TY - JOUR
T1 - Adapted Motivational Interviewing to Promote Exercise in Adolescents with Congenital Heart Disease
T2 - A Pilot Trial
AU - McKillop, Adam
AU - Grace, Sherry L.
AU - De Melo Ghisi, Gabriela Lima
AU - Allison, Kenneth R.
AU - Banks, Laura
AU - Kovacs, Adrienne H.
AU - Schneiderman, Jane E.
AU - McCrindle, Brian W.
N1 - Publisher Copyright:
© 2018 Academy of Pediatric Physical Therapy of the American Physical Therapy Association.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Purpose: To assess a motivational interviewing (MI) intervention to improve moderate-to-vigorous physical activity (MVPA) in adolescents with congenital heart disease. Methods: Intervention participants received one-on-one telephone-based adapted MI sessions over 3 months. Outcomes were acceptability, change mechanisms (stage of change and self-efficacy), and limited efficacy (physical activity, fitness, and quality of life). Results: Thirty-six participants were randomized. Intervention participants completed 4.2 ± 1.2/6 MI sessions, with no improvements in the high self-efficacy or stage of change observed. Participants accumulated 47.24 ± 16.36 minutes of MVPA/day, and had comparable outcomes to peers without heart disease (except for functional capacity). There was no significant difference in change in any outcome by group. Conclusions: The intervention was acceptable, but effectiveness could not be determined due to the nature and size of sample. Clinical Relevance: Pediatric cardiac rehabilitation remains the sole effective intervention to increase MVPA in this population.
AB - Purpose: To assess a motivational interviewing (MI) intervention to improve moderate-to-vigorous physical activity (MVPA) in adolescents with congenital heart disease. Methods: Intervention participants received one-on-one telephone-based adapted MI sessions over 3 months. Outcomes were acceptability, change mechanisms (stage of change and self-efficacy), and limited efficacy (physical activity, fitness, and quality of life). Results: Thirty-six participants were randomized. Intervention participants completed 4.2 ± 1.2/6 MI sessions, with no improvements in the high self-efficacy or stage of change observed. Participants accumulated 47.24 ± 16.36 minutes of MVPA/day, and had comparable outcomes to peers without heart disease (except for functional capacity). There was no significant difference in change in any outcome by group. Conclusions: The intervention was acceptable, but effectiveness could not be determined due to the nature and size of sample. Clinical Relevance: Pediatric cardiac rehabilitation remains the sole effective intervention to increase MVPA in this population.
KW - congenital heart disease
KW - motivational interviewing
KW - physical activity
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U2 - 10.1097/PEP.0000000000000534
DO - 10.1097/PEP.0000000000000534
M3 - Article
C2 - 30199516
AN - SCOPUS:85054403713
SN - 0898-5669
VL - 30
SP - 326
EP - 334
JO - Pediatric Physical Therapy
JF - Pediatric Physical Therapy
IS - 4
ER -