- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01807442
Positive Psychology to Improve Cardiac Health Behaviors (PEACE)
Developing a Positive Psychology Intervention to Improve Cardiac Health Behaviors: Qualitative Research Phase
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators aim to develop a novel positive psychology intervention that is adapted for patients hospitalized for an acute coronary syndrome (ACS). A treatment cultivating positive emotions in this vulnerable population could provide broad and significant health benefits, and may have distinct-and more powerful-effects than simply attempting to dampen negative emotions.
In this study, the investigators will use mixed methods (qualitative and quantitative) to take the first step towards developing such a treatment, with a major focus on the qualitative aspects of the patient assessments/interviews.
In this project, the investigators hope to do the following:
- Identify, through qualitative research, deficits in positive emotional and cognitive states prior to, during, and after cardiac admission: What positive emotions are lacking in hospitalized ACS patients?
- Explore strategies to enhance positive emotional and cognitive states in ACS patients.
- Identify links between these positive states and health behavior (diet, physical activity, and medication).
- Identify other barriers to compliance with health behaviors. What other factors adversely influence compliance with health behaviors in this population?
- Use quantitative measures of positive affect to ensure that the investigators are adequately capturing information about optimism and other positive states
- Develop a preliminary positive psychology-based intervention using the above information
- Explore the feasibility of using methods to objectively measure aspirin adherence and physical activity in this population.
To accomplish these goals, the investigators will interview 30 ACS patients during admission to the inpatient cardiac unit and 12 weeks after discharge. The investigators will identify 15 patients who demonstrate suboptimal adherence as reported by the Medical Outcomes Study Specific Adherence Scale (MOS-SAS) and 15 patients who demonstrate good adherence to health-related behaviors.
For these interviews, the investigators will first ask about positive emotional states that patients have experienced. the investigators will then inquire about potential ideas for increasing these positive emotional states by asking patients what has worked for them in the past and what they have noticed seems to work for others. The investigators will also describe some positive psychology exercises to the patients and ask whether they think those exercises would be effective at increasing positive emotional states. Next, the investigators will ask about health behaviors in which the patient has engaged. The investigators will explore the relationship between these behaviors and positive emotional states. Finally, the investigators will explore with patients some barriers to completing health behaviors and solicit suggestions for overcoming or mitigating these barriers.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Admission to Massachusetts General Hospital cardiac floors (Ellison 9, 10, 11)
- Age 18 or older
- Admitted with myocardial infarction or unstable angina
- Score of less than 15 --OR-- greater than or equal to 15 on the adherence scale
- Ability to read and write in English
Exclusion Criteria:
- Cognitive deficits as assessed by a 6-item screen
- Medical conditions that prevent interviewing or are likely to lead to death within 6 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Optimal adherence
Participants receive the qualitative interview and adherence intervention. This arm includes participants with scores of greater than or equal to 15 on the Medical Outcomes Study Specific Adherence Scale. This scale ranges from a score of 3 (extremely low adherence to health behaviors) to a score of 18 (extremely high adherence to health behaviors). A score of greater than or equal to 15 suggests optimal adherence to health behaviors. |
All participants receive the same intervention.
The intervention involves two qualitative interviews per participant.
The first interview occurs in the hospital, and the second interview occurs at 12 weeks.
Participants also receive a pill bottle that tracks when they take their aspirin.
They will also receive a step counter to use for two weeks at the end of the study.
|
Other: Sub-optimal adherence
Participants receive the qualitative interview and adherence intervention. This arm includes participants with scores of less than 15 on the Medical Outcomes Study Specific Adherence Scale. This scale ranges from a score of 3 (extremely low adherence to health behaviors) to a score of 18 (extremely high adherence to health behaviors). A score of less than 15 suggests sub-optimal adherence to health behaviors. |
All participants receive the same intervention.
The intervention involves two qualitative interviews per participant.
The first interview occurs in the hospital, and the second interview occurs at 12 weeks.
Participants also receive a pill bottle that tracks when they take their aspirin.
They will also receive a step counter to use for two weeks at the end of the study.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Deficits in positive affect
Time Frame: 12 weeks
|
Qualitative data: The investigators will extract information from 2 quantitative interviews to learn about participants' deficits in positive affect. Quantitative data: Life Orientation Test-Revised, Positive And Negative Affect Scale, Hospital Anxiety and Depression Scale. |
12 weeks
|
Barriers to health behaviors
Time Frame: 12 weeks
|
Qualitative data: The investigators will extract information from 2 qualitative interviews to learn about participants' barriers to completing health behaviors. Quantitative data: Participants will receive a pill bottle that tracks when they take their aspirin. Participants will also receive a step counter to wear for two weeks. |
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in positive affect
Time Frame: Change from baseline positive affect at 12 weeks
|
Qualitative data: The investigators will compare information from the 2 qualitative interviews to learn about participants' changes in positive affect. |
Change from baseline positive affect at 12 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2011P002729
- 1R01HL113272-01A1 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Acute Coronary Syndrome
-
Yonsei UniversityRecruitingCoronary Artery Disease, Acute Coronary SyndromeKorea, Republic of
-
Meditrix CorpNational University of Ireland, Galway, Ireland; Boston Scientific Japan K.K.; Fujita Health UniversityRecruitingChronic Coronary Syndrome | Non ST Segment Elevation Acute Coronary SyndromeJapan, Ireland
-
OrbusNeichDuke Clinical Research Institute; OrbusNeich Medical K.K.CompletedCoronary Arteriosclerosis | Non ST Segment Elevation Acute Coronary SyndromeUnited States, Japan
-
Medical University of WarsawRecruitingAcute Coronary Syndrome | Chronic Coronary Syndrome | Non ST Segment Elevation Acute Coronary SyndromePoland
-
Niguarda HospitalCompletedAcute Coronary Syndrome With ST Elevation on Electrocardiogram | Acute Coronary Syndrome Without ST Elevation on Electrocardiogram | Noncritical Coronary Artery Disease Coronary Stenosis Less Than 50 Per Cent | Aortic AneurysmsItaly
-
Sohag UniversityRecruitingLeft Main Coronary Artery Disease With Acute Coronary SyndromeEgypt
-
Eli Lilly and CompanyDaiichi Sankyo, Inc.CompletedCoronary Arteriosclerosis | Acute Coronary SyndromesUnited States
-
University of PatrasCompletedCoronary Artery Disease (CAD) | Acute Coronary Syndrome (ACS)Greece
-
Deutsches Herzzentrum MuenchenDeutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)CompletedAcute Coronary Syndrome (ACS)Germany, Italy
-
Northwestern UniversityTerminatedACS - Acute Coronary SyndromeUnited States
Clinical Trials on Qualitative Interview and Adherence
-
Massachusetts General HospitalNational Heart, Lung, and Blood Institute (NHLBI); National Institutes of Health...CompletedEmotions | Congestive Heart Failure | Patient ComplianceUnited States
-
ARCIM Institute Academic Research in Complementary...Completed
-
Baxalta now part of ShireCompleted
-
University Hospital Southampton NHS Foundation...Recruiting
-
Centre Hospitalier Universitaire de BesanconCompletedAging | Euthanasia | Assisted Suicide | Qualitative ResearchFrance
-
King's College LondonPrincess Alice HospiceCompleted
-
HaemnetUniQure Biopharma B.V.Completed
-
University of OxfordCompleted
-
University Hospital Southampton NHS Foundation...Recruiting
-
University of HullThe Royal College of Surgeons of EnglandCompleted