Social Media Intervention for Exercise Motivation and Cardiac Rehabilitation Adherence: A Feasibility Study
Repository Posting Date2019-07-03T18:02:30Z
Author DetailsLee Anne Siegmund PhD, RN, principal investigator; James Bena MS, lead biostatistician; Shannon Morrison MS
Lead Author Sigma AffliationDelta Omega
Lead Author AffliationCleveland Clinic, Office of Nursing Research and Innovation, Cleveland Ohio, USA
Level of EvidenceOther
Research ApproachPilot/Exploratory Study
Keywordscardiac rehabilitation; social media; motivation; Facebook; adherence; Self-determination theory; Behavioral Regulation in Exercise Questionnaire; Psychological Needs Satisfaction in Exercise Scale
CINAHL HeadingsTherapeutic Exercise--Methods; Motivation; Social Media--Utilization; Nursing Interventions; Rehabilitation, Cardiac; Patient Compliance; Questionnaires
Cardiac rehabilitation is underutilized. While many interventions have been tried, a knowledge gap remains regarding the effectiveness of Facebook for promotion of cardiac rehabilitation motivation and adherence. To determine the feasibility of using a Facebook intervention to affect motivation and adherence to cardiac rehabilitation in patients with heart disease over 12 weeks.
- Is Facebook feasible for delivering a motivational intervention?
- Will engagement in the group predict number of cardiac rehabilitation sessions and motivation?
- Will motivation and attendance be higher for patients exposed to a Facebook intervention relative to comparison?
Methods: Cardiac rehabilitation participants were randomly assigned to intervention or comparison. Intervention group received educational and provider posts, support, and peer interaction on Facebook. Comparison group received educational information via email. Pre-post surveys assessed motivation and psychological needs satisfaction for exercise.
Comparison and Facebook groups were compared using analysis of variance models, Pearson’s chi-square, Fisher’s exact tests, or Kruskal-Wallis tests as appropriate. Paired t-tests were used to assess change in motivation and needs satisfaction. Relationships between # of sessions with continuous variables were assessed using Spearman correlations. Analyses were performed using SAS® Software using a significance level of 0.05.
- There were 22 records in the data.
- Engagement in the Facebook group did not predict number of sessions or motivation.
- No differences were found for change in motivation, needs satisfaction, or sessions completed.
- Participants with greater change in needs satisfaction-autonomy from pre-to-post intervention had more sessions (r=0.61, p=0.024). Higher motivation at intake predicted more sessions (r=0.53, p=0.010).
Implications for Practice:
Based on low engagement and recruitment, a Facebook intervention, as designed, is not feasible for a larger trial. There were no between group differences. Greater exercise motivation and increased autonomy, predicted more sessions. More research is needed to find ways to engage poorly motivated individuals.
Funder(s)Sigma Theta Tau International
DescriptionDr. Siegmund is a 2016-2017 Sigma Theta Tau International Small Grant Recipient.
Conference Name15th Annual Clinical Research Conference
Conference HostCleveland Clinic
Conference LocationCleveland, Ohio, USA
NotesThe Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
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