Efficacy of motivational interviewing on enhancing self-care behaviors among patients with chronic heart failure: a systematic review and meta-analysis of randomized controlled trials
| Autor: | Rosario Caruso, Cristina Arrigoni, Federica Dellafiore, Ercole Vellone, Greta Ghizzardi |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Motivational interviewing Symptom monitoring Motivational Interviewing 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Internal medicine medicine Humans In patient 030212 general & internal medicine Disease management (health) Randomized Controlled Trials as Topic Heart Failure business.industry medicine.disease Self Care Meta-analysis Settore MED/45 Heart failure Chronic Disease Systematic review Self care Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart failure reviews. 27(4) |
| ISSN: | 1573-7322 |
| Popis: | Although motivational interviewing (MI) seems to be promising for enhancing self-care behaviors (i.e., daily disease management and responses to symptoms) in patients with heart failure (HF), no quantitative pooling of effect sizes has been described to summarize and test its efficacy on self-care. Given that self-care behaviors of patients with HF are essential to enhance pharmacological adherence and disease management and optimize clinical outcomes, we sought to perform a systematic review of randomized control trials (RCTs) regarding MI’s efficacy on enhancing self-care behaviors among patients with HF, synthesizing MI effects on self-care through meta-analyses. Nine randomized controlled trials were included. MI showed moderate effects on enhancing self-care confidence (Hedge’s g = 0.768; 95%CI = 0.326–1.210; P = 0.001) and self-care management (i.e., responses to symptoms) (Hedge’s g = 0.744; 95%CI = 0.256–1.232; P = 0.003) and large effects on improving self-care maintenance (i.e., adherence to treatment and symptom monitoring) (Hedge’s g = 0.873; 95%CI = 0.430–1.317; P |
| Databáze: | OpenAIRE |
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