Date of this Version
Patient Education and Counseling
OBJECTIVE: The purpose of this study was to test the efficacy of a tailored motivational interviewing (MI) intervention versus usual care for improving HF self-care behaviors, physical HF symptoms and quality of life.
METHODS: This is a single-center, randomized controlled trial. Participants were enrolled in the hospital. Immediately after discharge, those in the intervention group received a single home visit and 3-4 follow-up phone calls by a nurse over 90 days.
RESULTS: A total of 67 participants completed the study (mean age 62±12.8 years), of which 54% were African American, 30% were female, 84% had class III/IV symptoms, and 63% were educated at a high school level or less. There were no differences between the groups in self-care maintenance, self-care confidence, physical HF symptoms, or quality of life at 90 days.
CONCLUSION: Patients who received the MI intervention had significant and clinically meaningful improvements in HF self-care maintenance over 90 days that exceeded that of usual care.
PRACTICE IMPLICATIONS: These data support the use of a nurse-led MI intervention for improving HF self-care. Identifying methods to improve HF self-care may lead to improved clinical outcomes.
© 2016 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/
Aged, Chronic Disease, Counseling, Female, Heart Failure, Humans, Male, Middle Aged, Motivational Interviewing, Patient Education as Topic, Prospective Studies, Quality of Life, Self Care, Self Efficacy, Single-Blind Method, Treatment Outcome
Masterson-Creber, R., Patey, M., Lee, C. S., Kuan, A., Jurgens, C. Y., & Riegel, B. (2016). Motivational Interviewing to Improve Self-Care for Patients with Chronic Heart Failure: MITI-HF Randomized Controlled Trial. Patient Education and Counseling, 99 (2), 256-264. http://dx.doi.org/10.1016/j.pec.2015.08.031
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Date Posted:01 August 2018
This document has been peer reviewed.