Comparing the effectiveness of cognitive behavioral interventions and motivational interviewing on improving self-care behaviors
Refereed conference paper presented and published in conference proceedings


To compare the effectiveness of cognitive behavioural therapy and motivational interviewing on improving self-care behaviours in patients with chronic heart failure.
Chronic heart failure remains a major healthcare priority due to its high prevalence and disease burden. Although self-care has been advocated as the sustainable solution, it remains inadequate. Recent studies have shown the potential of integrating structured counselling elements into traditional educational programs to enhance self-care but the optimal counselling method remains unclear.
A literature review.
Data Sources
Articles published between years of 2006 to 2016 were searched from CINAHL, MEDLINE, PubMed, ScienceDirect, PsychINFO, Cochrane Library, Scopus, ProQuest.
Review Methods
Using a systematic three-step search strategy, a literature review of self-care intervention studies that incorporated cognitive behavioural therapy and/or motivational interviewing was conducted. Quantitative and qualitative trial studies that met the inclusion criteria were appraised using the Joanna Brigg’s Institute criteria.
Both counselling methods produced higher yet limited significance in improving self-care, with motivational interviewing demonstrated higher potential. Sodium restriction and physical exercise seemed to be more responsive to counselling interventions, suggesting the need to develop behaviour specific strategies. Key components of each counselling method is identified. Common elements included goal setting, action planning and problem solving. A striking limitation is the disproportionate number of patients who dropped-out, inconclusive results on the interventions’ effectiveness and their unsustainable effects.
More research is needed to understand and address the motivational needs of CHF patients towards self-care instead of just applying counselling to change their outlook.
著者Chew H. S. J., Cheng H. Y., Chair S. Y.
會議名稱Heart Failure & the World Congress on Acute Heart Failure 2018
會議地點Vienna, Austria
會議論文集題名European Journal of Heart Failure
期次Supplement 1
頁次72 - 72

上次更新時間 2018-29-06 於 14:34