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 - 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
SN - 0738-3991
VL - 99
SP - 256
EP - 264
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -