Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients
Background: Ischemic heart disease (IHD) has been identified as the foremost cause of morbidity and mortality in Sri Lanka. Aims and Objectives: The main aim of this study was to develop a socio-culturally appropriate health counseling intervention protocol to enhance the adherence of prescribed...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-09-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/43889 |
| _version_ | 1798039874814607360 |
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| author | Chandima Kumara Walpita Gamage Piyanjali Thamesha de Zoysa Aindralal Balasuriya Neil Francis Joseph Fernando |
| author_facet | Chandima Kumara Walpita Gamage Piyanjali Thamesha de Zoysa Aindralal Balasuriya Neil Francis Joseph Fernando |
| author_sort | Chandima Kumara Walpita Gamage |
| collection | DOAJ |
| description | Background: Ischemic heart disease (IHD) has been identified as the foremost cause of morbidity and mortality in Sri Lanka.
Aims and Objectives: The main aim of this study was to develop a socio-culturally appropriate health counseling intervention protocol to enhance the adherence of prescribed physical activity, diet, and medication among IHD patients attending medical clinics in Sri Lanka.
Materials and Methods: This protocol was designed to be used by health professionals and consisted of two sections – an assessment and an intervention. The intervention section integrated communication skills with motivational interviewing, goal setting, and problem-solving. A panel of five experts reviewed each section of the protocol, in a Delphi process. The ratings received at Delphi stage one that was evaluated for degree of consensus. The protocol was modified according to the comments received and resent for a second Delphi round. Again, the re-ratings were reevaluated for the degree of consensus. With regard to assessing consensus, each section was revised/removed if 70% or more of the re-ratings were at 0–3 and kept as the same if 70% or more of the re-ratings were at four or above.
Results: All the subsections were rated in categories of four and above in both stages. Therefore, none of the sections was removed from the original protocol. Some modifications were done according to the suggestions received in the Delphi review.
Conclusion: The finalized protocol would be initially implemented in selected hospitals in Galle district as a quasi-experimental study in the near future. |
| first_indexed | 2024-04-11T21:59:42Z |
| format | Article |
| id | doaj.art-9755e2aee1aa4c24b5b2ae399443fed9 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-11T21:59:42Z |
| publishDate | 2022-09-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-9755e2aee1aa4c24b5b2ae399443fed92022-12-22T04:00:58ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-09-01139142146https://doi.org/10.3126/ajms.v13i9.43889Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patientsChandima Kumara Walpita Gamage 0https://orcid.org/0000-0001-9837-9511Piyanjali Thamesha de Zoysa 1https://orcid.org/0000-0002-7382-6503Aindralal Balasuriya 2https://orcid.org/0000-0001-5150-1292Neil Francis Joseph Fernando 3https://orcid.org/0000-0001-7337-0369Lecturer, Department of Nursing and Midwifery, Faculty of Allied Sciences, Kotelawala Defence University, Rathmalana, Sri Lanka Senior Professor, Department of Psychiatry, Faculty of Medicine, University of Colombo, Sri Lanka Professor, Department of Para Clinical Sciences, Faculty of Medicine, Kotelawala Defence University, Rathmalana, Sri Lanka Senior Lecturer, Department of Clinical Sciences, Faculty of Medicine, Kotelawala Defence University, Rathmalana, Sri Lanka Background: Ischemic heart disease (IHD) has been identified as the foremost cause of morbidity and mortality in Sri Lanka. Aims and Objectives: The main aim of this study was to develop a socio-culturally appropriate health counseling intervention protocol to enhance the adherence of prescribed physical activity, diet, and medication among IHD patients attending medical clinics in Sri Lanka. Materials and Methods: This protocol was designed to be used by health professionals and consisted of two sections – an assessment and an intervention. The intervention section integrated communication skills with motivational interviewing, goal setting, and problem-solving. A panel of five experts reviewed each section of the protocol, in a Delphi process. The ratings received at Delphi stage one that was evaluated for degree of consensus. The protocol was modified according to the comments received and resent for a second Delphi round. Again, the re-ratings were reevaluated for the degree of consensus. With regard to assessing consensus, each section was revised/removed if 70% or more of the re-ratings were at 0–3 and kept as the same if 70% or more of the re-ratings were at four or above. Results: All the subsections were rated in categories of four and above in both stages. Therefore, none of the sections was removed from the original protocol. Some modifications were done according to the suggestions received in the Delphi review. Conclusion: The finalized protocol would be initially implemented in selected hospitals in Galle district as a quasi-experimental study in the near future.https://www.nepjol.info/index.php/AJMS/article/view/43889ischemic heart disease; counseling intervention protocol; sri lanka |
| spellingShingle | Chandima Kumara Walpita Gamage Piyanjali Thamesha de Zoysa Aindralal Balasuriya Neil Francis Joseph Fernando Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients Asian Journal of Medical Sciences ischemic heart disease; counseling intervention protocol; sri lanka |
| title | Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| title_full | Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| title_fullStr | Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| title_full_unstemmed | Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| title_short | Development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| title_sort | development of a counseling intervention protocol to improve treatment adherence of ischemic heart disease patients |
| topic | ischemic heart disease; counseling intervention protocol; sri lanka |
| url | https://www.nepjol.info/index.php/AJMS/article/view/43889 |
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