title: Motivational counselling for physical activity in patients with coronary artery disease not participating in cardiac rehabilitation.
abstract: BACKGROUND
  Many patients with coronary artery disease (CAD) fail to attend cardiac rehabilitation following acute coronary events because they lack motivation to exercise. Theory-based approaches to promote physical activity among non-participants in cardiac rehabilitation are required.
  
  
  METHODS
  A randomized trial comparing physical activity levels at baseline, 6, and 12 months between a motivational counselling (MC) intervention group and a usual care (UC) control group.
  
  
  METHODS
  One hundred and forty-one participants hospitalized with acute coronary syndromes not planning to attend cardiac rehabilitation were recruited at a single centre and randomized to either MC (n = 69) or UC (n = 72). The MC intervention, designed from an ecological perspective, included one face-to-face contact and eight telephone contacts with a trained physiotherapist over a 52-week period. The UC group received written information about starting a walking programme and brief physical activity advice from their attending cardiologist. Physical activity was measured by: 7-day physical activity recall interview; self-report questionnaire; and pedometer at baseline, 6, and 12 months after randomization.
  
  
  RESULTS
  Latent growth curve analyses, which combined all three outcome measures into a single latent construct, showed that physical activity increased more over time in the MC versus the UC group (µ(add) = 0.69, p < 0.05).
  
  
  CONCLUSIONS
  Patients with CAD not participating in cardiac rehabilitation receiving a theory-based motivational counselling intervention were more physically active at follow-up than those receiving usual care. This intervention may extend the reach of cardiac rehabilitation by increasing physical activity in those disinclined to participate in structured programmes.
authors: Minto Prevention and Rehabilitation Centre, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario, Canada. breid@ottawaheart.ca
authors: Robert D
authors: RD
authors: Reid
authors: Louise I
authors: LI
authors: Morrin
authors: Lyall A J
authors: LA
authors: Higginson
authors: Andreas
authors: A
authors: Wielgosz
authors: Chris
authors: C
authors: Blanchard
authors: Louise J
authors: LJ
authors: Beaton
authors: Chantal
authors: C
authors: Nelson
authors: Lisa
authors: L
authors: McDonnell
authors: Neil
authors: N
authors: Oldridge
authors: George A
authors: GA
authors: Wells
authors: Andrew L
authors: AL
authors: Pipe
mesh_terms: D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D003324:Coronary Artery Disease / Q000534:rehabilitation*; D003376:Counseling / Q000379:methods*; D015444:Exercise / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome