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The impact of motivational interviewing on self‐perceived burden in patients receiving therapeutic plasma exchange
Author(s) -
Dill Rebecca,
Olson DaiWai M.,
SessionAugustine Nellie,
Mariani Dara,
Stutzman Sonja E.
Publication year - 2018
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/jca.21645
Subject(s) - medicine , physical therapy , motivational interviewing , multiple sclerosis , feeling , randomized controlled trial , psychiatry , psychology , social psychology
Background Autoimmune disorders and neurodegenerative disorders take a physical and emotional toll on patients that undergo therapeutic plasma exchange (TPE) treatments. Previous literature has shown that these patients may feel a greater sense of self‐burden. Motivational Interviewing (MI) is a technique used in various settings that has the potential to decrease feelings of self‐burden. MI for patients who receive TPE has not been tested. The purpose of this study was to examine the impact of MI in patients with a neurodegenerative diagnosis (eg, transverse myelitis, myasthenia gravis, multiple sclerosis, and chronic inflammatory demyelinating polyneuropathy) that are undergoing TPE treatments. Methods This was a prospective, non‐randomized, longitudinal study of the impact of MI with patients at high risk of sense of self‐burden who underwent apheresis treatments. Consented patients underwent three to six MI sessions with a trained clinician. Patients completed a self‐report baseline and post‐test of self‐perceived burden. Results Thirty participants consented to the study; 27 were included in the analysis. The Self‐Perceived Burden Scale scores were significantly higher at baseline ( m = 26.2) when compared to scores post MI sessions ( m = 21.48, P < .05). The number of MI sessions (3, 4, 5, 6 sessions) did not significantly impact the outcome score ( r 2 = 0.001; P = .901). Conclusion MI is a straightforward technique that is feasible and shown to be effective to be used by bedside clinicians while working with patients who receive TPE to decrease levels of self‐perceived burden.