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Enhancing Self-Efficacy in Asthma Management: The Role of Motivational Interviewing in Primary Care

J Asthma. 2025 Nov 14:1-11. doi: 10.1080/02770903.2025.2589785. Online ahead of print.

ABSTRACT

OBJECTIVES: This study aimed to examine the effectiveness of motivational interviewing (MI) in enhancing asthma self-efficacy among adults in a primary care setting in Northern Jordan.

METHODS: A quality improvement project employing a quasi-experimental pre-post design was conducted using a convenience sample of adults diagnosed with asthma. The Asthma Self-Efficacy Scale (ASES) was administered at baseline and again eight weeks after implementation of the MI intervention. The sessions were guided by Bandura’s self-efficacy framework, focusing on mastery experiences, social persuasion, and emotional regulation. Data were analyzed using paired t-tests at a significance level of 0.05.

RESULTS: Participants demonstrated a significant improvement in asthma self-efficacy scores and symptom control following the intervention. The paired t-test indicated a statistically significant increase in self-efficacy (p < 0.001), confirming the intervention’s effectiveness. Additionally, participants reported lower perceived stress and a 56% reduction in asthma symptom flare-ups.

CONCLUSIONS: Motivational interviewing proved effective in strengthening asthma self-management by enhancing patients’ confidence and promoting behavioral change. The integration of MI into routine primary care is recommended to foster patient empowerment and improve clinical outcomes.

PMID:41236776 | DOI:10.1080/02770903.2025.2589785

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