Document Type
Journal Article
Date of this Version
2-2016
Publication Source
Patient Education and Counseling
Volume
99
Issue
2
Start Page
256
Last Page
264
DOI
10.1016/j.pec.2015.08.031
Abstract
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.
Copyright/Permission Statement
© 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/
Keywords
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
Recommended Citation
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
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Circulatory and Respiratory Physiology Commons, Health and Medical Administration Commons, Health Services Administration Commons, Health Services Research Commons, Medical Humanities Commons, Nursing Commons, Preventive Medicine Commons
Date Posted:01 August 2018
This document has been peer reviewed.