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The Evaluation of a Brief Motivational Intervention to Promote Intention to Participate in Cardiac Rehabilitation: A Randomized Controlled Trial

Title:

The Evaluation of a Brief Motivational Intervention to Promote Intention to Participate in Cardiac Rehabilitation: A Randomized Controlled Trial

Bacon, Simon L. ORCID: https://orcid.org/0000-0001-7075-0358, Rouleau, Codie R., King-Shier, Kathryn M., Tomfohr-Madsen, Lianne M., Aggarwal, Sandeep, Arena, Ross and Campbell, Tavis S. (2018) The Evaluation of a Brief Motivational Intervention to Promote Intention to Participate in Cardiac Rehabilitation: A Randomized Controlled Trial. Patient Education and Counseling . ISSN 07383991 (In Press)

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Official URL: http://dx.doi.org/10.1016/j.pec.2018.06.015

Abstract

Objectives
Cardiac rehabilitation (CR) is an effective treatment for cardiovascular disease, yet many referred patients do not participate. Motivational interviewing could be beneficial in this context, but efficacy with prospective CR patients has not been examined. This study investigated the impact of motivational interviewing on intention to participate in CR.

Methods
Individuals recovering from acute coronary syndrome (n = 96) were randomized to motivational interviewing or usual care, following CR referral but before CR enrollment. The primary outcome was intention to attend CR. Secondary outcomes included CR beliefs, barriers, self-efficacy, illness perception, social support, intervention acceptability, and CR participation.

Results
Compared to those in usual care, patients who received the motivational intervention reported higher intention to attend CR (p = .001), viewed CR as more necessary (p = .036), had fewer concerns about exercise (p = .011), and attended more exercise sessions (p = .008). There was an indirect effect of the intervention on CR enrollment (b = 0.45, 95% CI 0.04–1.18) and CR adherence (b = 2.59, 95% CI 0.95–5.03) via higher levels of intention. Overall, patients reported high intention to attend CR (M = 6.20/7.00, SD = 1.67), most (85%) enrolled, and they attended an average of 65% of scheduled CR sessions.

Conclusion
A single collaborative conversation about CR can increase both intention to attend CR and actual program adherence.

Practice Implications
The findings will inform future efforts to optimize behavioral interventions to enhance CR participation.

Divisions:Concordia University > Faculty of Arts and Science > Exercise Science
Item Type:Article
Refereed:Yes
Authors:Bacon, Simon L. and Rouleau, Codie R. and King-Shier, Kathryn M. and Tomfohr-Madsen, Lianne M. and Aggarwal, Sandeep and Arena, Ross and Campbell, Tavis S.
Journal or Publication:Patient Education and Counseling
Date:2018
Digital Object Identifier (DOI):10.1016/j.pec.2018.06.015
Keywords:cardiac rehabilitation; motivational interviewing; enrollment; adherence; intention; randomized controlled trial
ID Code:984016
Deposited By: ALINE SOREL
Deposited On:06 Jul 2018 14:37
Last Modified:26 Jun 2019 00:00

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