Adapted Motivational Interviewing to Promote Exercise in Adolescents With Congenital Heart Disease: A Pilot Trial

dc.contributor.authorMcKillop, Adam
dc.contributor.authorGrace, Sherry
dc.contributor.authorLima de Melo Ghisi, Gabriela
dc.contributor.authorAllison, Kenneth
dc.contributor.authorBanks, Laura
dc.contributor.authorKovacs, Adrienne H.
dc.contributor.authorSchneiderman, Jane
dc.contributor.authorMcCrindle, Brian
dc.date.accessioned2025-06-09T19:27:16Z
dc.date.available2025-06-09T19:27:16Z
dc.date.issued2018-10
dc.descriptionThis is a non-final version of an article published in final form in McKillop, A., Grace, S. L., Ghisi, G. L. de M., Allison, K. R., Banks, L., Kovacs, A. H., Schneiderman, J. E., & McCrindle, B. W. (2018). Adapted Motivational Interviewing to Promote Exercise in Adolescents With Congenital Heart Disease: A Pilot Trial. Pediatric Physical Therapy, 30(4), 326–334. https://doi.org/10.1097/PEP.0000000000000534.
dc.description.abstractPurpose: To assess a motivational interviewing (MI) intervention to improve moderateto-vigorous physical activity (MVPA) in adolescents with congenital heart disease. Design: Pilot randomized controlled trial. Methods: Intervention participants received one-on-one telephone-based adapted MI sessions over 3 months. Outcomes were acceptability, change mechanisms (stage of change and self-efficacy), and limitedefficacy (PA, fitness and quality of life). Findings: 36 (66.7%) patients (50.0% male; 15.1±1.5 years) were randomized. Intervention participants completed 4.2±1.2/6 MI sessions, with no improvements in the high self-efficacy or stage of change observed (p>0.05). Overall, participants accumulated 47.24±16.36 minutes of MVPA/day, and had comparable outcomes to healthy peers (except for functional capacity). There was no significant difference in change in any outcome by group. Conclusions: The intervention was acceptable, but effectiveness could not be determined due to the nature and size of sample. Clinical Relevance: Pediatric cardiac rehabilitation remains the sole effective intervention to increase MVPA in this population.
dc.description.sponsorshipThis study was supported by the Heart and Stroke Foundation of Ontario (Grant #7481) and the Labatt Family Heart Centre Innovation Fund.
dc.identifier.citationMcKillop, A., Grace, S. L., Ghisi, G. L. de M., Allison, K. R., Banks, L., Kovacs, A. H., Schneiderman, J. E., & McCrindle, B. W. (2018). Adapted Motivational Interviewing to Promote Exercise in Adolescents With Congenital Heart Disease: A Pilot Trial. Pediatric Physical Therapy, 30(4), 326–334. https://doi.org/10.1097/PEP.0000000000000534
dc.identifier.issn0898-5669
dc.identifier.issn1538-005X
dc.identifier.urihttps://doi.org/10.1097/PEP.0000000000000534
dc.identifier.urihttps://hdl.handle.net/10315/42913
dc.language.isoen
dc.publisherLippincott, Williams & Wilkins
dc.subjectCongenital heart disease
dc.subjectMotivational interviewing
dc.subjectPhysical activity
dc.titleAdapted Motivational Interviewing to Promote Exercise in Adolescents With Congenital Heart Disease: A Pilot Trial
dc.typeArticle

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