TY - JOUR
T1 - Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF)
T2 - Study design and methods
AU - Masterson Creber, Ruth
AU - Patey, Megan
AU - Dickson, Victoria Vaughan
AU - DeCesaris, Marissa
AU - Riegel, Barbara
N1 - Funding Information:
This study was supported by the Edna G Kynett Memorial Foundation (Motivational Interviewing Tailored Intervention for patients with Heart Failure (MITI-HF)). We would also like to thank Krames StayWell, specifically P.J. Bell, Wendy Hiller Gee and Stephanie Manning for designing the patient education materials for all study participants. We gratefully acknowledge the pre-doctoral funding for Ruth Masterson Creber provided by the National Hartford Centers of Geriatric Nursing Excellence Patricia G. Archbold Scholarship program (2012–2014) and NIH/NINR (F31NR014086-01). We also acknowledge the post-doctoral funding for Ruth Masterson Creber by NIH/NINR (T32 NR007969, PI: Dr. Suzanne Bakken) at Columbia University School of Nursing. The authors would also like to acknowledge Thomas A. Gillespie, MD, FACC for scoring the NYHA interviews. We would also like to acknowledge psychologist Brenda Reis, PhD and Janet McMahon, MSN, RN for participating in the MI training and in the treatment fidelity of the intervention and Linda Hoke, PhD, RN for her assistance with recruiting.
Publisher Copyright:
© 2014.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - 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.
AB - 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.
KW - Heart failure
KW - Motivational interviewing
KW - Physical function
KW - Self-care
KW - Self-efficacy
KW - Study design
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U2 - 10.1016/j.cct.2014.12.019
DO - 10.1016/j.cct.2014.12.019
M3 - Article
C2 - 25559913
AN - SCOPUS:84920943665
VL - 41
SP - 62
EP - 68
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
SN - 1551-7144
ER -