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dc.contributor.authorRouleau, Codie R.
dc.contributor.authorKing-Shier, Kathryn M.
dc.contributor.authorTomfohr-Madsen, Lianne M.
dc.contributor.authorBacon, Simon L.
dc.contributor.authorAggarwal, Sandeep
dc.contributor.authorArena, Ross
dc.contributor.authorCampbell, Tavis S.
dc.date.accessioned2018-11-29T20:35:30Z
dc.date.available2018-11-29T20:35:30Z
dc.date.issued2018-06-26
dc.identifier.issn1526-7555
dc.identifier.other10.1016/j.pec.2018.06.015
dc.identifier.urihttp://hdl.handle.net/10027/23180
dc.descriptionCopyright @ International Pressen_US
dc.description.abstractObjectives: 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. Methods: 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. Results: 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), most (85%) enrolled, and they attended an average of 65% of scheduled CR sessions. Conclusion: A single collaborative conversation about CR can increase both intention to attend CR and actual program adherence. Practice Implications: The findings will inform future efforts to optimize behavioral interventions to enhance CR participation.en_US
dc.description.sponsorshipThe authors thank Tamara Williamson and Meaghan Donihee for assistance with data management, and Dr. Jillian Johnson, Trina Hauer, Dr. Ena Vukatana, Kristin Horsley, and Kirsti Toivonen for help with reviewing manuscript drafts.en_US
dc.language.isoenen_US
dc.publisherInternational Pressen_US
dc.subjectcardiac rehabilitationen_US
dc.subjectmotivational interviewingen_US
dc.subjectenrollmenten_US
dc.subjectadherenceen_US
dc.subjectintentionen_US
dc.subjectrandomized controlled trialen_US
dc.titleThe Evaluation of a Brief Motivational Intervention to Promote Intention to Participate in Cardiac Rehabilitation: A Randomized Controlled Trialen_US
dc.typeArticleen_US
dc.identifier.citationRouleau, C. R., King-Shier, K. M., Tomfohr-Madsen, L. M., Bacon, S. L., Aggarwal, S., Arena, R., & Campbell, T. S. (2018). The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial. Patient Education and Counseling, 101(11), 1914-1923. doi:10.1016/j.pec.2018.06.015en_US


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