Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Canada.
Faculty of Health Sciences, Western University, London, Canada.
Patient Educ Couns. 2019 Nov;102(11):2073-2080. doi: 10.1016/j.pec.2019.06.002. Epub 2019 Jun 8.
This study explored the feasibility and acceptability of using Motivational Interviewing (MI) in the home setting with families of preschoolers.
Using mixed-methods pilot data from an MI-based obesity prevention intervention delivered via home visits by health educators (HEs) with 44 families (n = 17 four home visit group; n = 14 two home visit group), we examined: 1) fidelity of MI adherence by HEs; 2) parents' perceptions of the intervention; and 3) HEs insights pertaining to the intervention's delivery.
Multiple measures of MI fidelity were deemed to exceed defined proficiency levels. Ninety-three percent of families reported being "satisfied" to "very satisfied" with the intervention. HEs reported building a high level of trust with families and gaining a thorough understanding of familial context. Parents appreciated how HEs' were knowledgeable and provided personalized attention when discussing health goals. Some parents suggested more directive advice and follow-up visits as ways to improve the intervention.
Home-based MI was conducted with a high level of fidelity, was well accepted by families and practitioners.
Our findings from parents and MI practitioners provide key learnings that can inform future behavior change interventions that propose to use MI within the home setting.
本研究探讨了在家庭环境中使用动机访谈（MI）对学龄前儿童家庭进行的可行性和可接受性。
利用通过健康教育者（HE）家访提供的基于 MI 的肥胖预防干预的混合方法试点数据，对 44 个家庭（n=17 个四家访组；n=14 个二家访组）进行了研究：1）HE 对 MI 依从性的忠实度；2）父母对干预的看法；3）HE 对干预实施的见解。
多项 MI 忠实度的衡量标准被认为超过了规定的熟练水平。93%的家庭报告对干预“满意”至“非常满意”。HE 报告与家庭建立了高度信任，并对家庭环境有了深入了解。家长们赞赏 HEs 在讨论健康目标时知识渊博并提供个性化关注。一些家长建议提供更直接的建议和随访访问，以改进干预措施。
家庭为基础的 MI 具有高度的忠实度，深受家庭和从业者的欢迎。
我们从家长和 MI 从业者那里获得的发现为未来在家庭环境中使用 MI 的行为改变干预措施提供了关键的学习经验。
