Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial

Ruth Masterson Creber, Megan Patey, Christopher S. Lee, Amy Kuan, Corrine Jurgens, Barbara Riegel

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)256-264
Number of pages9
JournalPatient Education and Counseling
Volume99
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • Behavior
  • Diet sodium-restricted
  • Heart failure
  • Motivational interviewing
  • Quality of life
  • Self care
  • Self efficacy

ASJC Scopus subject areas

  • Medicine(all)

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