title: Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): study design and methods.
abstract: 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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.affiliation: Columbia University, School of Nursing, United States. Electronic address: rm3284@cumc.columbia.edu.
authors.forename: Ruth
authors.initials: R
authors.lastname: Masterson Creber
authors.affiliation: University of Pennsylvania, School of Nursing, United States.
authors.forename: Megan
authors.initials: M
authors.lastname: Patey
authors.affiliation: New York University, College of Nursing, United States.
authors.forename: Victoria Vaughan
authors.initials: VV
authors.lastname: Dickson
authors.affiliation: University of Pennsylvania, School of Nursing, United States.
authors.forename: Marissa
authors.initials: M
authors.lastname: DeCesaris
authors.affiliation: University of Pennsylvania, School of Nursing, United States.
authors.forename: Barbara
authors.initials: B
authors.lastname: Riegel
mesh_terms: D005240:Feasibility Studies; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D063868:Patient Outcome Assessment; D010865:Pilot Projects; D057184:Practice Patterns, Nurses'; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D013689:Telephone; D016896:Treatment Outcome
keywords: Heart failure; Motivational interviewing; Physical function; Self-care; Self-efficacy; Study design