TY - JOUR
T1 - Motivational interviewing to improve self-care for patients with chronic heart failure
T2 - MITI-HF randomized controlled trial
AU - Masterson Creber, Ruth
AU - Patey, Megan
AU - Lee, Christopher S.
AU - Kuan, Amy
AU - Jurgens, Corrine
AU - Riegel, Barbara
N1 - Funding Information:
This study was supported in full by the Edna G Kynett Memorial Foundation. We thank P.J. Bell, Wendy Hiller Gee and Stephanie Manning of Krames StayWell for designing the patient education materials for the study participants. We also thank Dr. Linda Hoke for assisting us to recruit patients from the Hospital of the University of Pennsylvania and Thomas A. Gillespie, MD, FACC for scoring the NYHA interviews. We gratefully acknowledge the pre-doctoral funding for Ruth Masterson Creber provided by the National Hartford Centers of Geriatric Nursing Excellence Patricia G. Archbold Scholarship program (2012–2014) and NIH/NINR ( F31NR014086 ). We also acknowledge the post-doctoral funding for Ruth Masterson Creber by NIH/NINR (T32 NR007969) at Columbia University School of Nursing.
Publisher Copyright:
© 2015 Elsevier Ireland Ltd.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - 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.
AB - 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.
KW - Behavior
KW - Diet sodium-restricted
KW - Heart failure
KW - Motivational interviewing
KW - Quality of life
KW - Self care
KW - Self efficacy
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U2 - 10.1016/j.pec.2015.08.031
DO - 10.1016/j.pec.2015.08.031
M3 - Article
C2 - 26358533
AN - SCOPUS:84959538168
VL - 99
SP - 256
EP - 264
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 2
ER -