Emotion Regulation Intervention to Sustain Physical Activity in Rural-dwelling Women and Men After Myocardial Infarction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiac Event
- Sponsor
- Indiana University
- Enrollment
- 40
- Locations
- 4
- Primary Endpoint
- Change in Moderate to Vigorous Physical Activity (MVPA)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to evaluate early preliminary efficacy of the eMotion intervention in US adults who have experienced a first cardiac event and participating in phase II cardiac rehabilitation.
This study will evaluate early efficacy and evaluate the cognitive processes as intervention response variables. Investigators will also examine the relationships between emotion regulation and other cognitive processes and symptoms (threat and stress, cognition and motivation), symptoms [depression, anxiety, pain, sleep, and fatigue]), and health related quality of life among adults enrolled in cardiac rehabilitation after a first cardiac event.
Detailed Description
Aim 1: Evaluate early preliminary efficacy of the eMotion intervention Research hypothesis 1. Compared with adults randomized to active healthy living attention control and usual care control groups, adults randomized to eMotion will have greater improvement in these outcomes over time: 1.1. Improved minutes of moderate to vigorous physical activity 1.2. Symptom improvement (depression, anxiety, pain, sleep, and fatigue) 1.3. Health related quality of life. Aim 2: Evaluate the cognitive processes as intervention response variables. Research hypothesis 2. Compared with adults randomized to active healthy living attention control and usual care control groups, adults randomized to eMotion will have: 2.1. Improved emotion regulation (efficiency and strategy use) 2.2. Decreased perceived cardiac threat and general stress 2.3. Improved cognition and motivation Aim 3. Exploratory. Examine the relationships between emotion regulation and other cognitive processes and symptoms (threat and stress, cognition and motivation), and symptoms \[depression, anxiety, pain, sleep, and fatigue\]) among adults enrolled in cardiac rehabilitation after a first major cardiac event.
Investigators
Kelly L. Wierenga
Assistant Professor, Nursing
Indiana University
Eligibility Criteria
Inclusion Criteria
- •First time major cardiac event as documented in medical record;
- •enrolled in cardiac rehabilitation phase II program;
- •living independently; and
- •at least mild symptoms of depression and/or anxiety (determined by standardized measure cutpoints).
- •Exclusion criteria:
- •does not speak English;
- •major Axis 1 psychiatric diagnosis (e.g. schizophrenia);
- •terminal cancer; and
- •legally blind
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in Moderate to Vigorous Physical Activity (MVPA)
Time Frame: 1 week trials at baseline, 12 weeks, 20 weeks, and 52 weeks
Minutes spent in MVPA
Secondary Outcomes
- Change in Fatigue Symptoms(Baseline to 12 weeks, 20 weeks, and 52 weeks)
- Change in Depression Symptoms(Baseline to 12 weeks, 20 weeks, and 52 weeks)
- Change in Anxiety Symptoms(Baseline to 12 weeks, 20 weeks, and 52 weeks)
- Change in Pain Symptoms(Baseline to 12 weeks, 20 weeks, and 52 weeks)
- Change in Sleep efficiency(Baseline to 12 weeks, 20 weeks, and 52 weeks)