OBJECTIVE: Lack of engagement in self-care is common among patients needing to follow a complex treatment regimen, especially patients with heart failure who are affected by comorbidity, disability and side effects of poly-pharmacy. The purpose of Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) is to test the feasibility and comparative efficacy of an MI intervention on self-care, acute heart failure physical symptoms and quality of life. METHODS: We are conducting a brief, nurse-led motivational interviewing randomized controlled trial to address behavioral and motivational issues related to heart failure self-care. Participants in the intervention group receive home and phone-based motivational interviewing sessions over 90-days and those in the control group receive care as usual. Participants in both groups receive patient education materials. The primary study outcome is change in self-care maintenance from baseline to 90-days. CONCLUSION: This article presents the study design, methods, plans for statistical analysis and descriptive characteristics of the study sample for MITI-HF. Study findings will contribute to the literature on the efficacy of motivational interviewing to promote heart failure self-care. PRACTICAL IMPLICATIONS: We anticipate that using an MI approach can help patients with heart failure focus on their internal motivation to change in a non-confrontational, patient-centered and collaborative way. It also affirms their ability to practice competent self-care relevant to their personal health goals.
RCT Entities:
OBJECTIVE: Lack of engagement in self-care is common among patients needing to follow a complex treatment regimen, especially patients with heart failure who are affected by comorbidity, disability and side effects of poly-pharmacy. The purpose of Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) is to test the feasibility and comparative efficacy of an MI intervention on self-care, acute heart failure physical symptoms and quality of life. METHODS: We are conducting a brief, nurse-led motivational interviewing randomized controlled trial to address behavioral and motivational issues related to heart failure self-care. Participants in the intervention group receive home and phone-based motivational interviewing sessions over 90-days and those in the control group receive care as usual. Participants in both groups receive patient education materials. The primary study outcome is change in self-care maintenance from baseline to 90-days. CONCLUSION: This article presents the study design, methods, plans for statistical analysis and descriptive characteristics of the study sample for MITI-HF. Study findings will contribute to the literature on the efficacy of motivational interviewing to promote heart failure self-care. PRACTICAL IMPLICATIONS: We anticipate that using an MI approach can help patients with heart failure focus on their internal motivation to change in a non-confrontational, patient-centered and collaborative way. It also affirms their ability to practice competent self-care relevant to their personal health goals.
Authors: David R Thompson; Sek Y Chair; Sally W Chan; Felicity Astin; Patricia M Davidson; Chantal F Ski Journal: J Clin Nurs Date: 2011-05 Impact factor: 3.036
Authors: Gbenga O Ogedegbe; Carla Boutin-Foster; Martin T Wells; John P Allegrante; Alice M Isen; Jared B Jobe; Mary E Charlson Journal: Arch Intern Med Date: 2012-01-23
Authors: Darren A DeWalt; Dean Schillinger; Bernice Ruo; Kirsten Bibbins-Domingo; David W Baker; George M Holmes; Morris Weinberger; Aurelia Macabasco-O'Connell; Kimberly Broucksou; Victoria Hawk; Kathleen L Grady; Brian Erman; Carla A Sueta; Patricia P Chang; Crystal Wiley Cene; Jia-Rong Wu; Christine D Jones; Michael Pignone Journal: Circulation Date: 2012-05-09 Impact factor: 29.690
Authors: Simon Stewart; Barbara Riegel; Cynthia Boyd; Yasmin Ahamed; David R Thompson; Louise M Burrell; Melinda J Carrington; Andrew Coats; Bradi B Granger; Julie Hides; William S Weintraub; Debra K Moser; Victoria Vaughan Dickson; Cressida J McDermott; Ashley K Keates; Michael W Rich Journal: Int J Cardiol Date: 2016-03-10 Impact factor: 4.164