RecruitingNot ApplicableNCT05412862

Positive Emotions Following Acute Cardiac Events

A Novel Psychological-behavioral Intervention to Promote Physical Activity After Acute Coronary Syndrome

Sponsor

Massachusetts General Hospital

Enrollment

280 participants

Start Date

Sep 12, 2022

Study Type

INTERVENTIONAL

Conditions

Physical Inactivity Acute Coronary Syndrome

Summary

The focus of this study is to test the efficacy of a 12-week, remotely delivered, positive-psychology-motivational interviewing (PP-MI) intervention, with additional twice weekly text messages for a total of 24 weeks (with interactive, algorithm-driven, goal-focused text messages in the final 12 weeks), compared to post-acute coronary syndrome (ACS) treatment as usual, in a randomized trial of 280 post-ACS patients with low baseline physical activity.

Eligibility

Min Age: 18 YearsMax Age: 95 Years

Inclusion Criteria2

ACS (myocardial infarction or unstable angina)
Suboptimal physical activity (score of < 6 on the Medical Outcomes study Specific Adherence Scale item related to physical activity)

Exclusion Criteria7

Cognitive deficits (assessed via a 6-item cognitive screening tool)
Medical conditions likely to lead to death within 6 months.
Moderate-severe depression (Patient Health Questionnaire-9 \[PHQ-9\] score ≥15)
Inability to participate in physical activity due to another medical condition (e.g., arthritis)
Inability to read, write, or speak in English
Inability to receive text-messages
Current participation in another intervention or program that has been designed to promote well-being or physical activity

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Interventions

BEHAVIORALPositive Psychology + Motivational Interviewing

The 12-week PP-MI intervention focuses on enhancing well-being (through PP) and increasing physical activity (through MI). Each week, participants will complete a PP activity and work towards a physical activity goal, then complete a phone session with a study trainer. The PP portion of the program will focus on the cultivation of well-being through the performance of easy-to complete activities (e.g., using a strength in a new way) and review of the positive feelings they generate. The MI portion of the program will focus on assisting participants to improve physical activity levels, resolve ambivalence to behavior change, set realistic physical activity goals, problem-solve barriers, and identify resources to complete behavior change. Finally, participants will receive twice weekly text messages (for 24 weeks) to encourage completion of PP activities and engagement in physical activity.