Evidence map›Paper›PMID 30979409›Full record

Trial reportThe American journal of cardiology2019

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

Jeff C Huffman, Emily H Feig, Rachel A Millstein, Melanie Freedman, Brian C Healy, Wei-Jean Chung, Hermioni L Amonoo, Laura Malloy, Ellen Slawsby, James L Januzzi and 1 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05174975 (Tri-Service General Hospital, Department of Internal Medicine), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05174975 nacompletednot on this mapstarted 2021, after this paper: background citation

Tri-Service General Hospital, Department of Internal Medicine

TypeinterventionalSponsorTri-Service General Hospital (TSGH)Ran2021 to 2023Enrolled100ConditionsDiabetes Mellitus, Type 2ArmsApp-based Positive Psychological Intervention
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Jeff C HuffmanHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: jhuffman@partners.org.
Emily H FeigHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Rachel A MillsteinHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Melanie FreedmanDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Brian C HealyHarvard Medical School, Boston, Massachusetts; Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Wei-Jean ChungHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Hermioni L AmonooHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts.
Laura MalloyBenson Henry Institute for Mind-Body Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Ellen SlawsbyBenson Henry Institute for Mind-Body Medicine, Massachusetts General Hospital, Boston, Massachusetts.
James L JanuzziHarvard Medical School, Boston, Massachusetts; Division of Cardiology, Department of Medicine, Massachusetts General Hospital and Cardiometabolic Trials, Baim Institute for Clinical Research, Boston, Massachusetts.
Christopher M CelanoHarvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Harvard University · USMassachusetts General Hospital · USBrigham and Women's Hospital · US

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Developing a positive psychology intervention to improve cardiac health behaviorsR01HL113272 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2013 to 2017
$2.6M
A Positive Psychology Intervention for Allogeneic Stem Cell Transplant Patients.K08CA251654 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI AMONOO, HERMIONI L. · 2020 to 2024
$1.3M
A positive psychology intervention to promote health behaviors in heart failureK23HL123607 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CELANO, CHRISTOPHER M · 2015 to 2019
$859k
Testing the feasibility and preliminary efficacy of a multilevel intervention to promote physical activity among patients with metabolic syndromeK23HL135277 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MILLSTEIN, RACHEL A. · 2017 to 2021
$834k
A psychological-behavioral intervention for physical activity in type 2 diabetesR21DK109313 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2016 to 2018
$470k
NCATS NIH HHS UL1 TR002541NCI NIH HHS K08 CA251654NHLBI NIH HHS K23 HL123607NHLBI NIH HHS K23 HL135277NHLBI NIH HHS R01 HL113272NIDDK NIH HHS R21 DK109313
6 · The paper itself

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.

Indexed as

AffectExerciseHealth BehaviorMotivational InterviewingPsychology, PositiveAcute Coronary SyndromeAgedFeasibility StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID30979409
PMCPMC6529259
OpenAlexW2922599289

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.