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Effectiveness of motivational interviewing in decreasing hospital readmission in adults with heart failure and multimorbidity
Riegel, Barbara Creber, Ruth Masterson Hill, Julia Chittams, Jesse Hoke, Linda
Riegel, Barbara
Creber, Ruth Masterson
Hill, Julia
Chittams, Jesse
Hoke, Linda
Abstract
Hospitalizations are common in heart failure (HF). Multimorbidity, defined as ≥2 comorbid conditions, drives many readmissions. The purpose of this pilot study was to test the effectiveness of motivational interviewing (MI) in decreasing these hospital readmissions. We enrolled 100 hospitalized HF patients into a randomized controlled trial, randomizing in a 2:1 ratio: intervention (n = 70) and control (n = 30). The intervention group received MI tailored to reports of self-care during one home visit and three to four follow-up phone calls. After 3 months, 34 participants had at least one hospital readmission. The proportion of patients readmitted for a condition unrelated to HF was lower in the intervention (7.1%) compared with the control group (30%, p = .003). Significant predictors of a non-HF readmission were intervention group, age, diabetes, and hemoglobin. Together, these variables explained 35% of the variance in multimorbidity readmissions. These preliminary results are promising in suggesting that MI may be an effective method of decreasing multimorbidity hospital readmissions in HF patients.
Keywords
motivational interviewing, self-care, multimorbidity, heart failure
Date
2016
Type
Journal article
Journal
Clinical Nursing Research
Book
Volume
25
Issue
4
Page Range
362-377
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Centre for Education and Innovation
Faculty of Health Sciences
Centre for Education and Innovation
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Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled