The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial

Patient Education and Counseling
Codie R RouleauTavis S Campbell

Abstract

Cardiac rehabilitation (CR) is an effective treatment for cardiovascular disease, yet many referred patients do not participate. Motivational interviewing could be beneficial in this context, but efficacy with prospective CR patients has not been examined. This study investigated the impact of motivational interviewing on intention to participate in CR. Individuals recovering from acute coronary syndrome (n = 96) were randomized to motivational interviewing or usual care, following CR referral but before CR enrollment. The primary outcome was intention to attend CR. Secondary outcomes included CR beliefs, barriers, self-efficacy, illness perception, social support, intervention acceptability, and CR participation. Compared to those in usual care, patients who received the motivational intervention reported higher intention to attend CR (p = .001), viewed CR as more necessary (p = .036), had fewer concerns about exercise (p = .011), and attended more exercise sessions (p = .008). There was an indirect effect of the intervention on CR enrollment (b = 0.45, 95% CI 0.04-1.18) and CR adherence (b = 2.59, 95% CI 0.95-5.03) via higher levels of intention. Overall, patients reported high intention to attend CR (M = 6.20/7.00, SD = 1.67...Continue Reading

Citations

Dec 5, 2018·Expert Review of Cardiovascular Therapy·Ross Arena, Cemal Ozemek
Feb 2, 2019·The Cochrane Database of Systematic Reviews·Carolina Santiago de Araújo PioSherry L Grace
Feb 23, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·David W SchopferMary A Whooley
Nov 21, 2018·Disability and Rehabilitation·Tamara M WilliamsonTavis S Campbell

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