Condition category
Circulatory System
Date applied
21/02/2016
Date assigned
22/02/2016
Last edited
22/08/2016
Prospective/Retrospective
Prospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
Cardiovascular disease (CVD) is a general term used to describe a disease affecting the heart or blood vessels. It is becoming more and more widespread, and is a major cause of death worldwide. There is a great deal of evidence showing that changing healthy lifestyle choices, such as quitting smoking, eating a healthier diet and exercising more, can help to lower the risk of developing CVD and even reduce symptoms in existing sufferers. Many patients however can be reluctant to make lifestyle changes and so helping to motivate them is very important. Motivational interviewing (MI) is a technique which uses goal-oriented, individual counselling to help encourage changes in behaviour. Although it has been shown to be very effective, few nurses are trained in MI due to high costs and low availability of training. The MOTIV@Coeur website is a new e-learning training program that has been designed to train nurses in MI techniques. The aim of this study is to investigate the effectiveness and practicality of this program at training nurses who work in coronary (heart) care in MI techniques.

Who can participate?
Nurses who work in the coronary (heart) care unit of Montreal Heart Institute.

What does the study involve?
All participants are assigned an identification number that they can use to log in on the MOTIV@Coeur website to complete the online training sessions. At the start of the study, participants are given the choice as to whether they would like to complete the first session at the study centre or at home. The session takes around 30 minutes to complete and involves training in motivational interviewing in different hypothetical clinical situations. This is in the form of mole-modelling videos, in which a role model (cardiology nurse practitioner) evaluates a patient’s motivation to change their lifestyle for the benefit of their health (i.e. quitting smoking, improving diet, exercising more) and intervenes appropriately. Each of the clinical situations features patients with different levels of conviction and confidence towards changing their lifestyle. Participants then complete a second session at home around 15 days after the first session. After thirty days, participants complete a number of questionnaires and usage data is collected from the website in order to assess how well the MOTIV@Coeur program has been received and its effectiveness.

What are the possible benefits and risks of participating?
Participants will benefit from receiving training in motivational interviewing which they can include in their College of Registered Nurses of Quebec portfolio. There are no notable risks involved with taking part in this study.

Where is the study run from?
Montreal Heart Institute (Canada)

When is the study starting and how long is it expected to run for?
September 2014 to August 2016

Who is funding the study?
1. Canadian Institutes of Health Research (Canada)
2. Montreal Heart Institute’s Research Center (Canada)
3. Quebec’s Minister of Higher Education, Research and Science (Canada)

Who is the main contact?
1. Mr Guillaume Fontaine (public)
guillaume.fontaine@umontreal.ca
2. Dr Sylvie Cossette (scientific)
sylvie.cossette.inf@umontreal.ca

Trial website

Contact information

Type

Public

Primary contact

Mr Guillaume Fontaine

ORCID ID

http://orcid.org/0000-0002-7806-814X

Contact details

Montreal Heart Institute
5000
Belanger street
Montreal
Quebec
H1T1C8
Canada
+1 (0)514 3763330 Ext. 3069
guillaume.fontaine@umontreal.ca

Type

Scientific

Additional contact

Dr Sylvie Cossette

ORCID ID

http://orcid.org/0000-0001-5840-9122

Contact details

Montreal Heart Institute
5000
Belanger street
Montreal
Quebec
H1T1C8
Canada
+1 (0)514 376 3330 Ext. 4012
sylvie.cossette.inf@umontreal.ca

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

ICM-2015-1948

Study information

Scientific title

Evaluation of MOTIV@Coeur, an E-learning Method in Motivational Interviewing for Nurses in Cardiovascular Care: a pilot study

FRENCH: Évaluation de la méthode d’E-learning en entretien motivationnel MOTIV@Coeur auprès d’infirmières en soins cardiovasculaires: une étude pilote

Acronym

MOTIV@Coeur

Study hypothesis

The aim of this study is to develop and assess the feasibility and acceptability of an E-learning method in motivational interviewing (MOTIV@Coeur) for cardiovascular nurses using a pre-post design.

The secondary aims of this trial are to assess the preliminary effect of MOTIV@Coeur on nurses’ perceived skills in motivational interviewing as well as their frequency of delivering motivational interventions in the Coronary Care Unit.

Hypotheses:
Compared with the pre-training period, nurses trained with MOTIV@Coeur will present:
1. Higher perceived skills in motivational interviewing
2. More frequent delivery of motivational interventions for coronary patients

Ethics approval

Montreal Heart Institute Ethics Committee, 29/01/2016, ref: 15-1948

Study design

Single-group pre-post pilot study

Primary study design

Interventional

Secondary study design

Non randomised study

Trial setting

Hospitals

Trial type

Other

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet.

Condition

1. Secondary prevention in cardiology
2. Training in motivational interviewing

Intervention

Following provision of informed consent, nurses will be assigned an identification number with which they can identify themselves on the MOTIV@Coeur website to complete both MI training sessions online. During the first phase of the project, nurses will have to choose between completing the first session at the research setting in a computer lab or carrying out the first session of MOTIV@Coeur at home. In both cases, they will receive answers to their questions but won’t receive any explanations of theoretical concepts by the student researcher. Questions asked will be addressed and documented in a Word file for descriptive purposes. The second MOTIV@Coeur session, also about 30 minutes in duration, will be completed at home about 15 days (± 5 days) after the first session. If participants interrupt a session, they may resume where they left off, or return to the beginning. Data collection for outcome measures will occur at 30 days (± 5 days) following the completion of the first training session. The two questionnaires on the measurement results will be completed confidentially online with email and phone call reminders as needed.

The experimental intervention (MOTIV@Coeur) is an E-learning method in motivational interviewing (MI) based on role-modeling videos. The intervention content is based on the work of several authors on brief motivational interventions. MOTIV@Coeur is available on the Web and consists of two sessions of 30 minutes each in which a theoretical introduction to MI is followed by two videos of plausible clinical situations on a coronary unit, in which a cardiology nurse practitioner (CNP) acts as a role model and then explains the interventions used. The clinical situations target secondary prevention with patients addressing lifestyle issues such as smoking, adherence to cardiovascular medications, physical activity or diet. In the videos, the CNP evaluates the patient's motivation to change and then intervenes according to the principles of brief motivational interviewing. Each of the clinical situations features patients with different levels of conviction and confidence towards changing their lifestyle.

Intervention type

Other

Phase

Drug names

Primary outcome measures

Proportion of nurses completing the two training sessions is recorded using website usage data within 15 days (± 5 days).

Secondary outcome measures

Feasibility outcomes:
Feasibility of the MOTIV@Coeur intervention will be measured at 30 days (± 5 days) by recording:
1. The proportion of nurses who agree to participate in the study compared to the number in the target population
2. The time required for recruitment of participants
3. The proportion of nurses trained within the time frame suggested by the research team (time of use and time between sessions)
4. The proportion of nurses completing all outcome measures from baseline to 30 days (± 5 days) according to the research protocol

Acceptability:
The acceptability of MOTIV@Coeur for cardiovascular nurses will be measured at 30 days (± 5 days) using a survey designed to assess nurses’ opinions on 27 items in eight sub-dimensions of the E-learning method (i.e., system quality, quality of proposed information, quality of services associated with the system, quality of the user interface, perceived usefulness, perceived ease of use, perceived pleasure to use, and finally, intent to use).

Perceived skills and motivational interventions:
The perceived skills towards different motivational interventions and the perceived frequency of motivational interventions for coronary patients will be measured by a survey adapted from the list of Nursing Interventions for different levels of conviction and confidence at 30 days (± 5 days).

Other:
The use of MOTIV@Coeur (number of completed sessions (1 or 2)), time using the application (minutes) and subsequent use of the application (or not) will be recorded using website usage data at 30 days (± 5 days).

Overall trial start date

01/09/2014

Overall trial end date

13/05/2016

Reason abandoned

Eligibility

Participant inclusion criteria

1. Certification from the Order of Nurses of Quebec or Candidate for the Exercise of Nursing Profession (people who have completed their college or university nursing programs and have a restricted practice, but are waiting for their full license to practice nursing)
2. Full-time position or replacement shift in the coronary care unit
3. Comfort with basic computer instructions

Participant type

Health professional

Age group

Adult

Gender

Both

Target number of participants

30 participants.

Participant exclusion criteria

Those who have undertaken training in motivational interviewing in the past year

Recruitment start date

07/03/2016

Recruitment end date

07/04/2016

Locations

Countries of recruitment

Canada

Trial participating centre

Montreal Heart Institute
5000 Belanger street
Montreal
H1T1C8
Canada

Sponsor information

Organisation

Montreal Heart Institute

Sponsor details

5000
Belanger street
Montreal
H1T1C8
Canada

Sponsor type

Hospital/treatment centre

Website

Funders

Funder type

Government

Funder name

Canadian Institutes of Health Research

Alternative name(s)

Instituts de Recherche en Santé du Canada, CIHR

Funding Body Type

government organisation

Funding Body Subtype

Federal/National Government

Location

Canada

Funder name

Montreal Heart Institute Research Center

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Funder name

Quebec’s Minister of Higher Education, Research and Science (MHERS)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Planned publication of study results in the Journal of Medical Internet Research.

Intention to publish date

30/09/2016

Participant level data

Not expected to be available

Results - basic reporting

Publication summary

2016 results in: http://www.ncbi.nlm.nih.gov/pubmed/27539960

Publication citations

Additional files

Editorial Notes

22/08/2016: Publication reference added. 31/05/2016: The overall trial end date was changed from 31/08/2016 to 13/05/2016. 23/02/2016: Verified study status with principal investigator.