Ruth Masterson Creber1, Megan Patey2, Christopher S Lee3, Amy Kuan4, Corrine Jurgens5, Barbara Riegel6. 1. School of Nursing, Columbia University, School of Nursing, New York, NY, USA. Electronic address: rm3284@cumc.columbia.edu. 2. MSN, WHNP-BC, RN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA. 3. RN, FAHA, FAAN School of Nursing, Oregon Health & Sciences University, School of Nursing, Portland, OR, USA. 4. BSN, RN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA. 5. RN, FAAN School of Nursing, Stony Brook University, School of Nursing, Stony Brook, NY, USA. 6. RN, FAHA, FAAN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA.
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.
RCT Entities:
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.
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