PURPOSE: The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention. METHODS: The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the χ²-test, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18. RESULTS: The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (χ²=26.61, p<.001). CONCLUSION: The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.
Disabled Persons ; Humans ; Independent Living ; Motivational Interviewing* ; Rehabilitation Centers

PURPOSE: The purpose of this study was to examine the effects of the motivational interviewing (MI) dementia preventive intervention on dementia preventive behaviors, depression and cognitive function among elderly over 75 years of age in nursing homes. METHODS: A nonequivalent control group pretest-posttest design was used. A total of 57 participants were divided into three groups; 18 in the MI dementia preventive intervention (Group A), 20 in the dementia preventive program (Group B) and 19 in the control group. Dementia preventive behaviors, depression, and cognitive function were assessed at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, t-test, ANOVA and repeated measure ANOVA. RESULTS: The results reported that there were significant differences in dementia preventive behaviors and depression among Group A, B, and C. Also, there were significant differences in dementia preventive behaviors and cognitive function during time periods. There was a significant interaction between groups and times in relation to depression. Results suggested that the effects of MI dementia preventive program was persistent after 1 month following the intervention. CONCLUSION: Further research needs to develop dementia preventive programs considering physical and mental traits of the elderly in late years staying at nursing homes.
Aged* ; Cognition ; Dementia* ; Depression ; Humans ; Motivational Interviewing* ; Nursing Homes* ; Nursing*

Given the complex nature of heart failure (HF), nurses in clinical practice and nurse educators should employ a methodical approach in providing effective health education to the patient and their families even remotely. However, the limited training programs available and unprecedented nature of COVID-19 has rendered nurses less prepared to deliver heart failure self-care education. The purpose of this article is to describe the development, implementation, and evaluation of a training program which aim to equip nurses with specific skills in delivering heart failure self-care education using information and communication technologies (telenursing) in the context of the physical restrictions brought by the COVID-19 pandemic. Four phases of program development and implementation were done: (1) Phase I: Planning Phase; (2) Phase II: Needs Assessment; (3) Phase III: Designing the Health Program; and (4) Phase IV- Implementation and Evaluation. Twenty-three nurses from a tertiary private hospital participated via video conferencing in the pilot implementation of the program led by doctorate students. Using Kaufman’s approach in qualitative evaluation, participants reported the training content, materials, and the method of delivery which were valuable, meaningful, and acceptable to them. They perceived the program further enhanced their competencies, and improved patient and organizational outcomes. Taking on a proactive role, nurses should explore measures of enhancing nurses’ knowledge and skills in self-care education through information and communication technologies (ICT). This training program based on participative planning and collaboration between academia and practice proves to be feasible and requires further empirical studies to test its effectiveness in real-word settings.
Heart failure ; program development ; COVID-19 ; motivational interviewing ; telenursing

Motivational interviewing (MI) is a evidenced-based, patient-centered approach that is attracting increased interest in health care settings. This paper provides an overview of MI including spirits, principles, basic counseling skills aimed to elicit change talk from diabetic patient, and effectiveness in diabetes care. MI may be a useful intervention for helping diabetic patient to improve their glycemic control, treatment adherence, and psychological well-being.
Counseling ; Delivery of Health Care ; Diabetes Mellitus ; Humans ; Motivational Interviewing

Physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient move from the precontemplation stage through the contemplation stage to the preparation stage, where plans are made for the initiation of quitting smoking. Continued motivational techniques and support are needed in the action stage, when the patient stops smoking. Major treatment guidelines emphasize that three treatment elements in particular are effective for smoking cessation intervention : nicotine replacement therapy, social support for cessation, and skills training/problem solving. Guidelines emphasize the dose-response relationship between the intensity and duration of treatment and its effectiveness. In general, the more intense the treatment, the more effective it is in producing long-term abstinence from tobacco. Group or individual behavioral counselling can facilitate smoking cessation and improve the cessation rates. A plan should be in place for recycling the patient through the appropriate stages if relapse should occur.
Evidence-Based Medicine ; Humans ; Motivational Interviewing ; Nicotine ; Recurrence ; Recycling ; Smoke* ; Smoking Cessation* ; Smoking* ; Tobacco

PURPOSE: In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory. METHODS: The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda. RESULTS: The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group. CONCLUSION: The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.
Adolescent ; Cotinine/urine ; Female ; Humans ; Male ; *Motivational Interviewing ; *Personal Autonomy ; *Program Evaluation ; Psychology, Adolescent ; *Smoking Cessation

PURPOSE: The aim of this study was to describe the core components of interventions for prevention of alcoholism in adults and to present basic information for developing intervention programs for problem drinkers. METHODS: The key words, ‘alcoholism’ and ‘prevention’ were used to search peer-reviewed evidence through ten electronic databases. Six electronic databases in English and four in the Korean language were searched to identify studies done between January 2005 and December 2015. RESULTS: Examination of the fifteen articles revealed six kinds of interventions for prevention of alcoholism: Screening, Brief intervention, and Referral to Treatment (SBIRT); Brief Negotiate Interview (BNI); Motivational Enhancement Therapy (MET); Screening Interventions Program for Sensible Drinking (SIPS); Stepped Care (SC) and Alcohol Reduction Program. Interventions were mainly focused on assessment of drinking behavior, investigation of alcohol-related problems, building a motivation for change, exploring the expectancies of drinking alcohol, strengthening change of behavior and continuous monitoring using motivational interviewing, empathetic feedback and coaching strategy. CONCLUSION: Findings show that the core components of interventions for prevention of alcoholism in adults are client-tailored approaches, formation of motivation to change, and continuous monitoring of behavior change. Motivational intervention is necessary to develop practical strategies to promote motivation to change for problem drinkers.
Adult* ; Alcoholism* ; Drinking ; Drinking Behavior ; Humans ; Mass Screening ; Motivation ; Motivational Interviewing ; Primary Prevention ; Referral and Consultation

PURPOSE: The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting. METHODS: Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes. RESULTS: The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring. CONCLUSION: Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.
Counseling ; Focus Groups ; House Calls* ; Motivational Interviewing ; Nurses, Community Health ; Telephone*

OBJECTIVETo investigate the effect of motivational interviewing combined with peer participation on obesity management in adolescents.

METHODSA total of 100 adolescents with simple obesity were randomly divided into traditional management and peer participation groups (n=50 each). The traditional management group received traditional health management. The peer participation group received motivational interviewing performed by psychological consultants combined with peer participation through the entire process in addition to traditional health management. The physical exercise, dietary behavior, differences in body composition parameters, and effect of comprehensive intervention were compared between the two groups after intervention for half a year.

RESULTSAfter the health management for six months, the peer participation group showed better improvements in the control of energy intake, adjustment of dietary structure, adherence to moderate/high intensity exercise, and increase in lean body mass compared with the traditional management group (P<0.05). The peer participation group had a significantly higher attendance rate for guidance and counseling performed by a multidisciplinary team once a week than the traditional management group (89% vs 57%; P<0.05), as well as a significantly higher response rate to health management than the traditional management group (83% vs 43%; P<0.05).

CONCLUSIONSMotivational interviewing combined with peer participation for obesity management can improve the compliance and the effect of comprehensive intervention in losing weight in adolescents.

Adolescent ; Body Composition ; Energy Intake ; Exercise ; Female ; Humans ; Male ; Motivational Interviewing ; Obesity ; therapy ; Patient Participation

PURPOSE: This study aims to verify the effects of the Group Motivational Interviewing Compliance Therapy on drug attitude, medicine application self-efficacy and medicine application in psychiatric patients. METHODS: This was a quasi-experimental study with a non-equivalent control group pre-posttest design. Participants were 43 patients (22 in experimental group and 21 in control group) who were registered at neuro-psychiatric day care center in one university hospital, S city. The experimental group received the Group Motivational Interviewing Compliance Therapy for 6 sessions over 6 weeks. Data were collected between November, 2014 and September, 2016. Comparison of the pre-post results was performed by paired t-test and between-group effect was analyzed by ANCOVA with the SPSS/WIN 23.0 program. RESULTS: The experimental group had a significant increase in drug attitude compared to the control group. However, there was no significant difference in medicine application self-efficacy and medicine application between the two groups. CONCLUSION: The Group Motivational Interviewing Compliance Therapy is suggested as a promising program that helps psychiatric patients improve drug attitude. Further studies are needed to confirm the effects of the Group Motivational Interviewing Compliance Therapy.
Compliance* ; Day Care, Medical ; Humans ; Medication Adherence ; Motivational Interviewing* ; Non-Randomized Controlled Trials as Topic