Abstract:OBJECTIVE To evaluation motivational interviewing(MI) based on the transtheoretical mode(TTM) to improve self-efficacy and efficacy in elderly hypertensive patients.METHODS 286 aged 60~75 year old hypertension patients were randomly divided into control group and observation group, with 143 cases in each group. The control group was given community stratified management intervention. On the basis of the stratified management of the community, the observation group carried out the interviewing intervention based on the cross theoretical model. The intervention of the two groups was 18 months, and the intervention was measured before and after the intervention, respectively. The level of self-efficacy, self management, blood lipid level, blood pressure treatment and control and quality of life were evaluated. T test and χ2 test were used to compare the level of self-efficacy, self management, blood lipid level, blood pressure treatment and control and quality of life in the two groups RESULTS Before intervention, there was no significant difference between the two groups of self-efficacy, self management, blood lipid level, blood pressure treatment and control and quality of life(P>0.05). After 18 months of intervention, the self-efficacy, self-management, high density lipoprotein, blood pressure treatment and control and quality of life were significantly improved in the observation group(P<0.05).CONCLUSION Motivational interview based on the TTM was an effective cognitive and behavioral change technique, which helps to improve the patient's self-efficacy and self-management, improve the treatment and control of HDL-C, blood pressure, and the quality of life. It is worth promoting in the community.