Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): Study Design and Methods

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School of Nursing Departmental Papers
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Feasibility Studies
Female
Heart Failure
Home Care Services
Hospitalization
Humans
Male
Middle Aged
Motivational Interviewing
Patient Outcome Assessment
Pilot Projects
Practice Patterns, Nurses'
Quality of Life
Self Care
Self Efficacy
Single-Blind Method
Surveys and Questionnaires
Telephone
Treatment Outcome
Feasibility Studies
Female
Heart Failure
Home Care Services
Hospitalization
Humans
Male
Middle Aged
Motivational Interviewing
Patient Outcome Assessment
Pilot Projects
Practice Patterns
Nurses'
Quality of Life
Self Care
Self Efficacy
Single-Blind Method
Surveys and Questionnaires
Telephone
Treatment Outcome
Cardiology
Cardiovascular Diseases
Circulatory and Respiratory Physiology
Health Services Research
Medical Humanities
Medicine and Health Sciences
Nursing
Preventive Medicine
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Masterson-Creber, Ruth
Patey, Megan
Dickson, Victoria Vaughan
DeCesaris, Marissa
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Abstract

OBJECTIVE: Lack of engagement in self-care is common among patients needing to follow a complex treatment regimen, especially patients with heart failure who are affected by comorbidity, disability and side effects of poly-pharmacy. The purpose of Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) is to test the feasibility and comparative efficacy of an MI intervention on self-care, acute heart failure physical symptoms and quality of life. METHODS: We are conducting a brief, nurse-led motivational interviewing randomized controlled trial to address behavioral and motivational issues related to heart failure self-care. Participants in the intervention group receive home and phone-based motivational interviewing sessions over 90-days and those in the control group receive care as usual. Participants in both groups receive patient education materials. The primary study outcome is change in self-care maintenance from baseline to 90-days. CONCLUSION: This article presents the study design, methods, plans for statistical analysis and descriptive characteristics of the study sample for MITI-HF. Study findings will contribute to the literature on the efficacy of motivational interviewing to promote heart failure self-care. PRACTICAL IMPLICATIONS: We anticipate that using an MI approach can help patients with heart failure focus on their internal motivation to change in a non-confrontational, patient-centered and collaborative way. It also affirms their ability to practice competent self-care relevant to their personal health goals.

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2015-03-01
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Contemporary Clinical Trials
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