Developing a Positive Psychology Intervention to Improve Cardiac Health Behaviors: Qualitative Research Phase
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Deficits in positive affect
研究概览
简要总结
The purpose of the study is to understand peoples' positive emotions, like how optimistic or grateful they feel, after they have had a heart problem. The investigators want to determine whether positive emotions affect peoples' ability to follow recommendations, like following a healthy diet, exercising, and taking medication.
详细描述
The investigators aim to develop a novel positive psychology intervention that is adapted for patients hospitalized for an acute coronary syndrome (ACS). A treatment cultivating positive emotions in this vulnerable population could provide broad and significant health benefits, and may have distinct-and more powerful-effects than simply attempting to dampen negative emotions.
In this study, the investigators will use mixed methods (qualitative and quantitative) to take the first step towards developing such a treatment, with a major focus on the qualitative aspects of the patient assessments/interviews.
In this project, the investigators hope to do the following:
- Identify, through qualitative research, deficits in positive emotional and cognitive states prior to, during, and after cardiac admission: What positive emotions are lacking in hospitalized ACS patients?
- Explore strategies to enhance positive emotional and cognitive states in ACS patients.
- Identify links between these positive states and health behavior (diet, physical activity, and medication).
- Identify other barriers to compliance with health behaviors. What other factors adversely influence compliance with health behaviors in this population?
- Use quantitative measures of positive affect to ensure that the investigators are adequately capturing information about optimism and other positive states
- Develop a preliminary positive psychology-based intervention using the above information
- Explore the feasibility of using methods to objectively measure aspirin adherence and physical activity in this population.
To accomplish these goals, the investigators will interview 30 ACS patients during admission to the inpatient cardiac unit and 12 weeks after discharge. The investigators will identify 15 patients who demonstrate suboptimal adherence as reported by the Medical Outcomes Study Specific Adherence Scale (MOS-SAS) and 15 patients who demonstrate good adherence to health-related behaviors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •Admission to Massachusetts General Hospital cardiac floors (Ellison 9, 10, 11)
- •Age 18 or older
- •Admitted with myocardial infarction or unstable angina
- •Score of less than 15 --OR-- greater than or equal to 15 on the adherence scale
- •Ability to read and write in English
排除标准
- •Cognitive deficits as assessed by a 6-item screen
- •Medical conditions that prevent interviewing or are likely to lead to death within 6 months
结局指标
主要结局
Deficits in positive affect
时间窗: 12 weeks
Qualitative data: The investigators will extract information from 2 quantitative interviews to learn about participants' deficits in positive affect. Quantitative data: Life Orientation Test-Revised, Positive And Negative Affect Scale, Hospital Anxiety and Depression Scale.
Barriers to health behaviors
时间窗: 12 weeks
Qualitative data: The investigators will extract information from 2 qualitative interviews to learn about participants' barriers to completing health behaviors. Quantitative data: Participants will receive a pill bottle that tracks when they take their aspirin. Participants will also receive a step counter to wear for two weeks.
次要结局
- Changes in positive affect(Change from baseline positive affect at 12 weeks)
研究者
Jeff C. Huffman, MD
Medical Director of Inpatient Psychiatric Unit
Massachusetts General Hospital