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Effective Motivational Interviewing-Based Counseling for Knee Osteoarthritis: A Randomized Controlled Trial
Gülhan Küçük Öztürk1,2,3,4, Gamze Muz1,2,3,4, Kamuran Özdil1,2,3,4
1Gülhan Küçük Öztürk, PhD, Department of Psychiatric Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir, Turkey.
Objective:
This research was conducted to determine the effect on pain, psychosocial adjustment and self-care management of motivational interview-based counseling for individuals with a diagnosis of knee osteoarthritis.
Methods:
This study was conducted as a randomized controlled experimental study. The sample size for the study was calculated as 60 individuals (29 intervention, 31 controls) diagnosed with osteoarthritis. Study data were collected using a Personal Information Form, Visual Analogue Scale (VAS) for measuring pain intensity, Psychosocial Adjustment to Illness Self-Report Scale, and Self-Care Management Scale in Chronic Diseases. The intervention group received motivational interview-based counseling for four weeks and standard care was administered to the control group. At the end of four weeks, the post-test was applied to participants.
Results:
Motivational interview-based counseling for the intervention group lasting four weeks significantly decreased the mean scores for the Psychosocial Adjustment to Illness Self-Report Scale, indicating increased psychosocial adjustment levels. It significantly decreased VAS scores, and significantly increased mean scores for the Self-Care Management Scale in Chronic Diseases, indicating self-care management increased (P < .001).
Conclusion:
Motivational interview-based counseling for individuals with knee osteoarthritis reduces pain and increases psychosocial adjustment and self-care management.
Practice Implementation:
Health professionals can use motivational interviewing during the treatment, care and rehabilitation of individuals with knee osteoarthritis.
