PT  - JOURNAL ARTICLE
AU  - Kaltenbrunner, Monica
AU  - Flink, Maria
AU  - Brandberg, Carina
AU  - Hellström, Amanda
AU  - Ekstedt, Mirjam
TI  - Motivational interviewing for reducing rehospitalisation and improving patient activation among patients with heart failure or chronic obstructive pulmonary disease: a randomised controlled trial
AID  - 10.1136/bmjopen-2023-081931
DP  - 2025 Apr 01
TA  - BMJ Open
PG  - e081931
VI  - 15
IP  - 4
4099  - http://bmjopen.bmj.com/content/15/4/e081931.short
4100  - http://bmjopen.bmj.com/content/15/4/e081931.full
SO  - BMJ Open2025 Apr 01; 15
AB  - Objectives The aim is to evaluate the effects of a motivational interviewing-based intervention, Supporting Patient Activation in Transition to Home, on rehospitalisation and patient activation among patients with heart failure or chronic obstructive pulmonary disease.Design A randomised, controlled, analysis-blinded trial was conducted.Setting Participants were recruited from two hospitals in mid-Sweden and the intervention and interviews were conducted post-discharge.Participants 207 participants with heart failure or chronic obstructive pulmonary disease were recruited. Participants were randomised to receive five motivational interviewing sessions post-discharge (n=103) or a control group (n=104).Outcome measures Rehospitalisation within 180 days post-discharge was retrieved, and patient activation was assessed using the Patient Activation Measure at baseline, 30, 90 and 180 days post-discharge. We used a generalised estimating equation to assess the difference in the secondary outcome, patient activation, between the intervention group and the control group during the 180-day follow-up.Results No statistically significant differences between the groups were found for rehospitalisation (p=0.33 to 0.41) or patient activation over time (B=−1.67, –0.71 and −0.83 (95% CI −5.45 to 2.10, −4.06 to 2.64 and −4.28 to 2.62), respectively).Conclusion Post-discharge motivational interviewing to decrease rehospitalisation or support patient activation does not seem beneficial for patients with heart failure or chronic obstructive pulmonary disease. The high disease burden may have limited patient participation in the intervention.Trial registration number NCT02823795.All data relevant to the study are included in the article. No data are available. This study reports data from an RCT conducted between August 2016 and May 2018 and our ethical permit does not allow us to share data.