Evidence map›Paper›PMID 27599712›Full record

Trial reportPatient education and counseling2017

Mechanisms of change in self-care in adults with heart failure receiving a tailored, motivational interviewing intervention.

Barbara Riegel, Victoria Vaughan Dickson, Lydia Elena Garcia, Ruth Masterson Creber, Megan Streur

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Barbara RiegelEdith Clemmer Steinbright Professor of Gerontology School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: briegel@nursing.upenn.edu.
Victoria Vaughan DicksonAssociate Professor, Rory Meyers College of Nursing, New York University, New York, NY, USA.
Lydia Elena GarciaYMCA of Greater New York City, New York, NY, USA.
Ruth Masterson CreberSchool of Nursing, Columbia University, New York, NY, USA.
Megan StreurPost-doctoral Fellow School of Nursing, University of Washington Seattle, WA, USA.

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
mHealth for Heart Failure Symptom MonitoringK99NR016275 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MASTERSON CREBER, RUTH MARIE · 2016 to 2017
$182k
Profiling the Heterogeneous Response of Exercise therapy in HF patientsF31NR014086 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MASTERSON CREBER, RUTH MARIE · 2012 to 2014
$77k
Atrial fibrillation symptom perceptionF31NR015687 · NINR · UNIVERSITY OF PENNSYLVANIA · PI STREUR, MEGAN · 2015 to 2015
$37k
NINR NIH HHS F31 NR014086NINR NIH HHS F31 NR015687NINR NIH HHS K99 NR016275NINR NIH HHS T32 NR007969
6 · The paper itself

Abstract

Self-care is challenging but we previously demonstrated that motivational interviewing (MI) was effective in improving heart failure (HF) self-care.

objectiveTo identify the mechanisms of intervention effectiveness by elucidating the MI techniques used and the relationship between the techniques and changes in self-care.

methodsAudiotaped sessions (first and subsequent sessions) from 8 participants were transcribed verbatim and coded to evaluate changes in self-care. Using a sequential mixed method design, quantitative and qualitative self-care data were triangulated; congruence was 97%. The MI techniques used and mechanisms of intervention effectiveness were identified from the qualitative data.

resultsThree MI techniques used were related to improved self-care: 1) reflection and reframing, 2) genuine empathy, affirmation, and humor, and 2) individualized problem solving. These techniques stimulated openness to goal setting, positive self-talk, perceived ability to overcome barriers, and change talk. The mechanisms by which the techniques achieved the desired outcomes were the development of discrepancy and self-efficacy, which are consistent with the principles of MI.

conclusionThis study contributes to clarifying the mechanism by which MI facilitates behavioral change. PRACTICE IMPLICATIONS: Using MI to discuss self-care can help to overcome barriers and engage HF patients in goal setting for behavior change.

Indexed as

AdultFemaleHeart FailureHumansLongitudinal StudiesMaleMotivational InterviewingOutcome and Process Assessment, Health CarePatient ComplianceQualitative ResearchSelf CareTape RecordingBehavioral changeCounselingMotivational interviewingPatient complianceSelf-management

Identifiers

PMID27599712
PMCPMC5318245

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.