Motivational Interviewing & Clinician Centered Interviewing on Cardiac Rehab (MIOPCR)

The Effect of Motivational Interviewing and Clinician Centered Interviewing Based Cardiac Rehabilitation on Core Outcomes

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.

Study Overview

• Status: Completed
• Conditions: Cardiac Rehabilitation; Motivational Interviewing
• Intervention / Treatment: Behavioral: Motivational Interviewing

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 89
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Danielle D Wadsworth, PhD; Phone Number: 3347501642; Email: wadswdd@auburn.edu

Study Locations

• United States
  • Alabama
    • Auburn, Alabama, United States, 36849
      • Auburn University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Enrolled in outpatient cardiac rehab
• Able to complete the paperwork independently

Exclusion Criteria:

• Unable to complete assessments and paperwork independently.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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.	Behavioral: Motivational Interviewing; Participants will participate in three different communication styles to determine the effect of MI on cardiac rehab outcome measures.
Experimental: 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.	Behavioral: Motivational Interviewing; Participants will participate in three different communication styles to determine the effect of MI on cardiac rehab outcome measures.
Experimental: 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.	Behavioral: Motivational Interviewing; Participants will participate in three different communication styles to determine the effect of MI on cardiac rehab outcome measures.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Adherence to CR	Differences in the number of sessions attended between groups	12 weeks
6-minute walk	Changes in the distance traveled during a 6-minute walk	12 weeks
Rate my plate	Changes in heart healthy diet	12 weeks
Dartmouth Quality of Life index	Changes in Dartmouth Quality of Life Index. Range is 9-45. Higher score indicates lower quality of life.	12 weeks

Collaborators and Investigators

• Sponsor: Auburn University
• Investigators: Principal Investigator: Danielle D Wadsworth, PhD, Auburn University

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2021
• Primary Completion (Actual): March 31, 2022
• Study Completion (Actual): December 1, 2022

Study Registration Dates

• First Submitted: February 8, 2021
• First Submitted That Met QC Criteria: May 20, 2021
• First Posted (Actual): May 24, 2021

Study Record Updates

• Last Update Posted (Actual): December 23, 2022
• Last Update Submitted That Met QC Criteria: December 21, 2022
• Last Verified: December 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: 20-512 EP 2011

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: We will not share IPD due to Hippa

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No