The effect of nurse-led motivational interviewing based on the trans-theoretical model on promoting physical activity in healthy older adults: A randomized controlled trial

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2024-03-07 DOI:10.1111/ijn.13252

Ebru Sönmez Sari PhD, MSN, RN, Yeter Kitiş PhD, MSN, RN

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引用次数: 0

Abstract

Aim

The aim of this study was to evaluate the effect of motivational interviewing based on the trans-theoretical model promoting physical activity in older adults.

Methods

A randomized controlled trial study was conducted with 117 older adults (intervention group: 58, and control group: 59) between April and November 2019. The data were collected via a questionnaire, trans-theoretical model scales, the Physical Activity Scale for the Elderly, the Katz Activities of Daily Living scale and a pedometer. The 24-week intervention consisted of regular motivational interviewing. The control group received usual care at the family health centre.

Results

Following the intervention, the Intervention Group showed significant improvements Exercise Processes of Change Scale, Exercise Self-Efficacy Scale and Perceived Benefits of the Decisional Balance Scale for Exercise. There was a significant difference between the groups in terms of stages of change. In the Intervention Group, 81.5% were in the contemplation stage in the pre-test, while in the post-test, 70.4% had transitioned to the action stage. In contrast, in the control group, 62.5% were in the contemplation stage initially, but in the post-test, only 9.3% had reached the action stage. The mean number of step counts increased significantly in favour of the Intervention Group, as did the Physical Activity Scale for the Elderly total score.

Conclusion

The trial indicated that after the trans-theoretical model-based motivational interviewing, the stages of change among the older adults improved, as did their exercise behaviours. It is recommended that the trans-theoretical model and motivational interviewing be used by nurses to improve healthy lifestyle stage behaviours in older adults.

查看原文本刊更多论文

基于跨理论模型的护士主导动机访谈对促进健康老年人体育锻炼的影响：随机对照试验。

目的：本研究旨在评估基于跨理论模型的动机访谈对促进老年人体育锻炼的效果：在 2019 年 4 月至 11 月期间，对 117 名老年人（干预组：58 人，对照组：59 人）进行了随机对照试验研究。数据通过问卷、跨理论模型量表、老年人体育活动量表、卡茨日常生活活动量表和计步器收集。为期24周的干预包括定期激励访谈。对照组在家庭保健中心接受常规护理：干预后，干预组的运动变化过程量表、运动自我效能量表和运动决策平衡量表的感知益处均有显著改善。在变化阶段方面，两组之间存在明显差异。干预组中，81.5%的人在测试前处于沉思阶段，而在测试后，70.4%的人已过渡到行动阶段。相反，在对照组中，62.5%的人最初处于沉思阶段，但在测试后，只有 9.3%的人进入了行动阶段。干预组的平均步数显著增加，老年人体力活动量表的总分也显著增加：试验表明，在进行基于跨理论模型的动机访谈后，老年人的变化阶段和运动行为都有所改善。建议护士使用跨理论模型和动机访谈来改善老年人的健康生活方式阶段行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.