The Effect of Motivational Interviewing and Clinician Centered Interviewing Based Cardiac Rehabilitation on Core Outcomes
Type of DegreePhD Dissertation
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BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death globally and affects almost 50% of the American population over the age of 20 years old. Following cardiac events patients are encouraged to participate in Cardiac Rehabilitation. Cardiac Rehabilitation has been proven to reduce all-cause mortality and prevent secondary cardiac events. Despite the clear benefits between 12%-56% of patients’ dropout . The purpose of this randomized clinical trial is to examine the impact of a motivational interviewing as well as a clinician centered interviews on adherence to OPCR and OPCR outcomes. METHODS: 88 Cardiac Rehabilitation patients were randomized into the control (30), CCP (30) or MI (28) group. All groups received a 10–15-minute interview every other week over the duration of their program. Core component measures were collected pre and post intervention. RESULTS: A group by time effect was found for the Rate Your Plate between the control and CCP group. Time interactions were found for the PHQ-9, Dartmouth, and walk test distance. CONCLUSION: Structured communication demonstrates a positive effect on eating behaviors and weight managements. Face-to-face communication overall was beneficial for depression, quality of life, walking test distance and adherence to programs.