Motivational Interviewing: Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients

Kimberly Scheffel, Christina Amidei, Kathleen A. Fitzgerald

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Patients undergoing thoracic or lumbar spine surgery often lack confidence with self-care management of symptoms contributing to disability, such as pain, lack of sleep, depression, and immobility. The purpose of this pilot study was to examine whether a targeted motivational interview, focused on evidence-based recommendations to manage postoperative symptoms related to thoracolumbar spine surgery, would improve patient confidence with self-care management of their symptom-related disability. A quasiexperimental, 1-group, pretest-posttest design was used on a convenience sample of 15 adult surgical spine patients at a large university spine center. Level of disability was measured using the Oswestry Disability Index (ODI). Confidence with self-care management of symptom-related disability was measured using the Health Confidence Index (HCI). Paired samples t tests were completed on participants' preintervention and postintervention scores on the HCI and ODI and on each of the 10 items that the ODI questionnaire addresses. The results of the paired samples t test on participants' HCI scores showed a statistically significant improvement in participants' confidence with self-care management of symptom-related disability from pretest (mean [SD], 6.73 [2.12]) to posttest (mean [SD], 8.73 [1.43]), conditions: t 14 = -3.80, P =.002. Motivational interviewing is a beneficial intervention for health professionals to incorporate into practice to encourage the implementation of various health promoting behaviors that improve confidence with self-care management of symptoms in postoperative thoracolumbar spine patients.

Original languageEnglish (US)
Pages (from-to)113-118
Number of pages6
JournalJournal of Neuroscience Nursing
Volume51
Issue number3
DOIs
StatePublished - Jun 1 2019

Keywords

  • health confidence
  • health promotion
  • motivational interviewing
  • self-care management
  • spine disorders

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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