Lamoureux Nicholas R, Phillips L Alison, DeShaw Kathryn J, Radske-Suchan Trina, Welk Gregory J
Kinesiology and Sport Sciences, University of Nebraska at Kearney, Kearney, NE 68849, USA.
Department of Psychology, Iowa State University, Ames, IA 50021, USA.
PEC Innov. 2024 Sep 14;5:100344. doi: 10.1016/j.pecinn.2024.100344. eCollection 2024 Dec 15.
Older adults face unique barriers and challenges related to physical activity (PA) participation. Motivational interviewing (MI) is a commonly used health coaching strategy to support behavior change that holds potential for older adults. Previous research on MI strategies has focused primarily on face-to-face delivery, limiting insights regarding virtual programs.
The purpose of this study was to determine if MI could be delivered telephonically with high fidelity and high acceptability in older adult participants. The study is designed to inform future trials evaluating its effectiveness in supporting virtual PA programs.
This study evaluated the feasibility and acceptability of telephonic MI among older adults that enrolled in an online version of the Walk with Ease program.
Of 39 participants referred, 29 enrolled and 27 provided feedback. Participants were highly accepting and adherent, with 74 % of patients attending at least five of six sessions, and 96 % of participants indicating satisfaction with the MI provided. Coaches improved program enjoyment by helping set effective goals and providing ongoing accountability.
Evaluations documented adequate fidelity and high acceptability of telephonic delivery, and motivation results revealed large, significant increases in autonomous regulation (quality of motivation).
Telephonic MI using non-healthcare professional coaches is feasibly delivered with high fidelity, and is acceptable to older adult participants. The innovative delivery format offers novel opportunities supporting virtual and telehealth interventions to reduce chronic disease risk among older adults.
老年人在参与体育活动（PA）方面面临独特的障碍和挑战。动机性访谈（MI）是一种常用的健康指导策略，有助于行为改变，对老年人具有潜在价值。以往关于MI策略的研究主要集中在面对面实施，限制了对虚拟项目的深入了解。
本研究旨在确定MI是否能以高保真度和高可接受性通过电话方式应用于老年参与者。该研究旨在为未来评估其在支持虚拟PA项目有效性的试验提供信息。
本研究评估了参与在线版“轻松步行”项目的老年人中电话MI的可行性和可接受性。
在转介的39名参与者中，29名登记参加，27名提供了反馈。参与者高度接受且依从性高，74%的患者参加了六次课程中的至少五次，96%的参与者对所提供的MI表示满意。教练通过帮助设定有效目标和持续提供责任监督来提高项目的趣味性。
评估记录了电话实施的足够保真度和高可接受性，动机结果显示自主调节（动机质量）有大幅显著提高。
使用非医疗专业教练通过电话实施MI具有高保真度且可行，老年参与者也可接受。这种创新的实施形式为支持虚拟和远程医疗干预以降低老年人慢性病风险提供了新机会。
