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The Effect of Motivational Interviewing and Clinician Centered Interviewing Based Cardiac Rehabilitation on Core Outcomes




Winkler, Darby

Type of Degree

PhD Dissertation



Restriction Status


Restriction Type

Auburn University Users

Date Available



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[1]. Despite the clear benefits between 12%-56% of patients’ dropout [2]. 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.