{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:20:19Z","timestamp":1771312819561,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim(s)<\/jats:title>\n The aim of this study was to evaluate the impact of Transtheoretical Model\u2010based Motivational Interviewing on self\u2010efficacy and illness adjustment in hemodialysis patients.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Hemodialysis patients often face challenges in adhering to dietary, fluid, and medication guidelines due to the lengthy nature of the dialysis sessions and various associated restrictions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study was conducted between June 2022 and March 2023 at hemodialysis centers in eastern Turkey. It included 30 patients in the experimental group and 30 in the control group. The experimental group received six sessions of Transtheoretical Model\u2010based motivational interviewing, while the control group received no intervention. This pretest\u2010posttest randomized controlled trial was registered in the Clinical Trials Registry (NCT06706843).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The results indicated a significant improvement in GSES scores. A significant difference was found between the groups in pre\u2010test scores (\n p<\/jats:italic>\n \u2009<\u20090.05), and a statistically significant difference was also observed in Posttest scores (\n p<\/jats:italic>\n \u2009<\u20090.05). Within\u2010group comparisons revealed significant differences between pretest and posttest scores for the experimental group (\n p<\/jats:italic>\n \u2009<\u20090.05). There was a significant difference between pre\u2010test and Posttest scores in the control group (\n p<\/jats:italic>\n \u2009<\u20090.05). In the SDBM\u2010NOS showed a significant difference between the experimental and control groups in the dietary adherence subscale at Posttest (\n p<\/jats:italic>\n \u2009<\u20090.05), but no significant difference was found in the other subscales. In the experimental group, a significant improvement was observed between pre\u2010test and Posttest in terms of total ESRD\u2010AS score, fluid compliance and dietary compliance (\n p<\/jats:italic>\n \u2009<\u20090.05). In the control group, no significant difference was found for any variable (\n p<\/jats:italic>\n \u2009>\u20090.05). A significant negative correlation was found between GSES and ESRD\u2010AS.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In conclusion, Transtheoretical Model\u2010based Motivational Interviewing was found to significantly improve treatment adherence and self\u2010efficacy in chronic hemodialysis patients, contributing to better illness adjustment.<\/jats:p>\n \n Trial Registration:<\/jats:bold>\n ClinicalTrials.gov<\/jats:ext-link>\n identifier: NCT06706843.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jep.70152","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T10:09:28Z","timestamp":1749550168000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Transtheoretical Model\u2010Based Motivational Interviewing on Self\u2010Efficacy and Adherence to Treatment in Hemodialysis Patients"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0542-3152","authenticated-orcid":false,"given":"H\u00fcseyin","family":"\u00c7apuk","sequence":"first","affiliation":[{"name":"Health Services Vocational School Sirnak University \u015e\u0131rnak Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4287-932X","authenticated-orcid":false,"given":"Rukuye","family":"Aylaz","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing Faculty of Health Sciences Inonu University Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","first-page":"62","article-title":"Hemodiyaliz Tedavisi Alan Hastalarda Motivasyonel G\u00f6r\u00fc\u015fme Y\u00f6ntemi, Tedaviye Uyum: Olgu Sunumu\/Motivational Interview Method in Patients Receiving Hemodialysis Treatment, Adherence to Treatment: A Case Report","volume":"18","author":"Eler \u00c7. \u00d6.","year":"2023","journal-title":"Nefroloji Hem\u015fireli\u011fi Dergisi"},{"issue":"1","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"s03","DOI":"10.1590\/1806-9282.66.s1.3","article-title":"Chronic Kidney Disease","volume":"66","author":"Ammirati A. 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