The Feasibility and Impact of the EMOVE Intervention on Self-efficacy and Outcome Expectations for Exercise in Epilepsy.
Irene H Dustin, Barbara Resnick, Elizabeth Galik and 4 others
PMID 30649092WHAT IT FOUND
Self-efficacy and outcome expectations for exercise did not change significantly in adults with epilepsy after 12 weeks.
Depressive symptoms improved, but this single-group pilot cannot show EMOVE caused it.
Key findings
01The 12-week EMOVE intervention did not significantly change self-efficacy or outcome expectations for exercise.
02Depressive symptoms improved significantly, with BDI-II scores falling from 14.4 to 9.95 on a 0-63 scale.
03Exercise knowledge scores rose from 6.9 to 8.9, and 67% of participants met or exceeded their exercise goals.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
There was no control group, so the improvement in depressive symptoms could be due to being in the study, meeting goals, attention from the provider, or other unmeasured factors. The sample was small and convenience-based, and the final sample was 24 of the 30 who enrolled. The intervention had several components given together, so the contribution of education, goal setting, activity monitoring, or weekly encouragement cannot be separated. Outcome measures included self-reported surveys and seizure calendars. Participants were mostly single, White, female adults with a mean age of 46.7, so findings may not apply to other groups.
Declared interests
No funding or conflict-of-interest declaration appears in the supplied text.
The easy way to misread this
Do not read the significant depression improvement as proof that EMOVE works. The self-efficacy and outcome expectations for exercise did not change significantly, and there was no control group, so the effect cannot be attributed to the intervention components.