The impact of motivational interviewing on self-perceived burden in patients receiving therapeutic plasma exchange

Rebecca Dill, Dai Wai M. Olson, Nellie Session-Augustine, Dara Mariani, Sonja E. Stutzman

Research output: Contribution to journalArticle

Abstract

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 (r2 = 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.

Original languageEnglish (US)
Pages (from-to)586-590
Number of pages5
JournalJournal of Clinical Apheresis
Volume33
Issue number5
DOIs
StatePublished - Oct 1 2018

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Motivational Interviewing
Plasma Exchange
Therapeutics
Transverse Myelitis
Chronic Inflammatory Demyelinating Polyradiculoneuropathy
Blood Component Removal
Myasthenia Gravis
Neurodegenerative Diseases
Self Report
Multiple Sclerosis
Longitudinal Studies
Emotions

Keywords

  • motivational interviewing
  • nursing
  • self-perceived burden of care
  • therapeutic plasma exchange

ASJC Scopus subject areas

  • Hematology

Cite this

The impact of motivational interviewing on self-perceived burden in patients receiving therapeutic plasma exchange. / Dill, Rebecca; Olson, Dai Wai M.; Session-Augustine, Nellie; Mariani, Dara; Stutzman, Sonja E.

In: Journal of Clinical Apheresis, Vol. 33, No. 5, 01.10.2018, p. 586-590.

Research output: Contribution to journalArticle

Dill, Rebecca ; Olson, Dai Wai M. ; Session-Augustine, Nellie ; Mariani, Dara ; Stutzman, Sonja E. / The impact of motivational interviewing on self-perceived burden in patients receiving therapeutic plasma exchange. In: Journal of Clinical Apheresis. 2018 ; Vol. 33, No. 5. pp. 586-590.
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abstract = "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 (r2 = 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.",
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