Design and Evaluation of a Brief Motivational Intervention to Promote Enrolment in Outpatient Cardiac Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Intention to Attend Cardiac Rehabilitation Scale (adapted from Blanchard et al., 2002)
研究概览
简要总结
The purpose of this study was to test whether a brief motivational intervention is associated with enrollment in cardiac rehabilitation.
详细描述
Cardiac rehabilitation programs help reduce morbidity and mortality following a cardiac event, but only a subset of referred patients chooses to participate. An intervention based on principles of motivational interviewing may help resolve individuals' ambivalence about cardiac rehabilitation. The primary aim is to evaluate the efficacy of a brief motivational intervention (MI) for enhancing intention to enroll in cardiac rehabilitation compared to a usual care (UC) control condition among patients referred to cardiac rehabilitation. It is hypothesized that patients in the MI condition will report greater intention to enroll in cardiac rehabilitation compared to patients in UC. A small-scale feasibility trial will include patients (n = 100) with acute coronary syndrome who are referred to a standard 12-week exercise-based cardiac rehabilitation program in Calgary, Canada. Patients will be randomly assigned to MI or UC. The primary outcome will be self-reported intention to attend cardiac rehabilitation. Secondary outcomes will include beliefs about cardiac rehabilitation, exercise self-efficacy, perceived barriers, and cardiac rehabilitation enrollment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Referred to and eligible for outpatient, exercise-based cardiac rehabilitation; confirmed acute coronary syndrome; English-speaking; able to complete study prior to first scheduled cardiac rehabilitation appointment
排除标准
- •Cognitive or hearing impairment that would interfere with study participation
结局指标
主要结局
Intention to Attend Cardiac Rehabilitation Scale (adapted from Blanchard et al., 2002)
时间窗: At least 1 day after receiving MI or UC but prior to enrollment in cardiac rehabilitation (average 7 days)
Intention to attend cardiac rehabilitation will be assessed using the average of two self-report items: (1) "My goal is to attend ___ exercise classes at cardiac rehabilitation" with responses ranging from 1 (no exercise classes) to 7 (some exercise classes) and (2) "I intend to attend scheduled classes during cardiac rehabilitation" with responses ranging from 1 (strongly disagree) to 7 (strongly agree). Blanchard, C. M., Courneya, K. S., Rodgers, W. M., Daub, B., \& Knapik, G. (2002). Determinants of exercise intention and behavior during and after phase 2 cardiac rehabilitation: An application of the theory of planned behavior. Rehabilitation Psychology, 47(3), 308-323.
次要结局
- Multidimensional Self-Efficacy for Exercise Scale (Rodgers et al., 2008)(At least 1 day after receiving MI or UC but prior to enrollment in cardiac rehabilitation (average 7 days))
- Cardiac Rehabilitation Barriers Scale (CRBS; Shanmugasegaram et al., 2012)(At least 1 day after receiving MI or UC but prior to enrollment in cardiac rehabilitation (average 7 days))
- Cardiac Rehabilitation Enrollment (attendance at ≥1 appointment; chart review)(60 days after initial referral to cardiac rehabilitation program)
- Beliefs About Cardiac Rehabilitation Scale (BACR; Cooper et al., 2007)(At least 1 day after receiving MI or UC but prior to enrollment in cardiac rehabilitation (average 7 days))
研究者
Tavis S. Campbell
Professor
University of Calgary