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An information-motivation-behavioral skills model-based intervention for Parkinson's Disease Patients
Yan Jiang1, Yun Tao1, Qiuyi Yin1
1Department of Pharmacy, Changshu NO.2 People's Hospital/Affiliated Changshu Hospital of Nantong University, Changshu, China.
Background:
Intervention based on the information-motivation-behavioral skills (IMB) model have been applied in the self-management of patients with chronic diseases and achieved ideal results, but there were few reports on the application of this model in PD patients.
Objective:
To evaluate the effectiveness of the IMB model-based intervention in improving medication adherence, self-health management abilities, and quality of life (QoL) in PD patients.
Methods:
A total of 70 patients were randomly divided into the control group and the intervention group. The intervention group received IMB model-based health education, while the control group received routine health education only. The effectiveness of the intervention was evaluated by measuring medication adherence, self-management ability and QoL at 3 months and 6 months after the intervention.
Results:
For medication adherence, at 3 months, medication adherence improved in both groups but showed no significant inter-group difference (P > 0.05). At 6 months, medication adherence in the intervention group was significantly higher than in the control group (P < 0.05). Self-health management scores significantly increased over time in both groups, and the intervention group demonstrated significantly greater improvement at both 3 months and 6 months (P < 0.05). While PDQ-39 scores showed no significant difference at 3 months (P > 0.05), the intervention group exhibited significantly greater improvement in QoL at 6 months (P < 0.05).
Conclusion:
IMB model-based health education takes into account patients' knowledge, motivation and behavioral skills, providing a structured and individualized intervention. It is a valuable approach for improving long-term medication adherence, enhancing self-management abilities, and ultimately boosting the QoL in PD patients.
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