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

Keywords

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

ASJC Scopus subject areas

  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): Study design and methods'. Together they form a unique fingerprint.

  • Cite this