Adapted Motivational Interviewing to Promote Exercise in Adolescents with Congenital Heart Disease: A Pilot Trial

Adam McKillop, Sherry L. Grace, Gabriela Lima De Melo Ghisi, Kenneth R. Allison, Laura Banks, Adrienne Kovacs, Jane E. Schneiderman, Brian W. McCrindle

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)326-334
Number of pages9
JournalPediatric Physical Therapy
Volume30
Issue number4
DOIs
StatePublished - Oct 1 2018

Keywords

  • congenital heart disease
  • motivational interviewing
  • physical activity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation

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    McKillop, A., Grace, S. L., De Melo Ghisi, G. L., Allison, K. R., Banks, L., Kovacs, A., Schneiderman, J. E., & McCrindle, B. W. (2018). Adapted Motivational Interviewing to Promote Exercise in Adolescents with Congenital Heart Disease: A Pilot Trial. Pediatric Physical Therapy, 30(4), 326-334. https://doi.org/10.1097/PEP.0000000000000534