Motivational Interviewing as a Strategy to Impact Outcomes in Heart Failure Patients: A Systematic Review

Poudel, Nabin; Kavookjian, Jan; Scalese, Michael J.

doi:10.1007/s40271-019-00387-6

Cited by 26 publications

(21 citation statements)

References 32 publications

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“…In the English-speaking world, the use of telephone follow-up has been described in both surgical (such as trauma surgery) and conservative (such as gastroenterology or neurology) specialties [10][11][12]. It facilitates early detection of complications, increases patient satisfaction and treatment adherence [13][14][15], and can also be used for clinical research [16,17]. In recent years, this tool has also been increasingly used by dermatosurgeons practicing Mohs surgery.…”

Section: Discussionmentioning

confidence: 99%

Telephone follow‐up for monitoring of complications and boosting patient satisfaction after inpatient dermatosurgery: a prospective two‐center study

Löser

Fröhlich

Poortinga

et al. 2021

J Deutsche Derma Gesell

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Section: Discussionmentioning

confidence: 99%

Telephone follow‐up for monitoring of complications and boosting patient satisfaction after inpatient dermatosurgery: a prospective two‐center study

Löser

Fröhlich

Poortinga

et al. 2021

J Deutsche Derma Gesell

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“…2 A metasynthesis of individual patient data demonstrated that HF self-care reduces mortality and hospitalization risk and improves quality of life. 3 Despite the evidence supporting the benefits of HF selfcare, 4 patients find it difficult to perform self-care, and self-care is often insufficient. [5][6][7] Investigators are struggling to find interventions that can effectively improve self-care.…”

Section: Introductionmentioning

confidence: 99%

Motivational interviewing to improve self‐care in heart failure patients (MOTIVATE‐HF): a randomized controlled trial

et al. 2020

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Aims Self-care, an essential component of heart failure (HF) treatment, is inadequate in most patients. We evaluated if motivational interviewing (MI) (i) improves patient self-care maintenance (primary endpoint; e.g. taking medications), self-care management (e.g. responding to symptoms) and self-care confidence (or self-efficacy) 3 months after enrolment; (ii) changes self-care over 1 year, and (iii) augments patient self-care if informal caregivers are involved. Methods and results Parallel randomized controlled trial (1:1:1). A sample of 510 patients (median 74 years, 58% male) and caregivers (median 55 years, 75% female) was randomized to Arm 1 (MI only for patients), Arm 2 (MI for patients and caregivers), or Arm 3 (usual care). The intervention in Arms 1 and 2 consisted of one face-to-face MI session with three telephone contacts. Self-care was evaluated with the Self-Care of HF Index measuring self-care maintenance, management, and confidence. Scores on each scale range from 0 to 100 with higher scores indicating better self-care; ≥70 is considered adequate. At 3 months, self-care maintenance improved 6.99, 7.42 and 2.58 points in Arms 1, 2, and 3, respectively (P = 0.028). Self-care maintenance was adequate in 18.4%, 19.4%, and 9.2% of patients in Arms 1, 2 and 3, respectively (P = 0.016). Over 1 year, self-care maintenance, management, and confidence scores in Arms 1 and 2 were significantly higher than in Arm 3 in several follow-ups. Over 1 year, Arm 2 had the best scores in self-care management.Conclusions MI significantly improved self-care in HF patients. Including caregivers may potentiate the effect, especially in self-care management. ClinicalTrial.gov, identifier: NCT02894502.

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“…Systematic reviews of studies evaluating MI to improve PA behavior in patients with other noncommunicable diseases (obesity, diabetes cardiovascular diseases, multiple sclerosis, fibromyalgia) reported sample sizes ranging from 19 to 1570 patients, with 19 (42%) out of 45 studies including less than 100 patients. [34][35][36][37] In the studies from these systematic reviews, the percentage of screened eligible patients who were not interested in participating in such MI interventions was 60%, ranging from 6% to 77% (n = 19 studies). The average recruitment period of these RCTs was 15 months (ranging from 3 to 38 months), with an average recruitment rate of 9 patients per month (ranging from 4 to 52 patients per months; n = 18 studies; a multicentric study that included 392 patients per month was not included).…”

Section: Feasibilitymentioning

confidence: 99%

Motivational Interviewing to Increase Physical Activity Behavior in Cancer Patients: A Pilot Randomized Controlled Trials

et al. 2020

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Objective: This pilot randomized controlled trial (RCT) aimed at evaluating the feasibility and potential efficacy of a motivational interviewing (MI) intervention to increase physical activity (PA) behavior in cancer patients. Methods: Participants were randomly assigned to an experimental group with standard care plus 12 MI sessions within 12 weeks or a control group with standard care only. The number of recruited participants and the modality of recruitment were recorded to describe the reach of the study. The acceptability of the study was estimated using the attrition rate during the intervention phase. The potential efficacy of the intervention was evaluated by analyzing the PA behavior. Results: Twenty-five participants were recruited within the 16-month recruitment period (1.6 participants per month). Five participants (38.5%) from the experimental group (n = 13) and one participant (8.3%) from the control group (n = 12) dropped out of the study before the end of the intervention phase. No group by time interaction effect for PA behavior was observed at the end of the intervention. Conclusion: Due to the low recruitment rate and compliance, no conclusion can be drawn regarding the efficacy of MI to increase PA behavior in cancer patients. Moreover, the current literature cannot provide any evidence on the effectiveness of MI to increase PA in cancer survivors. Future RCTs should consider that the percentage of uninterested patients to join the study may be as high as 60%. Overrecruitment (30% to 40%) is also recommended to accommodate the elevated attrition rate.

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Motivational Interviewing as a Strategy to Impact Outcomes in Heart Failure Patients: A Systematic Review

Cited by 26 publications

References 32 publications

Telephone follow‐up for monitoring of complications and boosting patient satisfaction after inpatient dermatosurgery: a prospective two‐center study

Telephone follow‐up for monitoring of complications and boosting patient satisfaction after inpatient dermatosurgery: a prospective two‐center study

Motivational interviewing to improve self‐care in heart failure patients (MOTIVATE‐HF): a randomized controlled trial

Motivational Interviewing to Increase Physical Activity Behavior in Cancer Patients: A Pilot Randomized Controlled Trials

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