Preventive Care in Nursing and Midwifery Journal
Volume 16, Issue 1 (1-2026)
Prev Care Nurs Midwifery J 2026, 16(1): 105-119 |
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Esmaeilbeigi D, Kalantari S, Aligholipour M, Alipour R, Mohammadi M, Nasseri S, et al . Effectiveness of Nurse-Led Motivational Interviewing on Self-Management and Self-Care in Patients with Chronic Diseases: A Systematic Review of Randomized Controlled Trials. Prev Care Nurs Midwifery J 2026; 16 (1) :105-119
URL: http://nmcjournal.zums.ac.ir/article-1-1052-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-1052-en.html
Darya Esmaeilbeigi 
, Saba Kalantari , Mahtab Aligholipour , Razie Alipour , Maryam Mohammadi , Sepideh Nasseri , Vesal Karimiaslchors , Zahra Khezerlou *
, Saba Kalantari , Mahtab Aligholipour , Razie Alipour , Maryam Mohammadi , Sepideh Nasseri , Vesal Karimiaslchors , Zahra Khezerlou *
Medical Surgical Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran , zahrakhezerloo8@gmail.com
Abstract: (250 Views)
Background: Chronic diseases impose a significant burden on health systems. Self-management, including self-care behaviors, plays a key role in their control. Motivational interviewing (MI) is an evidence-based approach used by nurses to enhance intrinsic motivation and facilitate behavior change in patients with chronic conditions. However, no comprehensive systematic review has specifically synthesized the effectiveness of nurse-led MI on self-management and self-care in chronic diseases.
Objectives: This systematic review aimed to assess and synthesize evidence from randomized trials on the effectiveness of nurse-led MI in improving self-management and self-care among patients with chronic diseases.
Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, and Google Scholar up to June 2026. Randomized trials that provided a nurse-led MI intervention and reported self-management or self-care outcomes were included. Risk of bias was assessed using the RoB 2 tool. Due to significant heterogeneity in the intervention types, study populations, and outcome measures, meta‑analysis was not feasible; findings are therefore reported as a narrative synthesis.
Results: Of 423 records identified, 16 RCTs with 2805 participants were included. Fourteen studies (87.5%) reported statistically significant improvements in at least one self-management or self-care outcome favoring the intervention group. The most consistent evidence was observed in patients with heart failure and type 2 diabetes. Interventions comprising four or more sessions with a follow‑up of at least six months were associated with the greatest improvements. Six studies were rated at low risk of bias, while ten had some concerns.
Conclusion: Current evidence suggests that nurse-led MI may enhance self-management and self-care behaviors in certain chronic diseases, particularly heart failure and type 2 diabetes. However, variability in interventions and outcomes, along with methodological limitations in some studies, reduces the certainty of this evidence. Rigorous randomized trials with standardized designs and extended follow‑up periods are needed to strengthen the evidence base.
Objectives: This systematic review aimed to assess and synthesize evidence from randomized trials on the effectiveness of nurse-led MI in improving self-management and self-care among patients with chronic diseases.
Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, and Google Scholar up to June 2026. Randomized trials that provided a nurse-led MI intervention and reported self-management or self-care outcomes were included. Risk of bias was assessed using the RoB 2 tool. Due to significant heterogeneity in the intervention types, study populations, and outcome measures, meta‑analysis was not feasible; findings are therefore reported as a narrative synthesis.
Results: Of 423 records identified, 16 RCTs with 2805 participants were included. Fourteen studies (87.5%) reported statistically significant improvements in at least one self-management or self-care outcome favoring the intervention group. The most consistent evidence was observed in patients with heart failure and type 2 diabetes. Interventions comprising four or more sessions with a follow‑up of at least six months were associated with the greatest improvements. Six studies were rated at low risk of bias, while ten had some concerns.
Conclusion: Current evidence suggests that nurse-led MI may enhance self-management and self-care behaviors in certain chronic diseases, particularly heart failure and type 2 diabetes. However, variability in interventions and outcomes, along with methodological limitations in some studies, reduces the certainty of this evidence. Rigorous randomized trials with standardized designs and extended follow‑up periods are needed to strengthen the evidence base.
Type of Study: Review Articels |
Subject:
Nursing
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