The Effect of Motivational Interviewing and Clinician Centered Interviewing Based Cardiac Rehabilitation on Core Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 89
- 试验地点
- 1
- 主要终点
- Dartmouth Quality of Life index
研究概览
简要总结
The purpose of this project is to examine the differences in outpatient cardiac rehab (OPCR) core component outcomes on different intervention conditions. Conditions include traditional OPCR (control), OPCR + motivational interviewing (MI) and OPCR + Clinician centered interviews.
详细描述
Participants who are beginning a OPCR program at a local hospital are eligible for the program. During the standard admission procedures, eligible participants will be provided with a consent from and asked to participate in the study. Participants who provide consent will complete their admission packet. The standard admission packet includes: the Outpatient Fall Assessment Risk, Patient Health Questionnaire (PHQ-9),the Dartmouth Quality of Life, and the Rate Your Plate. In addition participants will complete three additional surveys: the Intrinsic Motivation Inventory (IMI), the FPS, (FACES Pain Scale), and the Brief Resilience Scale (BRS). During their second appointment participants will complete the standard 6 minute walk test which is scheduled at their convenience and the grip strength. Participants will then be randomly assigned to the traditional OPCR, the OPCR + MI, or the OPCR - Clinician centered. Post-testing will include all baseline information as well as information from patients charts (lipid profile, HbA1c, risk factors and family history). Analysis will determine differences in core outcomes between the three groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Participants will not be award of group assignments as all participants are provided a face-to-face interaction with the provider.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Enrolled in outpatient cardiac rehab
- •Able to complete the paperwork independently
排除标准
- •Unable to complete assessments and paperwork independently.
研究组 & 干预措施
Traditional OPCR
Those who are in the traditional group will discuss topics like medication adherence, physical activity questions, or eating habits without a clear from of autonomy or nonautonomy basis as is currently completed in OPCR. This will occur in a face to face format.
干预措施: Motivational Interviewing (Behavioral)
OPCR + MI
The MI group will be consistent with the spirit of MI and utilize a high autonomy communication style to provide support for behavior change across multiple behaviors. This will occur in a face to face format.
干预措施: Motivational Interviewing (Behavioral)
OPCR + Clinician centered
The OPCR + CC group will participate in low-autonomy face to face interviews. Meaning the communication style will be clinician centered, providing goals to the participants without valuing their input.
干预措施: Motivational Interviewing (Behavioral)
结局指标
主要结局
Dartmouth Quality of Life index
时间窗: 12 weeks
Changes in Dartmouth Quality of Life Index. Range is 9-45. Higher score indicates lower quality of life.
6-minute walk
时间窗: 12 weeks
Changes in the distance traveled during a 6-minute walk
Adherence to CR
时间窗: 12 weeks
Differences in the number of sessions attended between groups
Rate my plate
时间窗: 12 weeks
Changes in heart healthy diet
次要结局
未报告次要终点
研究者
Danielle D Wadsworth
Associate Professor
Auburn University
