title: The effectiveness of a motivation programme for lifestyle change in the course of aortocoronary bypass graft surgery.
abstract: OBJECTIVE
  To evaluate the effectiveness of a motivation programme the motivation for lifestyle change in patients was measured before and after coronary artery bypass graft (CABG) surgery by comparing a usual care group with a group attending a motivation programme.
  
  
  METHODS
  Prospective controlled study.
  
  
  METHODS
  University hospital cardiothoracic surgery department.
  
  
  METHODS
  One hundred and forty patients (mean age 64.9; SD 8.5 years) who had an elective CABG surgery.
  
  
  METHODS
  Each patient was evaluated regarding his or her motivation for lifestyle change two days before and 10 days after CABG surgery. Between January and May 2002 patients in usual care were investigated as a control group (n=70). From January to May 2003 patients had the opportunity to take part in a motivation programme that was provided by a trained clinical psychologist (n = 70). The programme consists of both personalized single sessions and group lectures.
  
  
  METHODS
  A 30-item questionnaire measuring the six factors Vulnerability, Intention, Social expectation, Outcome expectation, Self-efficacy expectation, and Perceived severity was developed.
  
  
  RESULTS
  ANOVA procedures with repeated measurements indicate significant effects in terms of higher motivation for lifestyle change in the treatment group in Vulnerability (F(1, 138) = 4.04; P=0.04), Intention (F(1, 138) = 19.81; P<0.001), Social expectation (F(1, 138)=21.97; P<0.001), Outcome expectation (F(1, 138) =17.95; P<0.001), and Self-efficacy expectation (F(1, 138) =14.31; P<0.001).
  
  
  CONCLUSIONS
  This motivation programme performed in a cardiac surgery hospital after CABG may increase the motivation for a positive lifestyle change.
authors: Department of Cardiothoracic Surgery, University of Wuerzburg, Wuerzburg, Germany. Krannich_j@klinik.uni
authors: Jens-Holger
authors: JH
authors: Krannich
authors: Peter
authors: P
authors: Weyers
authors: Stefan
authors: S
authors: Lueger
authors: Christoph
authors: C
authors: Schimmer
authors: Hermann
authors: H
authors: Faller
authors: Olaf
authors: O
authors: Elert
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000523:psychology* / Q000534:rehabilitation*; D003327:Coronary Disease / Q000517:prevention & control* / Q000534:rehabilitation / Q000601:surgery; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance; D011446:Prospective Studies; D012008:Recurrence; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires