title: Process evaluation of an exercise counseling intervention using motivational interviewing.
abstract: OBJECTIVE
  To describe the results of the process evaluation of an exercise counseling intervention using motivational interviewing (MI).
  
  
  BACKGROUND
  Exercise can safely be incorporated into heart failure self-care, but many lack access to cardiac rehabilitation. One alternative is to provide exercise counseling in the clinical setting.
  
  
  METHODS
  This process evaluation was conducted according to previously established guidelines for health promotion programs. This includes an assessment of recruitment and retention, implementation, and reach.
  
  
  RESULTS
  Desired number of subjects were recruited, but 25% dropped out during study. Good fidelity to the intervention was achieved; the use of MI was evaluated with improvement in adherence over time. Dose included initial session plus 12 weekly phone calls. Subjects varied in participation of daily diary usage. Setting was conducive to recruitment and data collection.
  
  
  CONCLUSIONS
  Evaluating the process of an intervention provides valuable feedback on content, delivery and fidelity.
authors.affiliation: Yale School of Nursing, Orange, CT 06477, USA. Electronic address: margaret.mccarthy@yale.edu.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: McCarthy
authors.affiliation: New York University College of Nursing, 726 Broadway #1085, New York, NY 10003, USA.
authors.forename: Victoria Vaughan
authors.initials: VV
authors.lastname: Dickson
authors.affiliation: New York University Langone Medical Center, 530 First Avenue, New York, NY 10016, USA.
authors.forename: Stuart D
authors.initials: SD
authors.lastname: Katz
authors.affiliation: Sciacca Comprehensive Service Development for Mental Illness, Drug Addiction and Alcoholism, New York, NY 10025, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Sciacca
authors.affiliation: New York University College of Nursing, 726 Broadway #1085, New York, NY 10003, USA.
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Chyun
mesh_terms: D003376:Counseling; D015444:Exercise; D006801:Humans; D007407:Interviews as Topic; D009042:Motivation
keywords: Counseling; Exercise; Heart failure; Program evaluation