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测试培训脊髓损伤同伴学习并实施简短行动计划以促进脊髓损伤患者身体活动的可行性。

Testing the feasibility of training peers with a spinal cord injury to learn and implement brief action planning to promote physical activity to people with spinal cord injury.

作者信息

Gainforth Heather L, Latimer-Cheung Amy E, Davis Connie, Casemore Sheila, Martin Ginis Kathleen A

出版信息

J Spinal Cord Med. 2015 Jul;38(4):515-25. doi: 10.1179/2045772314Y.0000000239. Epub 2014 Nov 27.

Abstract

OBJECTIVE

The present study tested the feasibility of training peers with spinal cord injury (SCI) to learn brief action planning (BAP), an application of motivational interviewing principles, to promote physical activity to mentees with SCI.

METHOD

Thirteen peers with SCI attended a half-day BAP workshop. Using a one-arm, pre-, post-test design, feasibility to learn BAP was assessed in terms of peers' (1) BAP and motivational interviewing spirit competence; (2) training satisfaction; and (3) motivations to use BAP as assessed by measures of the theory of planned behavior constructs. Measures were taken at baseline, immediately post-training, and 1 month follow up.

RESULTS

Following the training, participants' BAP and motivational interviewing competence significantly increased (P's < 0.05, d's > 2.27). Training satisfaction was very positive with all means falling above the scale midpoint. Participants' perceived behavioral control to use BAP increased from baseline to post (P < 0.05, d = 0.91) but was not maintained at follow up (P > 0.05).

CONCLUSION

Training peers with a SCI to learn to use BAP is feasible.

PRACTICAL IMPLICATIONS

BAP is a tool that can be feasibly learned by peers to promote physical activity to their mentees.

摘要

目的

本研究测试了训练脊髓损伤(SCI)同伴学习简短行动计划(BAP)的可行性,BAP是动机性访谈原则的一种应用,旨在促进向SCI学员推广体育活动。

方法

13名SCI同伴参加了为期半天的BAP工作坊。采用单臂、训练前和训练后测试设计,从同伴的(1)BAP和动机性访谈精神能力;(2)训练满意度;以及(3)通过计划行为理论结构测量评估的使用BAP的动机等方面评估学习BAP的可行性。在基线、训练后立即和1个月随访时进行测量。

结果

训练后,参与者的BAP和动机性访谈能力显著提高(P<0.05,d>2.27)。训练满意度非常积极,所有均值均高于量表中点。参与者使用BAP的感知行为控制从基线到训练后有所增加(P<0.05,d=0.91),但在随访时未保持(P>0.05)。

结论

训练SCI同伴学习使用BAP是可行的。

实际意义

BAP是一种同伴可以切实学习的工具,用于向学员推广体育活动。

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