title: The effect of education through motivational interviewing compared with conventional education on self-care behaviors in heart failure patients with depression.
abstract: OBJECTIVE
  To determine the effect of education based on motivational interviewing on self-care behaviors in heart failure patients with depression.
  
  
  METHODS
  In this study, 82 patients suffering from heart failure whose depression had been confirmed were selected and divided into two groups. The Self-Care Heart Failure Index was utilized to evaluate self-care behavior. The intervention group received four sessions of self-care behavior education based on the principles of motivational interviewing, and the control group received four sessions of conventional education on self-care behavior. At 8 weeks after finishing the interventions, the self-care behaviors of both groups were evaluated. Data were analyzed using paired and independent t-tests, Chi-square, and analysis of covariance, as appropriate.
  
  
  RESULTS
  The average increase in the overall scores and the scores on the three sub-scales of self-care behavior (maintenance, management, and confidence) of the heart failure patients with depression were significantly higher after education based on motivational interviewing than after conventional self-care education (p<0.05).
  
  
  CONCLUSIONS
  Motivational interviewing had a significant positive effect on self-care behaviors in patients with heart failure and depression.
  
  
  CONCLUSIONS
  Due to the effectiveness of the MI, using motivational interviewing for education in depressed HF patients is recommended.
authors.affiliation: Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: Iran.alinavidian@gmail.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Navidian
authors.affiliation: Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: hajarmobaraki@yahoo.com.
authors.forename: Hajar
authors.initials: H
authors.lastname: Mobaraki
authors.affiliation: Department of Psychiatry, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: dr.mansoorshakiba2006@gmail.com.
authors.forename: Mansour
authors.initials: M
authors.lastname: Shakiba
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D003863:Depression / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000628:therapy*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D010353:Patient Education as Topic; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: Depression; Education; Heart failure; Motivational interviewing; Self-care behaviors