Booklet and Motivational Interviewing to Promote Self-efficacy in Parents/Caregivers of Children with Asthma: A Clinical Trial.
Kamila F Lima, Rayanne B S Lima, Victor M T Ruiz and 9 others
PMID 38650954WHAT IT FOUND
The booklet plus motivational interviewing did not produce higher parents' asthma self-efficacy scores than the booklet alone after 30 days.
Both groups' scores rose, but the trial had no untreated control.
Key findings
01Both groups showed statistically significant increases in expectations of efficacy, expectations of outcome, and total self-efficacy scores after the intervention (P<0.001).
02One month after intervention, total scores, expectations of efficacy, and expectations of outcome did not differ significantly between groups (P=0.257, P=0.105, P=0.996).
03Before intervention, the booklet plus motivational interviewing group had higher total scale scores and expectations of outcome scores than the booklet group (P=0.033, P=0.032).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The trial had no untreated control, so increases in scores cannot be separated from time, attention, or taking the booklet home. Participants and the main researcher knew which intervention was given, so performance and reporting could be influenced by expectation. The booklet plus motivational interviewing group had higher baseline total and expectations of outcome scores than the booklet group before intervention. Follow-up was only 30 days, so longer-term effects on caregiver confidence or asthma outcomes are not known. Data collection occurred during COVID-19 social isolation, and PROAICA follow-up was suspended, which affected completion of the planned sample in group B. The reported outcome was caregiver self-efficacy only; the paper does not report child asthma control, hospitalizations, or medication adherence.
Declared interests
The supplied publication types list non-U.S. government research support, but the article text does not state funding sources or author conflicts of interest.
The easy way to misread this
Do not conclude that motivational interviewing adds benefit over the booklet alone. The between-group differences one month after intervention were not significant, and the study had no untreated control, so the score increases cannot be separated from time, attention, or taking the booklet home.