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Patient Educ Couns. 2017 Aug;100(8):1499-1504. doi: 10.1016/j.pec.2017.02.023. Epub 2017 Feb 27.

The effect of education through motivational interviewing compared with conventional education on self-care behaviors in heart failure patients with depression.

Author information

1
Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: Iran.alinavidian@gmail.com.
2
Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: hajarmobaraki@yahoo.com.
3
Department of Psychiatry, Zahedan University of Medical Sciences, Zahedan, Iran. Electronic address: dr.mansoorshakiba2006@gmail.com.

Abstract

OBJECTIVE:

To determine the effect of education based on motivational interviewing on self-care behaviors in heart failure patients with depression.

METHODS:

In this study, 82 patients suffering from heart failure whose depression had been confirmed were selected and divided into two groups. The Self-Care Heart Failure Index was utilized to evaluate self-care behavior. The intervention group received four sessions of self-care behavior education based on the principles of motivational interviewing, and the control group received four sessions of conventional education on self-care behavior. At 8 weeks after finishing the interventions, the self-care behaviors of both groups were evaluated. Data were analyzed using paired and independent t-tests, Chi-square, and analysis of covariance, as appropriate.

RESULTS:

The average increase in the overall scores and the scores on the three sub-scales of self-care behavior (maintenance, management, and confidence) of the heart failure patients with depression were significantly higher after education based on motivational interviewing than after conventional self-care education (p<0.05).

CONCLUSIONS:

Motivational interviewing had a significant positive effect on self-care behaviors in patients with heart failure and depression.

PRACTICE IMPLICATIONS:

Due to the effectiveness of the MI, using motivational interviewing for education in depressed HF patients is recommended.

KEYWORDS:

Depression; Education; Heart failure; Motivational interviewing; Self-care behaviors

PMID:
28262273
DOI:
10.1016/j.pec.2017.02.023
[Indexed for MEDLINE]

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