Melissa M. Klamm PhD, RN, Mary W. Stewart PhD, RN, FAAN, Angela Duck PhD, RN, CNE, Crystal Lim PhD, ABPP, Tamara Brocks BSN, RN, Lei Zhang PhD, MBA, Joseph Tacy PhD, RN
{"title":"提高青少年体育锻炼的自主积极性","authors":"Melissa M. Klamm PhD, RN, Mary W. Stewart PhD, RN, FAAN, Angela Duck PhD, RN, CNE, Crystal Lim PhD, ABPP, Tamara Brocks BSN, RN, Lei Zhang PhD, MBA, Joseph Tacy PhD, RN","doi":"10.1111/jspn.12423","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>Adolescents need at least 60 min of physical activity (PA) every day. Yet, the number of minutes of daily PA steadily decreases from childhood through adolescence. This occurs despite evidence that high levels of PA and limited minutes of sedentary behavior (SB) decrease the incidence of heart disease, type 2 diabetes mellitus, obesity, and cancer. Motivational interviewing (MI) is a behavioral counseling technique that focuses on behavior change areas, such as diet and PA. This research aimed to evaluate a brief nurse-led virtual MI (vMI) intervention to guide youth toward increased PA compared to an attention control group.</p>\n </section>\n \n <section>\n \n <h3> Design and Methods</h3>\n \n <p>Participants completed the Behavioral Regulation in Exercise Questionnaire (BREQ-2) and wore an ActiGraph GT3X+ accelerometer on their dominant wrist for 8 days to operationalize SB and PA. Participants in the treatment group rec an individual vMI session, while attention-control group participants received an individual education session. All participants received follow-up calls from the researcher or assistant at Weeks 4 and 8. During the calls, those in the treatment group received follow-up MI, while the control group asked follow-up questions about information received during the education session. At 12 weeks, all participants repeated the BREQ-2 survey and wore the accelerometer again for 7 days.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The total number of participants was 19. At post-intervention, the treatment group had a significant decline in the frequency of prolonged SB > 60 min (<i>p</i> = .001) and a nonsignificant increase in the average length of moderate-to-vigorous PA bouts >10 min (<i>p</i> = .058). The treatment group had significant increases in two levels of autonomous motivation—identified (<i>p</i> < .001) and intrinsic (<i>p</i> = .003). The overall autonomous motivation score for the BREQ-2 significantly increased in the treatment group (<i>p</i> < .001).</p>\n </section>\n \n <section>\n \n <h3> Practice Implications</h3>\n \n <p>The study revealed promise for vMI to positively impact PA among adolescents. However, for a novice in performing MI, a nurse-led MI session elicited change talk in participants toward individualized changes to improve health behaviors.</p>\n </section>\n </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Increasing autonomous motivation for physical activity among adolescents\",\"authors\":\"Melissa M. Klamm PhD, RN, Mary W. Stewart PhD, RN, FAAN, Angela Duck PhD, RN, CNE, Crystal Lim PhD, ABPP, Tamara Brocks BSN, RN, Lei Zhang PhD, MBA, Joseph Tacy PhD, RN\",\"doi\":\"10.1111/jspn.12423\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>Adolescents need at least 60 min of physical activity (PA) every day. Yet, the number of minutes of daily PA steadily decreases from childhood through adolescence. This occurs despite evidence that high levels of PA and limited minutes of sedentary behavior (SB) decrease the incidence of heart disease, type 2 diabetes mellitus, obesity, and cancer. Motivational interviewing (MI) is a behavioral counseling technique that focuses on behavior change areas, such as diet and PA. This research aimed to evaluate a brief nurse-led virtual MI (vMI) intervention to guide youth toward increased PA compared to an attention control group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design and Methods</h3>\\n \\n <p>Participants completed the Behavioral Regulation in Exercise Questionnaire (BREQ-2) and wore an ActiGraph GT3X+ accelerometer on their dominant wrist for 8 days to operationalize SB and PA. Participants in the treatment group rec an individual vMI session, while attention-control group participants received an individual education session. All participants received follow-up calls from the researcher or assistant at Weeks 4 and 8. During the calls, those in the treatment group received follow-up MI, while the control group asked follow-up questions about information received during the education session. At 12 weeks, all participants repeated the BREQ-2 survey and wore the accelerometer again for 7 days.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The total number of participants was 19. At post-intervention, the treatment group had a significant decline in the frequency of prolonged SB > 60 min (<i>p</i> = .001) and a nonsignificant increase in the average length of moderate-to-vigorous PA bouts >10 min (<i>p</i> = .058). The treatment group had significant increases in two levels of autonomous motivation—identified (<i>p</i> < .001) and intrinsic (<i>p</i> = .003). The overall autonomous motivation score for the BREQ-2 significantly increased in the treatment group (<i>p</i> < .001).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Practice Implications</h3>\\n \\n <p>The study revealed promise for vMI to positively impact PA among adolescents. However, for a novice in performing MI, a nurse-led MI session elicited change talk in participants toward individualized changes to improve health behaviors.</p>\\n </section>\\n </div>\",\"PeriodicalId\":54900,\"journal\":{\"name\":\"Journal for Specialists in Pediatric Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-01-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal for Specialists in Pediatric Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jspn.12423\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Specialists in Pediatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jspn.12423","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Increasing autonomous motivation for physical activity among adolescents
Purpose
Adolescents need at least 60 min of physical activity (PA) every day. Yet, the number of minutes of daily PA steadily decreases from childhood through adolescence. This occurs despite evidence that high levels of PA and limited minutes of sedentary behavior (SB) decrease the incidence of heart disease, type 2 diabetes mellitus, obesity, and cancer. Motivational interviewing (MI) is a behavioral counseling technique that focuses on behavior change areas, such as diet and PA. This research aimed to evaluate a brief nurse-led virtual MI (vMI) intervention to guide youth toward increased PA compared to an attention control group.
Design and Methods
Participants completed the Behavioral Regulation in Exercise Questionnaire (BREQ-2) and wore an ActiGraph GT3X+ accelerometer on their dominant wrist for 8 days to operationalize SB and PA. Participants in the treatment group rec an individual vMI session, while attention-control group participants received an individual education session. All participants received follow-up calls from the researcher or assistant at Weeks 4 and 8. During the calls, those in the treatment group received follow-up MI, while the control group asked follow-up questions about information received during the education session. At 12 weeks, all participants repeated the BREQ-2 survey and wore the accelerometer again for 7 days.
Results
The total number of participants was 19. At post-intervention, the treatment group had a significant decline in the frequency of prolonged SB > 60 min (p = .001) and a nonsignificant increase in the average length of moderate-to-vigorous PA bouts >10 min (p = .058). The treatment group had significant increases in two levels of autonomous motivation—identified (p < .001) and intrinsic (p = .003). The overall autonomous motivation score for the BREQ-2 significantly increased in the treatment group (p < .001).
Practice Implications
The study revealed promise for vMI to positively impact PA among adolescents. However, for a novice in performing MI, a nurse-led MI session elicited change talk in participants toward individualized changes to improve health behaviors.
期刊介绍：
Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?''
The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
