Motivational counselling for physical activity in patients with coronary artery disease not participating in cardiac rehabilitation

Background: Many patients with coronary artery disease (CAD) fail to attend cardiac rehabilitation following acute coronary events because they lack motivation to exercise. Theory-based approaches to promote physical activity among non-participants in cardiac rehabilitation are required. Design: A r...

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Bibliographic Details
Published in:European journal of preventive cardiology 2012-04, Vol.19 (2), p.161-166
Main Authors: Reid, Robert D, Morrin, Louise I, Higginson, Lyall AJ, Wielgosz, Andreas, Blanchard, Chris, Beaton, Louise J, Nelson, Chantal, McDonnell, Lisa, Oldridge, Neil, Wells, George A, Pipe, Andrew L
Format: Article
Language:English
Subjects:
Aged
Behavior Therapy - methods
Coronary Artery Disease - rehabilitation
Counseling - methods
Exercise - psychology
Female
Follow-Up Studies
Humans
Interviews as Topic
Male
Middle Aged
Motivation
Surveys and Questionnaires
Treatment Outcome
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Summary:Background: Many patients with coronary artery disease (CAD) fail to attend cardiac rehabilitation following acute coronary events because they lack motivation to exercise. Theory-based approaches to promote physical activity among non-participants in cardiac rehabilitation are required. Design: A randomized trial comparing physical activity levels at baseline, 6, and 12 months between a motivational counselling (MC) intervention group and a usual care (UC) control group. Method: One hundred and forty-one participants hospitalized with acute coronary syndromes not planning to attend cardiac rehabilitation were recruited at a single centre and randomized to either MC (n = 69) or UC (n = 72). The MC intervention, designed from an ecological perspective, included one face-to-face contact and eight telephone contacts with a trained physiotherapist over a 52-week period. The UC group received written information about starting a walking programme and brief physical activity advice from their attending cardiologist. Physical activity was measured by: 7-day physical activity recall interview; self-report questionnaire; and pedometer at baseline, 6, and 12 months after randomization. Results: Latent growth curve analyses, which combined all three outcome measures into a single latent construct, showed that physical activity increased more over time in the MC versus the UC group (µadd = 0.69, p 
ISSN:2047-4873
2047-4881
DOI:10.1177/1741826711400519