Clinical Rehabilitation

 

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Clinical Rehabilitation, Vol. 22, No. 1, 3-13 (2008)
DOI: 10.1177/0269215507080766

The effectiveness of a motivation programme for lifestyle change in the course of aortocoronary bypass graft surgery

Jens-Holger Krannich

Department of Cardiothoracic Surgery, , University of Wuerzburg, Wuerzburg, Krannich_j{at}klinik.uni-wuerzburg.de

Peter Weyers

Department of Psychology, University of Wuerzburg, Wuerzburg

Stefan Lueger

Deegenbergklinik Bad Kissingen, Bad Kissingen

Christoph Schimmer

Department of Cardiothoracic Surgery, University of Wuerzburg, Wuerzburg, Germany

Hermann Faller

Department of Psychotherapy and Medical Psychology, University of Wuerzburg, Wuerzburg, Germany

Olaf Elert

Department of Cardiothoracic Surgery, University of Wuerzburg, Wuerzburg, Germany

Objective: To evaluate the effectiveness of a motivation programme the motivation for lifestyle change in patients was measured before and after coronary artery bypass graft (CABG) surgery by comparing a usual care group with a group attending a motivation programme.

Design: Prospective controlled study.

Setting: University hospital cardiothoracic surgery department.

Subjects: One hundred and forty patients (mean age 64.9; SD 8.5 years) who had an elective CABG surgery.

Interventions: Each patient was evaluated regarding his or her motivation for lifestyle change two days before and 10 days after CABG surgery. Between January and May 2002 patients in usual care were investigated as a control group (n=70). From January to May 2003 patients had the opportunity to take part in a motivation programme that was provided by a trained clinical psychologist (n = 70). The programme consists of both personalized single sessions and group lectures.

Measures: A 30-item questionnaire measuring the six factors Vulnerability, Intention, Social expectation, Outcome expectation, Self-efficacy expectation, and Perceived severity was developed.

Results: ANOVA procedures with repeated measurements indicate significant effects in terms of higher motivation for lifestyle change in the treatment group in Vulnerability (F(1, 138) = 4.04; P=0.04), Intention (F(1, 138) = 19.81; P<0.001), Social expectation (F(1, 138)=21.97; P<0.001), Outcome expectation (F(1, 138) =17.95; P<0.001), and Self-efficacy expectation (F(1, 138) =14.31; P<0.001).

Conclusions: This motivation programme performed in a cardiac surgery hospital after CABG may increase the motivation for a positive lifestyle change.


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