Robbins Lorraine B, Pfeiffer Karin A, Maier Kimberly S, Ladrig Stacey M, Berg-Smith Steven Malcolm
Michigan State University College of Nursing, East Lansing, MI 48824, USA.
J Sch Nurs. 2012 Feb;28(1):70-8. doi: 10.1177/1059840511424507. Epub 2011 Oct 4.
Motivational interviewing, which involves the use of person-centered, directive counseling techniques, shows promise for changing adolescent behaviors. The purpose of this article was to describe the methodology and findings related to the treatment fidelity of three face-to-face motivational interviewing sessions involving middle school girls and a school nurse to help the girls increase their moderate-to-vigorous physical activity. The following four areas related to treatment fidelity were addressed: (a) study design, (b) training of interventionists, (c) intervention delivery, and (d) intervention receipt. Findings showed that 34 of 37 (91.9%) girls completed all three sessions. An initial motivational interviewing training workshop followed by evaluation of audiotaped sessions with constructive feedback can result in successful and consistent delivery by a school nurse.
动机性访谈涉及运用以患者为中心的指导性咨询技巧，在改变青少年行为方面显示出前景。本文的目的是描述与三次面对面动机性访谈治疗保真度相关的方法和结果，这些访谈涉及初中女生和一名学校护士，以帮助女生增加中度至剧烈身体活动。探讨了与治疗保真度相关的以下四个方面：(a) 研究设计，(b) 干预人员培训，(c) 干预实施，以及 (d) 干预接受情况。结果显示，37名女生中有34名（91.9%）完成了所有三次访谈。由一次初始的动机性访谈培训工作坊，随后对录音访谈进行带有建设性反馈的评估，可使学校护士成功且一致地实施干预。
