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 language | English (US) |
|---|---|
| Pages (from-to) | 256-264 |
| Number of pages | 9 |
| Journal | Patient Education and Counseling |
| Volume | 99 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2016 |
Fingerprint
Keywords
- Behavior
- Diet sodium-restricted
- Heart failure
- Motivational interviewing
- Quality of life
- Self care
- Self efficacy
ASJC Scopus subject areas
- Medicine(all)
Cite this
Motivational interviewing to improve self-care for patients with chronic heart failure : MITI-HF randomized controlled trial. / Masterson Creber, Ruth; Patey, Megan; Lee, Christopher; Kuan, Amy; Jurgens, Corrine; Riegel, Barbara.
In: Patient Education and Counseling, Vol. 99, No. 2, 01.02.2016, p. 256-264.Research output: Contribution to journal › Article
}
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
AU - Kuan, Amy
AU - Jurgens, Corrine
AU - Riegel, Barbara
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
UR - http://www.scopus.com/inward/record.url?scp=84959538168&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959538168&partnerID=8YFLogxK
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 -