Lee Anne Siegmund, James F Bena, Shannon L Morrison
{"title":"Cardiac Rehabilitation Facebook Intervention: Feasibility Randomized Controlled Trial.","authors":"Lee Anne Siegmund, James F Bena, Shannon L Morrison","doi":"10.2196/46828","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The adherence to cardiac rehabilitation is low. Social media has been used to improve motivation and cardiac rehabilitation completion, but the authors did not find Facebook interventions for these purposes in the literature.</p><p><strong>Objective: </strong>The purpose of this study was to determine the feasibility of the Cardiac Rehabilitation Facebook Intervention (Chat) for affecting changes in exercise motivation and need satisfaction and adherence to cardiac rehabilitation.</p><p><strong>Methods: </strong>The Behavioral Regulation in Exercise Questionnaire-3 and Psychological Need Satisfaction for Exercise were used to measure motivation and need satisfaction (competence, autonomy, and relatedness) before and after the Chat intervention. To support need satisfaction, the intervention included educational posts, supportive posts, and interaction with peers. The feasibility measures included recruitment, engagement, and acceptability. Groups were compared using analysis of variance and Kruskal-Wallis tests. Paired t tests were used to assess motivation and need satisfaction change, and Pearson or Spearman correlations were used for continuous variables.</p><p><strong>Results: </strong>A total of 32 participants were lost to follow-up and 22 were included in the analysis. Higher motivation at intake (relative autonomy index 0.53, 95% CI 0.14-0.78; P=.01) and change in need satisfaction-autonomy (relative autonomy index 0.61, 95% CI 0.09-0.87; P=.02) were associated with more completed sessions. No between-group differences were found. Engagement included \"likes\" (n=210) and \"hits\" (n=157). For acceptability, mean scores on a 1 (not at all) to 5 (quite a bit) Likert scale for feeling supported and in touch with providers were 4.6 and 4.4, respectively.</p><p><strong>Conclusions: </strong>Acceptability of the Chat group was high; however, intervention feasibility could not be determined due to the small sample size. Those with greater motivation at intake completed more sessions, indicating its importance in cardiac rehabilitation completion. Despite challenges with recruitment and engagement, important lessons were learned.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT02971813; https://clinicaltrials.gov/ct2/show/NCT02971813.</p><p><strong>International registered report identifier (irrid): </strong>RR2-10.2196/resprot.7554.</p>","PeriodicalId":14706,"journal":{"name":"JMIR Cardio","volume":"7 ","pages":"e46828"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334713/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JMIR Cardio","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2196/46828","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The adherence to cardiac rehabilitation is low. Social media has been used to improve motivation and cardiac rehabilitation completion, but the authors did not find Facebook interventions for these purposes in the literature.
Objective: The purpose of this study was to determine the feasibility of the Cardiac Rehabilitation Facebook Intervention (Chat) for affecting changes in exercise motivation and need satisfaction and adherence to cardiac rehabilitation.
Methods: The Behavioral Regulation in Exercise Questionnaire-3 and Psychological Need Satisfaction for Exercise were used to measure motivation and need satisfaction (competence, autonomy, and relatedness) before and after the Chat intervention. To support need satisfaction, the intervention included educational posts, supportive posts, and interaction with peers. The feasibility measures included recruitment, engagement, and acceptability. Groups were compared using analysis of variance and Kruskal-Wallis tests. Paired t tests were used to assess motivation and need satisfaction change, and Pearson or Spearman correlations were used for continuous variables.
Results: A total of 32 participants were lost to follow-up and 22 were included in the analysis. Higher motivation at intake (relative autonomy index 0.53, 95% CI 0.14-0.78; P=.01) and change in need satisfaction-autonomy (relative autonomy index 0.61, 95% CI 0.09-0.87; P=.02) were associated with more completed sessions. No between-group differences were found. Engagement included "likes" (n=210) and "hits" (n=157). For acceptability, mean scores on a 1 (not at all) to 5 (quite a bit) Likert scale for feeling supported and in touch with providers were 4.6 and 4.4, respectively.
Conclusions: Acceptability of the Chat group was high; however, intervention feasibility could not be determined due to the small sample size. Those with greater motivation at intake completed more sessions, indicating its importance in cardiac rehabilitation completion. Despite challenges with recruitment and engagement, important lessons were learned.
背景:心脏康复的依从性较低。社交媒体已被用于提高动机和心脏康复完成度，但作者在文献中未发现Facebook干预这些目的。目的:本研究的目的是确定心脏康复Facebook干预(Chat)对运动动机、需求满足和心脏康复依从性的影响的可行性。方法:采用《运动行为调节问卷-3》和《运动心理需要满足度》测量运动参与者在Chat干预前后的动机和需要满足度(能力、自主性和相关性)。支持需求满意度的干预措施包括教育岗位、支持性岗位和同伴互动。可行性措施包括招聘、参与和可接受性。组间比较采用方差分析和Kruskal-Wallis检验。配对t检验用于评估动机和需求满意度变化，连续变量使用Pearson或Spearman相关。结果:失访32例，纳入分析22例。入职时动机较高(相对自主指数0.53,95% CI 0.14-0.78;P= 0.01)和需求满意度-自主性的变化(相对自主性指数0.61,95% CI 0.09-0.87;P=.02)与更完整的疗程相关。组间无差异。参与度包括“点赞”(n=210)和“点击”(n=157)。对于可接受性，在1(一点也不)到5(相当多)的李克特量表上，感觉得到支持和与提供者接触的平均得分分别为4.6和4.4。结论:Chat组接受度高;但由于样本量小，无法确定干预的可行性。那些在摄入时动机更强的人完成了更多的疗程，这表明它在心脏康复完成中的重要性。尽管在招聘和参与方面存在挑战，但我们吸取了重要的教训。试验注册:ClinicalTrials.gov NCT02971813;https://clinicaltrials.gov/ct2/show/NCT02971813.International注册报告标识符(irrid): RR2-10.2196/resprot.7554。
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