Date of this Version
Clinical Nursing Research
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.
Riegel, B. et al, Effectiveness of Motivational Interviewing in Decreasing Hospital Readmission in Adults with Heart Failure and Multimorbidity, Cinical Nursing Research 25, no. 4: pp. 362-377. Copyright © 2016 SAGE. Reprinted by permission of SAGE Publications
Aged, Comorbidity, Ethnic Groups, Female, Heart Failure, Humans, Male, Middle Aged, Motivational Interviewing, Patient Readmission, Self Care
Riegel, B., Masterson-Creber, R., Hill, J., Chittams, J., & Hoke, L. (2016). Effectiveness of Motivational Interviewing in Decreasing Hospital Readmission in Adults with Heart Failure and Multimorbidity. Clinical Nursing Research, 25 (4), 362-377. http://dx.doi.org/10.1177/1054773815623252
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: 06 August 2018
This document has been peer reviewed.