Effects of a health-seeking behavior education program based on motivational interview techniques on health-seeking behaviors, illness self-management, and anxiety in elderly immigrant women: a randomized controlled study.
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引用次数: 0
Abstract
Introduction: Whether voluntary or forced, migration always affects those who migrate. Migrants experience the negative effects of migration more severely if they are older, chronic patients, or women. If a group of migrants possess all these vulnerabilities, they need more assistance and healthcare.
Objective: This study was carried out to investigate the effects of a health-seeking behavior education program based on motivational interview techniques on health-seeking behaviors, illness self-management, and anxiety in elderly migrant women.
Material and method: This study was conducted with a randomized controlled experimental design involving an experimental group (n = 18) and a control group (n = 18). The simple random sampling method was chosen to ensure that the groups were randomly distributed and had the same number of participants. A "Personal Information Form," the "Health-Seeking Behaviors Scale," the "Health Anxiety Inventory," and the "Chronic Illness Self-Management Scale" were used to collect data. The intervention consisted of four structured seasons. In addition, the main themes were also covered with Motivational Interviewing (MI) techniques within these seasons.
Results: Before the intervention (pretest), no significant differences were found between the groups in health-seeking behaviors, health anxiety, or chronic illness self-management (p > 0.05). In the posttest, the control group showed a significant decrease in total Health-Seeking Behaviors Scale scores and in professional and traditional health-seeking behaviors (p < 0.05), while online health-seeking behaviors did not significantly change (p > 0.05). Additionally, the control group's self-stigma and other chronic illness self-management dimensions worsened (p < 0.05). In contrast, the experimental group showed significant improvements in total health-seeking behaviors, particularly in online and professional behaviors (p < 0.05). They also showed reductions in health anxiety and self-stigma, with improvements in chronic illness self-management dimensions such as coping with stigma and treatment adherence (p < 0.05). Intergroup comparisons revealed that the experimental group had significantly better outcomes in all these areas compared to the control group (p < 0.05).
Discussion and conclusion: The study highlights that migration negatively affects health-seeking behaviors, especially in elderly migrant women. However, the health-seeking behavior education program based on motivational interviewing techniques proved to be effective in improving these behaviors, illness self-management, and reducing anxiety. This suggests the need for targeted interventions to support vulnerable migrant populations.
期刊介绍：
Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
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