Motivational Interviewing Effect on Reducing Cardiovascular Disease Risk Factors

Study Overview
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Brief Summary
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Aim: The aim of this study is to examine the effect of motivational interviewing-based training program on reducing cardiovascular disease risk factors in adults. Methods: In the first stage, individuals' CVD risk levels were determined. In the second stage, a 6-session motivational interview-based training program was applied to the intervention group with a medium CVD risk level (HearthSCORE score between 2 and 5 points). Brochures were distributed to the control group.

Detailed Description
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The aim of this study is to determine the CVD risks of adult individuals between the ages of 40-70 and to evaluate the effect of a motivational interview-based training program on reducing modifiable risk factors in individuals with moderate CVD risk. Hypothesis; A 6-session motivational interview-based training program aimed at reducing CVD risk factors reduces the risk level in the intervention group more than the control group. This study will be carried out in 2 stages. In the first phase, risk prevalence screening will be carried out to determine the CVD risks of individuals between October and November 2023. In the 2nd phase, a randomized controlled study will be conducted to evaluate the intervention program for individuals at medium risk level (HeartScore® between 2 and 5).

Official Title
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Motivational Interviewing Based Training Program in Adults Effect on Reducing Cardiovascular Disease Risk Factors: A Randomized Controlled Trial

Conditions
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Cardiovascular Diseases, Motivation, Nurse's Role, Risk Reduction

Intervention / Treatment
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* Other: motivational interviewing based training program
* Other: Routine practice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being aged between 40 and 70 years, Being voluntary to participate in the study, Exclusion Criteria: Having a known and diagnosed CVD Not being voluntary to participate in the study.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental intervention group<br>In addition to the informative brochure prepared by the researcher, a 6-session motivational interview-based training program will be given. The training program will include topics such as nutrition, physical activity, smoking and alcohol use. | Other: motivational interviewing based training program<br>* In addition to the informative brochure prepared by the researcher; A 6-session training program based on motivational interviewing, including nutrition, physical activity, smoking and alcohol use, will be held.<br>|
| Active Comparator: Control Group<br>An informative brochure prepared by the researcher and traditional consultancy services will be provided. | Other: Routine practice<br>* An informative brochure prepared by the researcher was given.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change is CVD risk level | In the first phase of the research, the HeartScore® program will be used to determine the CVD risk levels of individuals. Thanks to this program, the CVD risk levels of individuals will be learned and primary protection will be provided. According to HeartScore®, CVD risk is discussed in 4 categories. 10%, very high risk, 5% - <10%, high risk, Medium risk between ≥2-<5%, If <1%, they are in the low risk category. As the score increases, the CVD risk level increases. | 24 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Physical Activity Level | Physical activity level was measured using the International Physical Activity Questionnaire Short Form (IPAQ). Sitting 1.5 MET Walking 3.3 MET Moderate Intensity Physical Activity 4.0 MET Vigorous Physical Activity 8.0 MET Short form (7 questions); It provides information on time spent awake, moderate to vigorous intensity activities, and time spent sitting. The IPAQ categorically classifies individuals as inactive, minimally active, and very active. | 24 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cardiovascular disease, motivational interviewing, risk reduction, nurse's role