Document Type
Journal Article
Date of this Version
2-2017
Publication Source
Patient Education and Counseling
Volume
100
Issue
2
Start Page
283
Last Page
288
DOI
10.1016/j.pec.2016.08.030
Abstract
Self-care is challenging but we previously demonstrated that motivational interviewing (MI) was effective in improving heart failure (HF) self-care.
OBJECTIVE: To identify the mechanisms of intervention effectiveness by elucidating the MI techniques used and the relationship between the techniques and changes in self-care.
METHODS: Audiotaped sessions (first and subsequent sessions) from 8 participants were transcribed verbatim and coded to evaluate changes in self-care. Using a sequential mixed method design, quantitative and qualitative self-care data were triangulated; congruence was 97%. The MI techniques used and mechanisms of intervention effectiveness were identified from the qualitative data.
RESULTS: Three MI techniques used were related to improved self-care: 1) reflection and reframing, 2) genuine empathy, affirmation, and humor, and 2) individualized problem solving. These techniques stimulated openness to goal setting, positive self-talk, perceived ability to overcome barriers, and change talk. The mechanisms by which the techniques achieved the desired outcomes were the development of discrepancy and self-efficacy, which are consistent with the principles of MI.
CONCLUSION: This study contributes to clarifying the mechanism by which MI facilitates behavioral change.
PRACTICE IMPLICATIONS: Using MI to discuss self-care can help to overcome barriers and engage HF patients in goal setting for behavior change.
Copyright/Permission Statement
© 2017 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
Adult, Female, Heart Failure, Humans, Longitudinal Studies, Male, Motivational Interviewing, Outcome and Process Assessment (Health Care), Patient Compliance, Qualitative Research, Self Care, Tape Recording
Recommended Citation
Riegel, B., Dickson, V., Garcia, L., Masterson-Creber, R., & Streur, M. (2017). Mechanisms of Change in Self-Care in Adults with Heart Failure Receiving a Tailored, Motivational Interviewing Intervention. Patient Education and Counseling, 100 (2), 283-288. http://dx.doi.org/10.1016/j.pec.2016.08.030
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Circulatory and Respiratory Physiology Commons, Cognitive Behavioral Therapy Commons, Integrative Medicine Commons, Medical Humanities Commons, Nursing Commons, Preventive Medicine Commons
Date Posted:01 August 2018
This document has been peer reviewed.