, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)