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      • Record: found
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      Feasibility of a Facebook Intervention for Exercise Motivation and Cardiac Rehabilitation Adherence: Study Protocol

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          Abstract

          Background

          While cardiac rehabilitation has been shown to be effective at improving coronary heart disease (CHD), participation is generally poor. Attempts to increase uptake and adherence often fail. Use of a Facebook intervention for this population may be a unique opportunity to support self-determined motivation and affect adherence.

          Objective

          To evaluate the impact of a Facebook intervention on motivation for exercise and adherence to cardiac rehabilitation in patients with CHD during a 12-week, Phase II cardiac rehabilitation program.

          Methods

          A prospective, randomized controlled pilot study, grounded in Self-Determination Theory, will be conducted. Participants will be recruited from inpatient, or the intake visit to outpatient, cardiac rehabilitation, and then randomly assigned to the intervention or comparison group. Participants in the intervention group will take part in a private Facebook group. Weekly posts will be designed to support self-determined motivation, measured at baseline and postcardiac rehabilitation by the Behavioral Regulation in Exercise Questionnaire-3 (BREQ-3). The Psychological Need Satisfaction for Exercise (PNSE) scale will measure fulfillment of needs that affect motivation. Participants in the comparison group will be given the same materials, but these will be supplied via handouts and email. The number of sessions attended will be tallied and analyzed using t tests. Overall motivation will be evaluated using analysis of covariance (ANCOVA) models. Multivariate analysis of variance models will be used to evaluate differences in the change across motivation subtypes. If significant, ANCOVA models for each subtype will be fit. ANCOVA models will be used to compare changes in needs satisfaction, overall and separately among the three subscales, between groups. Engagement in the Facebook group will be measured by number of “likes” and self-report of weekly visits to the group.

          Results

          This project was funded in July 2017 and recruitment is currently underway. The recruitment goal is 60 cardiac rehabilitation patients. Data collection is anticipated to be complete by July 2018.

          Conclusions

          This pilot study will be the first to examine the effect of a Facebook intervention on patient adherence and motivation for exercise in a cardiac rehabilitation setting. Engagement in the Facebook group and participation in the study will help to determine the feasibility of using Facebook to affect adherence and motivation in cardiac rehabilitation patients, potentially improving outcomes through the use of a unique intervention.

          Trial Registration

          ClinicalTrials.gov NCT02971813; https://clinicaltrials.gov/ct2/show/NCT02971813 (Archived by WebCite at http://www.webcitation.org/6sRsz8Zpa)

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          Most cited references29

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          Intrinsic Motivation and Self-Determination in Human Behavior

          Edward L Deci, Richard M. Ryan (1985)
          Book 0 comments Cited 1733 times – based on 0 reviews
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            The support of autonomy and the control of behavior.

            E Deci, R Ryan (1987)
            In this article we suggest that events and contexts relevant to the initiation and regulation of intentional behavior can function either to support autonomy (i.e., to promote choice) or to control behavior (i.e., to pressure one toward specific outcomes). Research herein reviewed indicates that this distinction is relevant to specific external events and to general interpersonal contexts as well as to specific internal events and to general personality orientations. That is, the distinction is relevant whether one's analysis focuses on social psychological variables or on personality variables. The research review details those contextual and person factors that tend to promote autonomy and those that tend to control. Furthermore, it shows that autonomy support has generally been associated with more intrinsic motivation, greater interest, less pressure and tension, more creativity, more cognitive flexibility, better conceptual learning, a more positive emotional tone, higher self-esteem, more trust, greater persistence of behavior change, and better physical and psychological health than has control. Also, these results have converged across different assessment procedures, different research methods, and different subject populations. On the basis of these results, we present an organismic perspective in which we argue that the regulation of intentional behavior varies along a continuum from autonomous (i.e., self-determined) to controlled. The relation of this organismic perspective to historical developments in empirical psychology is discussed, with a particular emphasis on its implications for the study of social psychology and personality.
            Article 0 comments Cited 432 times – based on 0 reviews     Review now
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              Epidemiology of coronary heart disease and acute coronary syndrome.

              Carme Perez-Quilis, Roman Leischik, Alejandro Lucia … (2016)
              The aim of this review is to summarize the incidence, prevalence, trend in mortality, and general prognosis of coronary heart disease (CHD) and a related condition, acute coronary syndrome (ACS). Although CHD mortality has gradually declined over the last decades in western countries, this condition still causes about one-third of all deaths in people older than 35 years. This evidence, along with the fact that mortality from CHD is expected to continue increasing in developing countries, illustrates the need for implementing effective primary prevention approaches worldwide and identifying risk groups and areas for possible improvement.
              Article 0 comments Cited 379 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Lee Anne Siegmund:
                Nursing InstituteOffice of Nursing Research and InnovationThe Cleveland ClinicT49500 Euclid AveCleveland, OH, 44195United States1 216 445 34571 216 445 1776siegmul@ccf.org
                ORCID: http://orcid.org/0000-0002-9606-306X
                Journal
                Journal ID (nlm-ta): JMIR Res Protoc
                Journal ID (iso-abbrev): JMIR Res Protoc
                Journal ID (publisher-id): ResProt
                Title: JMIR Research Protocols
                Publisher: JMIR Publications (Toronto, Canada )
                ISSN (Electronic): 1929-0748
                Publication date Collection: August 2017
                Publication date (Electronic): 18 August 2017
                Volume: 6
                Issue: 8
                Electronic Location Identifier: e162
                Affiliations
                [1] 1 Nursing Institute Office of Nursing Research and Innovation The Cleveland Clinic Cleveland, OH United States
                [2] 2 Heart and Vascular Institute Department of Cardiovascular Medicine The Cleveland Clinic Cleveland, OH United States
                [3] 3 Lerner Research Institute Quantitative Health Sciences The Cleveland Clinic Cleveland, OH United States
                Author notes
                Corresponding Author: Lee Anne Siegmund siegmul@ 123456ccf.org
                Author information
                http://orcid.org/0000-0002-9606-306X
                http://orcid.org/0000-0003-0750-4538
                http://orcid.org/0000-0002-0927-1961
                http://orcid.org/0000-0002-7592-0480
                Article
                Publisher ID: v6i8e162
                DOI: 10.2196/resprot.7554
                PMC ID: 5581387
                PubMed ID: 28821473
                SO-VID: 0dacd3bb-8f90-43ba-bc1e-916e2b33c23e
                Copyright © ©Lee Anne Siegmund, Haitham M Ahmed, Michael Todd Crawford, James Frank Bena. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 18.08.2017.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

                History
                Date received : 13 April 2017
                Date revision requested : 1 June 2017
                Date revision received : 16 June 2017
                Date accepted : 12 July 2017
                Categories
                Subject: Protocol
                Subject: Protocol

                Keywords: cardiac rehabilitation,social media,adherence,motivation,facebook,self-determination theory,behavioral regulation in exercise questionnaire-3,breq-3,psychological need satisfaction in exercise scale
                Data availability:
                Keywords: cardiac rehabilitation, social media, adherence, motivation, facebook, self-determination theory, behavioral regulation in exercise questionnaire-3, breq-3, psychological need satisfaction in exercise scale

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