University of Würzburg, Institute of Psychotherapy and Medical Psychology, Würzburg, Germany.
Patient Educ Couns. 2011 Feb;82(2):186-92. doi: 10.1016/j.pec.2010.04.031.
Although patient education may promote motivation to change health behaviours, the most effective method has not yet been determined.
This prospective, controlled trial compared an interactive, patient-oriented group program with lectures providing only information. We evaluated motivational stages of change and self-reported behaviours in three domains (sports, diet, relaxation) at four times up to one year (60% complete data) among 753 German rehabilitation inpatients (mean age 50 years, 52% male) with orthopaedic (59%) or cardiologic disorders (10%) or diabetes mellitus (31%).
We found improvements between baseline and follow up regarding each outcome (p<.001) in both groups. At the end of rehabilitation, participants of the interactive group, as compared to the lectures, showed more advanced motivation regarding diet (p<.10) and sports (p=.006). Interactive group patients reported healthier diets both after 3 months (p=0.013) and 12 months (p=0.047), more relaxation behaviours (p=.029) after 3 months and higher motivation for sports after 12 months (p=.08).
The superior effectiveness of the interactive group was only partly confirmed.
This short, 5-session interactive program may not be superior to lectures to induce major sustainable changes in motivation.
尽管患者教育可能会促进改变健康行为的动机，但尚未确定最有效的方法。
本前瞻性、对照试验比较了互动式、以患者为导向的小组方案与仅提供信息的讲座。我们在一年的四个时间点（60%完成数据）评估了 753 名德国康复住院患者（平均年龄 50 岁，52%为男性）在三个领域（运动、饮食、放松）的动机变化阶段和自我报告的行为，这些患者患有骨科（59%）或心脏病（10%）或糖尿病（31%）。
我们发现两组在每个结局（p<.001）方面都有从基线到随访的改善。在康复结束时，与讲座组相比，互动组的参与者在饮食（p<.10）和运动（p=.006）方面的动机更为先进。互动组患者在 3 个月（p=0.013）和 12 个月（p=0.047）后报告的饮食更健康，3 个月后报告的放松行为更多（p=.029），12 个月后报告的运动动机更高（p=.08）。
互动组效果更好的结论仅得到部分证实。
这个简短的 5 节互动式方案可能不如讲座那样能有效促进主要的可持续动机变化。
