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Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): study design and methods
Ruth Masterson Creber1, Megan Patey2, Victoria Vaughan Dickson3
1Columbia University, School of Nursing, United States.
Contemporary Clinical Trials
|January 7, 2015
Summary
Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) tests if motivational interviewing improves self-care in heart failure patients. This approach aims to enhance patient self-care maintenance and quality of life.
Area of Science:
- Cardiology
- Behavioral Science
- Nursing Research
Background:
- Patients with heart failure often struggle with complex treatment regimens due to comorbidities, disability, and polypharmacy.
- Poor engagement in self-care is a significant barrier to managing heart failure effectively.
- Motivational interviewing (MI) shows promise in addressing behavioral and motivational deficits in chronic disease management.
Purpose of the Study:
- To test the feasibility and comparative efficacy of the Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) study.
- To evaluate the impact of an MI intervention on self-care maintenance, physical symptoms, and quality of life in heart failure patients.
Main Methods:
- A brief, nurse-led, randomized controlled trial design.
- Intervention group received 90-day home and phone-based motivational interviewing sessions.
- Control group received usual care; both groups received patient education materials. Primary outcome: change in self-care maintenance from baseline to 90 days.
Main Results:
- Study design, methods, and sample characteristics are presented.
- Planned statistical analyses will assess the efficacy of the intervention.
Conclusions:
- Findings will contribute to the evidence base for motivational interviewing in promoting heart failure self-care.
- An MI approach is anticipated to foster patient-centered change and enhance self-care competence.
