Design and Evaluation of a Brief Motivational Intervention to Promote Enrolment in Outpatient Cardiac Rehabilitation
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Patient Compliance
- Sponsor
- University of Calgary
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Intention to Attend Cardiac Rehabilitation Scale (adapted from Blanchard et al., 2002)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study was to test whether a brief motivational intervention is associated with enrollment in cardiac rehabilitation.
Detailed Description
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.
Investigators
Tavis S. Campbell
Professor
University of Calgary
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •Cognitive or hearing impairment that would interfere with study participation
Outcomes
Primary Outcomes
Intention to Attend Cardiac Rehabilitation Scale (adapted from Blanchard et al., 2002)
Time Frame: 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.
Secondary Outcomes
- 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))