Related Experiment Video

Updated: Dec 1, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.1K

Effect of motivational interviewing on self-care of people with heart failure: a randomized clinical trial

Paula Vanessa Peclat Flores1, Pablo Alvarez Rocha2, Lyvia da Silva Figueiredo3

  • 1Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Departamento de Enfermagem Médico Cirúrgica, Niterói, RJ, Brasil.

Revista Da Escola De Enfermagem Da U S P
|November 11, 2020
PubMed

Insights

Motivational interviewing significantly improved self-care in chronic heart failure patients. This intervention showed medium effects on self-care maintenance and management, and a high effect on confidence.

Area of Science:

  • Cardiology
  • Behavioral Science

Background:

  • Chronic heart failure (CHF) management requires significant patient self-care.
  • Effective interventions are needed to improve self-care behaviors in CHF patients.

Purpose of the Study:

  • To evaluate the impact of motivational interviewing on self-care in individuals with chronic heart failure.

Main Methods:

  • A multicenter randomized clinical trial involving 118 chronic heart failure patients (59 intervention, 59 control) over 60 days.
  • The intervention group received three motivational interviewing sessions, while the control group received conventional care.
  • Self-care was assessed using the Self-Care of Heart Failure Index 6.2 pre- and post-intervention.

Main Results:

  • Motivational interviewing demonstrated a medium effect size on self-care maintenance (Cohen's d=0.6723) and management (Cohen's d=0.5086).
  • A high effect size was observed for self-care confidence (Cohen's d=0.9877).

Conclusions:

  • Motivational interviewing is an effective strategy for enhancing self-care in patients with heart failure.
  • The findings suggest motivational interviewing is a feasible intervention for implementation in specialized heart failure clinics.
Abstract

More Related Videos

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.6K

Related Concept Videos

Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
127
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
271
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
109
Stress Prevention and Stress Management Techniques VI01:30

Stress Prevention and Stress Management Techniques VI

Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
147
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
223
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
430