Effect of a Motivational Intervention on Exercise Adherence After Cardiac Rehabilitation
- Conditions
- Aging
- Interventions
- Behavioral: Motivational interventionOther: Control intervention
- Registration Number
- NCT04806841
- Lead Sponsor
- Louis Bherer
- Brief Summary
The Canadian Physical Activity Guidelines recommend that adults should exercise for at least 150 minutes per week. Incorporating 150 minutes of moderate-to-vigorous intensity physical activity (MVPA) a week has been associated with the prevention of at least 25 chronic diseases, including cardiovascular disease. However, most people do not successfully maintain this active behavior. The primary objective of this investigation is to understand what predicts successful exercise adherence and why people dropout from the gym. The long-term impact of this study has implications for future policy level interventions aimed at exercise adherence.
- Detailed Description
The participants will receive a link to the baseline survey at www.surveymonkey.com. After completing the survey, the participants will be randomized into an intervention or a control group. The intervention group will be invited to attend a group meeting at weeks 1, 6 and 12 (3-month mark) which will take place at the EPIC center. These meetings will help participants create effective goals and methods on maintaining their motivation to exercise regularly. The participants will then receive a monthly phone call follow-up at months 4-6. The purpose of these meeting/follow-ups is to serve as a review of the worksheet, address any questions and help make any modification plans if necessary. Participants in the control group will be simply encouraged to exercise at the EPIC center and complete the online surveys. Participants in the control group will receive the skills/tactics at the end of the study. As members of the EPIC center, all participants will have access to four weekly supervised sesssions for three months.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 11
- 50 years and older, included in the prevention clinique at Epic Center after an acute coronary syndrome (≤ 12 months) with or without revascularization, doing less than 150 minutes of physical activity per week. The approval of a cardiologist is needed to take part in this program. A normal score on the MoCA (≥ 26) is needed.
- Valve surgery without any coronary event, non-cardiopulmonary exercise limitation, stress induce malignant arrhythmia and decompensate heart failure
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Motivational intervention Participants will have access to 4 weekly supervised training sessions for 3 months. The intervention group will also take part in 3 group meetings (behavioral intervention) and will receive follow-up phone calls from month 4 to 6. Control group Control intervention Participants will have access to 4 weekly supervised training sessions for 3 months without any behavioral intervention.
- Primary Outcome Measures
Name Time Method Physical activity level Baseline and 6 months Godin Leisure Time Exercise Questionnaire (GLTEQ). Frequency and duration are open-ended questions with 0 set as minimum and with no maximum. Higher value indicates greater participation in physical activity.
- Secondary Outcome Measures
Name Time Method Behavioral automaticity Baseline and 6 months Self-Report Behavioral Automaticity Index (SRBAI) The complete name of the scale is the "Self-Report Behavioral Automaticity Index". The scores on this scale range from 1 to 5, with 1 indicating less use of automatic process and 5 indicating a strong use of automatic processes when exercising. Higher scores are preferrable/represent better outcome as they indicate that exercise behavior is performed easily.
Autoregulation / Self-control Baseline and 6 months Self-reported activity journal
Behavioral regulation Baseline and 6 months Intrinsic regulation subscale from the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2). Behavioral Regulation was assessed by a scale proposed by Sniehotta, Scholz, \& Schwarzer (2006), which does not have a specific title. The scores on this scale range from 1 to 5, with 1 indicating less use of planning and 5 indicating a strong use of planning for their exercise sessions. Higher scores are preferrable/represent better outcome as they indicate that participants make plans to schedule their exercise sessions.
Trial Locations
- Locations (1)
Preventive medicine and physical activity centre (centre EPIC), Montreal Heart Institute
🇨🇦Montréal, Quebec, Canada