Abstract
Heart failure (HF) remains a global public health challenge, especially in low- and middle-income countries like Oman. Poor self-care practices are a key contributor to high readmission and mortality rates among HF patients. Motivational interviewing (MI) is a process centered on exploring and resolving ambivalence, with the core motivational processes residing within the individual to facilitate change (Dellafiore et al., 2023). Another study suggests that MI might serve as a novel therapeutic approach for stabilizing and preventing HF by promoting self-care behavioral changes, even in patients with advanced HF and severely reduced ejection fraction (Sakane et al., 2021). Additionally, a systematic review and meta-analysis of randomized controlled trials revealed that the main purpose of MI is to facilitate behavior modification by helping individuals identify and overcome barriers that impede their capacity to alter behaviors during their therapy process (Lundahl et al., 2013).
This pilot randomized controlled trial aimed to assess the feasibility and effectiveness of a nurse-led motivational interviewing (MI) intervention, delivered via telehealth, in improving self-care behaviors and clinical outcomes among adults with HF in Oman. A total of 59 participants with HF were randomized into intervention (n=30) and control (n=29) groups. The intervention group received usual care plus structured MI sessions, biweekly follow-ups, and self-monitoring tools, while the control group received usual care and educational materials. Outcomes measured over 18 months included self-care, symptom burden, health-related quality of life, hospital admissions, and survival rates. Data were analyzed using t-tests, regression analysis, and growth mixture modeling. The intervention group demonstrated a higher survival rate (93%) compared to the control group (79%) at 18 months. Although early admission rates were higher in the intervention group, they declined significantly over time, eventually falling below the control group’s rates. Age and male gender were significant predictors of lower survival. Health-related variables such as self-care and symptom burden did not independently predict survival or admission. The MI-based intervention showed promise in improving survival among HF patients, suggesting that structured behavioral interventions, even when delivered remotely, can enhance long-term outcomes.
Notes
References:
Dellafiore, F., Ghizzardi, G., Vellone, E., Magon, A., Conte, G., Baroni, I., De Angeli, G., Vangone, I., Russo, S., & Arrigoni, C. (2023). Motivational interviewing for enhancing self-care in patients with heart failure: protocol for a randomized controlled trial. JMIR Research Protocols, 12(1), e44629.
Sakane, K., Kanzaki, Y., Ito, T., & Hoshiga, M. (2021). Motivational interviewing as a new approach to improve outcome through self-care behavioural changes in advanced heart failure patient: a case report. European Heart Journal-Case Reports, 5(10), ytab395.
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93(2), 157–168.
Sigma Membership
Alpha Beta Delta
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Randomized Controlled Trial
Research Approach
Quantitative Research
Keywords:
Emerging Technologies, Acute Care, Sub-Acute Care, Implementation Science, Motivational Interviewing, Telemedicine, Health Self-Care, Heart Failure
Recommended Citation
Alharrasi, Maryam, "Motivational Interviewing and Telehealth in Heart Failure Self-Care" (2026). International Nursing Research Congress (INRC). 324.
https://www.sigmarepository.org/inrc/2026/presentations_2026/324
Conference Name
37th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Toronto, Ontario, Canada
Conference Year
2026
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-09-29
Motivational Interviewing and Telehealth in Heart Failure Self-Care
Toronto, Ontario, Canada
Heart failure (HF) remains a global public health challenge, especially in low- and middle-income countries like Oman. Poor self-care practices are a key contributor to high readmission and mortality rates among HF patients. Motivational interviewing (MI) is a process centered on exploring and resolving ambivalence, with the core motivational processes residing within the individual to facilitate change (Dellafiore et al., 2023). Another study suggests that MI might serve as a novel therapeutic approach for stabilizing and preventing HF by promoting self-care behavioral changes, even in patients with advanced HF and severely reduced ejection fraction (Sakane et al., 2021). Additionally, a systematic review and meta-analysis of randomized controlled trials revealed that the main purpose of MI is to facilitate behavior modification by helping individuals identify and overcome barriers that impede their capacity to alter behaviors during their therapy process (Lundahl et al., 2013).
This pilot randomized controlled trial aimed to assess the feasibility and effectiveness of a nurse-led motivational interviewing (MI) intervention, delivered via telehealth, in improving self-care behaviors and clinical outcomes among adults with HF in Oman. A total of 59 participants with HF were randomized into intervention (n=30) and control (n=29) groups. The intervention group received usual care plus structured MI sessions, biweekly follow-ups, and self-monitoring tools, while the control group received usual care and educational materials. Outcomes measured over 18 months included self-care, symptom burden, health-related quality of life, hospital admissions, and survival rates. Data were analyzed using t-tests, regression analysis, and growth mixture modeling. The intervention group demonstrated a higher survival rate (93%) compared to the control group (79%) at 18 months. Although early admission rates were higher in the intervention group, they declined significantly over time, eventually falling below the control group’s rates. Age and male gender were significant predictors of lower survival. Health-related variables such as self-care and symptom burden did not independently predict survival or admission. The MI-based intervention showed promise in improving survival among HF patients, suggesting that structured behavioral interventions, even when delivered remotely, can enhance long-term outcomes.
Description
A total of 59 participants with HF were randomized into intervention (n=30) and control (n=29) groups. The intervention group demonstrated a higher survival rate (93%) compared to the control group (79%) at 18 months after receiving motivational interviewing sessions. Although early admission rates were higher in the intervention group, they declined significantly over time, eventually falling below the control group’s rates. Age and male gender were significant predictors of lower survival.