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

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.