title: Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial.
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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Nursing, Columbia University, School of Nursing, New York, NY, USA. Electronic address: rm3284@cumc.columbia.edu.
authors.forename: Ruth
authors.initials: R
authors.lastname: Masterson Creber
authors.affiliation: MSN, WHNP-BC, RN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Patey
authors.affiliation: RN, FAHA, FAAN School of Nursing, Oregon Health & Sciences University, School of Nursing, Portland, OR, USA.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Lee
authors.affiliation: BSN, RN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Kuan
authors.affiliation: RN, FAAN School of Nursing, Stony Brook University, School of Nursing, Stony Brook, NY, USA.
authors.forename: Corrine
authors.initials: C
authors.lastname: Jurgens
authors.affiliation: RN, FAHA, FAAN School of Nursing, University of Pennsylvania, School of Nursing, Philadelphia, PA, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Riegel
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy; D003376:Counseling; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D011788:Quality of Life; D012648:Self Care / Q000379:methods* / Q000523:psychology*; D020377:Self Efficacy; D016037:Single-Blind Method; D016896:Treatment Outcome
keywords: Behavior; Diet sodium-restricted; Heart failure; Motivational interviewing; Quality of life; Self care; Self efficacy