Effectiveness of Motivational Interviewing in Decreasing Hospital Readmission in Adults with Heart Failure and Multimorbidity
Penn collection
Degree type
Discipline
Subject
Comorbidity
Ethnic Groups
Female
Heart Failure
Humans
Male
Middle Aged
Motivational Interviewing
Patient Readmission
Self Care
Aged
Comorbidity
Ethnic Groups
Female
Heart Failure
Humans
Male
Middle Aged
Motivational Interviewing
Patient Readmission
Self Care
Cardiology
Cardiovascular Diseases
Circulatory and Respiratory Physiology
Health and Medical Administration
Health Services Administration
Health Services Research
Medical Humanities
Medicine and Health Sciences
Nursing
Preventive Medicine
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Abstract
Hospitalizations are common in heart failure (HF). Multimorbidity, defined as ≥2 comorbid conditions, drives many readmissions. The purpose of this pilot study was to test the effectiveness of motivational interviewing (MI) in decreasing these hospital readmissions. We enrolled 100 hospitalized HF patients into a randomized controlled trial, randomizing in a 2:1 ratio: intervention (n = 70) and control (n = 30). The intervention group received MI tailored to reports of self-care during one home visit and three to four follow-up phone calls. After 3 months, 34 participants had at least one hospital readmission. The proportion of patients readmitted for a condition unrelated to HF was lower in the intervention (7.1%) compared with the control group (30%, p = .003). Significant predictors of a non-HF readmission were intervention group, age, diabetes, and hemoglobin. Together, these variables explained 35% of the variance in multimorbidity readmissions. These preliminary results are promising in suggesting that MI may be an effective method of decreasing multimorbidity hospital readmissions in HF patients.