A Social Media Intervention for Exercise Motivation and Cardiac Rehabilitation Adherence

NCT02971813 | Completed

• 1 other identifier: 16-1456
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

While cardiac rehabilitation (CR) has been shown to be effective at improving cardiovascular disease (CVD), participation is generally poor. The current feasibility study, will evaluate the impact of a social media intervention on motivation for exercise and adherence to CR sessions. Participants will be randomly assigned to a Facebook™ group or an enhanced education comparison group. The intervention will include access to a private Facebook™ group in which participants will receive weekly educational posts, weekly provider support and have the opportunity to communicate with other cardiac rehabilitation patients. Patients in the comparison group will be given the same educational materials, but these will be supplied in email. Participants will be asked to fill out a pre-post motivational questionnaire and the total number of sessions attended at the end of 3 months will be tallied. This study is grounded in Self-Determination Theory (SDT) and utilizes the Behavioral Regulation in Exercise Questionnaire (BREQ-2), which is based on the SDT.

Conditions

Cardiovascular Diseases

Keywords

cardiac rehabilitation; social media; adherence; motivation

Outcome Measures

Primary Outcomes (2)

• Motivation

  Measured using Behavioral Regulation in Exercise Questionnaire-3 (BREQ-3)

  12 weeks

• Needs Satisfaction

  Psychological Needs Satisfaction in Exercise Scale (PNSE)

  12 weeks

Secondary Outcomes (1)

• Adherence

  12 weeks

Study Arms (2)

Facebook group

EXPERIMENTAL

The Facebook group will receive peer support, education and provider support via social media.

Behavioral: Facebook

Comparison group

ACTIVE COMPARATOR

The comparison group will receive the same educational materials as the Facebook™ group but will receive it in handout form, or via email if the patient misses cardiac rehabilitation on a particular week.

Behavioral: Facebook

Interventions

Facebook BEHAVIORAL

1. Volunteers will be recruited during inpatient stay, or via phone call or in person after discharge and prior to beginning cardiac rehabilitation. 2. Participants will be given a baseline BREQ-3 survey and a PNSE scale. 3. Patients will be randomized to Facebook™ versus comparison groups using a blocked randomization. 4. The Facebook™ intervention will include peer support, education, provider support and text message prompts when new posts are added. 1. Educational posts will cover topics that will cover healthcare information. 2. Provider support will be posted much like the educational posts. 5. The data collection for this study will take place prior to beginning cardiac rehabilitation, at which time the participants will receive the BREQ-3 and PNSE surveys either in person or via email link. 6. Post-testing will include a BREQ-3 and PNSE surveys and count of the number of sessions completed in a 3 month period of time.

Comparison group; Facebook group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All male and female patients who are current and regular Facebook™ users, 18 years of age or older, have qualified for cardiac rehabilitation (diagnosed with cardiovascular disease), and are entering cardiac rehabilitation at the Main Campus of the Cleveland Clinic, will qualify for the study.

You may not qualify if:

• Participants must be able to exercise to the extent that they can take part in cardiac rehabilitation, must live within 100 miles and must be able to read and speak English.

Sponsors & Collaborators

• The Cleveland Clinic: lead
• Sigma Theta Tau International Honor Society of Nursing: collaborator

Study Sites (1)

The Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Related Publications (40)

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  RESULT

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  RESULT

• Markland D, Tobin V. A modification of the Behavioral Regulation in Exercise Questionnaire to include an assessment of amotivation. Journal of Sport and Exercise Psychology. 2004; 26(2), 191-96. doi: 10.1123/jsep.26.2.191.

  RESULT

• Cocks K, Torgerson DJ. Sample size calculations for pilot randomized trials: a confidence interval approach. J Clin Epidemiol. 2013 Feb;66(2):197-201. doi: 10.1016/j.jclinepi.2012.09.002. Epub 2012 Nov 27.

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• Siegmund LA, Bena JF, Morrison SL. Cardiac Rehabilitation Facebook Intervention: Feasibility Randomized Controlled Trial. JMIR Cardio. 2023 Jun 15;7:e46828. doi: 10.2196/46828.

  PMID: 37318865 DERIVED

• Siegmund LA, Ahmed HM, Crawford MT, Bena JF. Feasibility of a Facebook Intervention for Exercise Motivation and Cardiac Rehabilitation Adherence: Study Protocol. JMIR Res Protoc. 2017 Aug 18;6(8):e162. doi: 10.2196/resprot.7554.

  PMID: 28821473 DERIVED

Related Links

• Pew Research
• Exercise motivation measurement

MeSH Terms

Conditions

Cardiovascular Diseases

Study Officials

• Lee A Siegmund, PhD

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse Scientist

Study Record Dates

• First Submitted: November 21, 2016
• First Posted: November 23, 2016
• Study Start: February 27, 2017
• Primary Completion: February 28, 2019
• Study Completion: March 1, 2019
• Last Updated: March 27, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Starting 2/27/17 until after manuscript submission
• Access Criteria: With permission of PI

Locations

US (1)