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Motivational interviewing and its application in the management of coronary heart disease
  1. Yanping Ren1,
  2. Colette Browning2,
  3. Hui Yang2 and
  4. Shane Thomas2
  1. 1Department of Cardiology, The First Hospital of Xi’an Jiaotong University, Xi’an City of Shannxi Province, 710061, China
  2. 2Faculty of Medicine, School of Primary Health Care, Nursing and Health Sciences, Monash University, Victoria 3165, Australia
  1. Corresponding author: Yanping Ren, Department of Cardiology, The First Hospital of Xi’an Jiaotong University, Xi’an City of Shannxi Province, 710061, China, E-mail: ryp0071{at}


Objective This review paper explores the concept, spirit, principles, and core skills of motivational interviewing (MI) as a psychological approach applied to CHD patients.

Methods Literature reviews based on English and Chinese articles.

Results The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes, blood pressure control, hyperglycemia and hyperlipidemia control, compliance improvement, and improving quality of life amongst chronic heart failure patients. The Happy Life Club (HLC) is the only randomized controlled trial (RCT) that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus. The HLC pilot revealed positive outcomes, and RCTs will provide further evidence.

Conclusion MI has been expanded in its application to a wider range of lifestyle-related chronic diseases, including CHD. At the time of this review, MI represents a new concept and approach in China for improving physical and mental health (body and mind) in patients with CHD. In order to integrate MI into medical practice, the authors suggest improving the medical education curriculum and strengthening vocational training, while conducting further research initiatives to assess the innovation and inform practice management.

  • Motivational interviewing
  • Coronary heart disease
  • Psychological approach
  • Behavior change
  • Self-management

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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