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动机性访谈对青少年同伴欺凌和网络欺凌的影响:一项随机对照试验。

The effect of motivational interviewing on peer bullying and cyberbullying in adolescents: A randomized controlled trial.

机构信息

Semra-Vefa Kucuk Faculty of Health Sciences, Nevşehir Hacı Bektas Veli University, Nevşehir, Turkey.

Gazi University Faculty of Nursing, Ankara, Turkey.

出版信息

J Nurs Scholarsh. 2024 May;56(3):382-391. doi: 10.1111/jnu.12959. Epub 2024 Jan 25.

Abstract

PURPOSE

The study was carried out to investigate the effect of motivational interviewing on peer bullying and cyberbullying among adolescents.

DESIGN

A parallel-group randomized controlled trial.

METHODS

The study population consisted of ninth-grade (aged 14 years) high school students (n = 200). The study was completed with 48 participants (intervention: 24; control: 24). The data were collected using the Participant Information Form, the Stages of Change Questionnaire, the Peer Bullying Scale, and the Cyberbullying Scale. The intervention group received a preparatory session and five weekly motivational interviewing sessions. Instruments were administered to both groups before the intervention, at the end of the last motivational interviewing session (post-test), and at 3rd- and 6th-month follow-ups. The data were analyzed using chi-square test, independent sample t-test, and two-way mixed-design ANOVA with Bonferroni's test.

RESULTS

In the pre-test, no statistically significant difference was observed between the intervention and control groups regarding mean scores for peer bullying and cyberbullying (p > 0.05). Following the motivational interviewing sessions, adolescents in the intervention group had a significantly lower mean score for peer bullying and cyberbullying than the control group at the post-test and follow-up tests (p < 0.001).

CONCLUSION

The present study concluded that motivational interviewing effectively reduced peer bullying and cyberbullying behaviors among adolescents.

CLINICAL RELEVANCE

Nurses would implement motivational interviewing to prevent bullying behaviors in schools.

摘要

目的

本研究旨在探讨动机性访谈对青少年同伴欺凌和网络欺凌的影响。

设计

平行组随机对照试验。

方法

研究对象为九年级(14 岁)高中生(n=200)。最终有 48 名参与者完成了研究(干预组:24 名;对照组:24 名)。使用参与者信息表、改变阶段问卷、同伴欺凌量表和网络欺凌量表收集数据。干预组接受了一次预备课程和五次每周的动机性访谈课程。在干预前、最后一次动机性访谈结束时(后测)以及第 3 个月和第 6 个月随访时,对两组进行了测试。使用卡方检验、独立样本 t 检验和双向混合设计方差分析以及 Bonferroni 检验对数据进行分析。

结果

在预测试中,干预组和对照组在同伴欺凌和网络欺凌的平均得分上没有统计学上的显著差异(p>0.05)。在动机性访谈课程之后,干预组青少年在同伴欺凌和网络欺凌方面的平均得分在后测和随访测试中明显低于对照组(p<0.001)。

结论

本研究表明,动机性访谈能有效减少青少年的同伴欺凌和网络欺凌行为。

临床相关性

护士可以在学校实施动机性访谈来预防欺凌行为。

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