Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): Study design and methods

Ruth Masterson Creber, Megan Patey, Victoria Vaughan Dickson, Marissa DeCesaris, Barbara Riegel

Research output: Contribution to journalArticle

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. 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.

Original languageEnglish (US)
Pages (from-to)62-68
Number of pages7
JournalContemporary Clinical Trials
Volume41
DOIs
StatePublished - Mar 1 2015

Fingerprint

Motivational Interviewing
Self Care
Heart Failure
Group Homes
Aptitude
Patient Education
Comorbidity
Motivation
Randomized Controlled Trials
Nurses
Quality of Life
Outcome Assessment (Health Care)
Control Groups
Health

Keywords

  • Heart failure
  • Motivational interviewing
  • Physical function
  • Self-care
  • Self-efficacy
  • Study design

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Medicine(all)

Cite this

Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) : Study design and methods. / Masterson Creber, Ruth; Patey, Megan; Vaughan Dickson, Victoria; DeCesaris, Marissa; Riegel, Barbara.

In: Contemporary Clinical Trials, Vol. 41, 01.03.2015, p. 62-68.

Research output: Contribution to journalArticle

Masterson Creber, Ruth ; Patey, Megan ; Vaughan Dickson, Victoria ; DeCesaris, Marissa ; Riegel, Barbara. / Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) : Study design and methods. In: Contemporary Clinical Trials. 2015 ; Vol. 41. pp. 62-68.
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