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Cited by 70Cardiac Health and Mental HealthPhysical Activity and HealthBehavioral Health and Interventions

Usefulness of a Positive Psychology-Motivational Interviewing Intervention to Promote Positive Affect and Physical Activity After an Acute Coronary Syndrome

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Huffman, Jeff C., Feig, Emily H., Millstein, Rachel A., Freedman, Melanie, Healy, Brian C., Chung, Wei-Jean, Amonoo, Hermioni L., Malloy, Laura +3 more·2019·The American Journal of Cardiology
DOI 10.1016/j.amjcard.2019.03.023PMC PMC6529259
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Abstract

Most patients are not able to achieve recommended levels of physical activity following an acute coronary syndrome (ACS). Existing interventions to promote activity have not focused on promoting psychological well-being, which is independently linked to superior cardiac health. To address this gap, we developed and tested a combined positive psychology-motivational interviewing (PP-MI) intervention in post-ACS patients to assess its feasibility and explore potential benefits in an initial randomized trial. We compared a 12-week, phone-delivered, PP-MI intervention to an attention-matched, MI-based health education control condition among 47 post-ACS patients with low baseline health behavior adherence. Feasibility/acceptability were assessed through rates of session completion and participant session ratings; we also explored between-group differences in positive affect, other self-reported outcomes, and accelerometer-measured physical activity, through mixed effects regression models, at 12 and 24 weeks. PP-MI participants completed a mean of 10.0 (standard deviation 2.2) sessions (84%), and mean participant ratings of sessions' ease/utility were >8/10, above a priori thresholds for success. Compared with the control condition, PP-MI was associated with greater improvements in positive affect at 12 and 24 weeks (12 weeks: estimated mean difference [EMD] = 3.90 [SE = 1.95], p = 0.045, effect size [ES] = 0.56; 24 weeks: EMD = 7.34 [SE = 2.16], p <0.001, ES = 1.12). PP-MI was also associated with more daily steps at 12 weeks (EMD = 1842.1 steps/day [SE = 849.8], p = 0.030, ES = 0.76) and greater moderate-vigorous activity at 24 weeks (EMD = 15.1 minutes/day [SE = 6.8], p = 0.026, ES = 0.81). In conclusion, PP-MI was feasible in post-ACS patients and showed promising effects on well-being and physical activity; additional studies are needed to confirm these findings.

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  • A majority, but not all, of randomized studies found positive psychology-based interventions to be associated with greater improvements in physical activity compared with control conditions.

    “Several such programs, either alone or combined with motivational interviewing, have focused on the promotion of physical activity in patients with cardiac disease or cardiac risk conditions in randomized studies, with a majority, 203-207 but not all, 208 of such studies finding positive psychology-based interventions to be associated with greater improvements in physical activity compared”

    From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [205]

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Authors
Huffman, J. C., Feig, E. H., Millstein, R. A., Freedman, M., Healy, B. C., Chung, W.-J., Amonoo, H. L., Malloy, L., Slawsby, E., Januzzi, J. L., & Celano, C. M.
Affiliations
  • Harvard University (US)
  • Massachusetts General Hospital (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Huffman, Jeff C.
ORCID
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
2019-06
Volume
123
Issue
12
Pages
1906-1914
ISSN
0002-9149 (ISSN-L)
DOI
10.1016/j.amjcard.2019.03.023
PMC
PMC6529259
OpenAlex
W2922599289
Cited by
70
References
11
Citations by year
2026: 4 · 2025: 10 · 2024: 6 · 2023: 10 · 2022: 10 · 2021: 9 · 2020: 17 · 2019: 3 · 2018: 1
FWCI
6.88
Type
journal article
Language
en
Open access
Licence
Locations
  • The American Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Heart, Lung, and Blood Institute (R01HL113272, K23HL123607, K23HL135277)
  • National Center for Advancing Translational Science (1UL1TR002541-01)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
positive psychology, motivational interviewing, acute coronary syndrome, physical activity, positive affect, psychological well-being, telephone-delivered intervention, feasibility and acceptability, health behavior adherence, cardiac rehabilitation
MeSH terms
Psychology, Positive, Affect, Aged, Feasibility Studies, Female, Humans, Male, Middle Aged, Health Behavior, Exercise, Acute Coronary Syndrome, Motivational Interviewing

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