Document Type

Journal Article

Date of this Version

3-2015

Publication Source

Contemporary Clinical Trials

Volume

41

Start Page

62

Last Page

68

DOI

10.1016/j.cct.2014.12.019

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.

Copyright/Permission Statement

© 2015 Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

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

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Date Posted: 06 August 2018

This document has been peer reviewed.