The effect of educational program based on information, motivation and behavioral skills model on adherence to treatment in patients after coronary angioplasty

Patients' adherence to treatment is one of the behaviors that can reduce the negative effects and severity of coronary artery disease.This study aimed todetermine the effect of educational program based on information, motivation, and behavioral skills model on adherence to treatment of patients after coronary angioplasty.

This experimental study was performed on 80 patients who underwent angioplasty at least 9 months ago. Participants were selected by convenience sampling method from among the eligible patients referred to the specialized heart clinic of Razi Hospital in Birjand in 2020. The patients were randomly divided into two groups of 40, experimental and control using a table of random numbers. The experimental group was trained in 6 sessions of 60-90 minutes based on information, motivation, and behavioral skills model. The control group received routine care. Then, the study instrument was completed for all participants immediately and one month after the intervention. Data were analyzed in SPSS software version 16 using descriptive and inferential statistical methods.

There was a significant difference between the mean score of adherence to treatment at the time immediately (4.01±0.22) and one month after the intervention (3.93±0.25) compared to the time before the intervention (3.66±0.39) in the experimental group (p <0.001). The mean score of components of trust in treatment, adaptability, integration of treatment with life, and commitment to treatment significantly increased in the experimental group immediately and one month after intervention (p < 0.05). Also, the components of willingness to participate in treatment and stick to the treatment showed a significant increase in the experimental group after the intervention (p < 0.05).

An educational program based on information, motivation, and behavioral skills model can be considered by nurses, physicians, and relevant managers to promote the concept of adherence to treatment in patients after angioplasty.