Patient education and counseling · 2025
The potential influence of depressive symptoms on outcomes from a brief motivational intervention in patients referred to cardiac rehabilitation.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Tanaka Ayako, Aggarwal Sandeep, Arena Ross, Wang Meng, Liang Zhiying, Campbell Tavis, Rouleau Codie
Аннотация
OBJECTIVES: Depressive symptoms are associated with poor participation in cardiac rehabilitation (CR). We investigated if depressive symptoms moderate the impact of a brief motivational intervention on CR perceptions and utilization.
METHODS: In this secondary analysis of a randomized controlled trial of motivational interviewing with patients referred to CR (N = 96; 31 % with baseline depressive symptoms; Center for Epidemiologic Studies Depression Scale 10 [CESD-10] >10), regression models tested intervention allocation × CESD-10 interactions on CR attendance/enrollment, intention to attend CR, beliefs and attitudes about CR, barriers, illness perceptions, social support, and exercise self-efficacy.
RESULTS: Depressive symptoms were associated with concerns about exercise (p = 0.005), CR barriers (p = 0.042), more threatening illness perceptions (p = 0.001), and lower social support (p < 0.001). CESD-10 scores did not independently moderate intervention outcomes (p > 0.05). There was a three-way intervention × CESD-10 × income effect for perceived CR suitability (adjusted b=0.39, p = 0.007). Depressive symptoms did not influence intervention acceptability (p > 0.05).
CONCLUSIONS AND PRACTICE IMPLICATIONS: A brief behaviour change intervention improved CR participation outcomes regardless of depressed mood. Strategies to increase CR adherence should address the interplay of socioeconomic and psychosocial barriers.
METHODS: In this secondary analysis of a randomized controlled trial of motivational interviewing with patients referred to CR (N = 96; 31 % with baseline depressive symptoms; Center for Epidemiologic Studies Depression Scale 10 [CESD-10] >10), regression models tested intervention allocation × CESD-10 interactions on CR attendance/enrollment, intention to attend CR, beliefs and attitudes about CR, barriers, illness perceptions, social support, and exercise self-efficacy.
RESULTS: Depressive symptoms were associated with concerns about exercise (p = 0.005), CR barriers (p = 0.042), more threatening illness perceptions (p = 0.001), and lower social support (p < 0.001). CESD-10 scores did not independently moderate intervention outcomes (p > 0.05). There was a three-way intervention × CESD-10 × income effect for perceived CR suitability (adjusted b=0.39, p = 0.007). Depressive symptoms did not influence intervention acceptability (p > 0.05).
CONCLUSIONS AND PRACTICE IMPLICATIONS: A brief behaviour change intervention improved CR participation outcomes regardless of depressed mood. Strategies to increase CR adherence should address the interplay of socioeconomic and psychosocial barriers.