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针对老年人身体活动的虚拟动机性访谈:一项非随机混合方法可行性研究。

Virtual motivational interviewing for physical activity among older adults: A non-randomised, mixed-methods feasibility study.

作者信息

Akinrolie Olayinka, Ripat Jacquie, Strachan Shaelyn, Webber Sandra C, McNabb Allister, Peters Jennifer, Kullman Sasha, Barclay Ruth

机构信息

Applied Health Sciences Program, Faculty of Graduate Studies, University of Manitoba, Winnipeg, Canada.

Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.

出版信息

Int J Psychol. 2025 Feb;60(1):e13269. doi: 10.1002/ijop.13269. Epub 2024 Nov 18.

Abstract

The objective of this study was to evaluate the feasibility of Virtual Motivational Interviewing (VIMINT) for improving physical activity among community-dwelling older adults. A feasibility study using a mixed-method single-group pre- and post-design. Each participant received five sessions of motivational interviewing (MI) through the Zoom platform. Feasibility and acceptability were assessed through recruitment, attrition and retention rates; adherence; satisfaction; counsellors' competency; and interviews with participants and counsellors. Other outcomes including physical activity were assessed at baseline, post- and 2-month follow-up. Eight participants were recruited; the mean age was 68.9 ± 3.9 years. The retention rate was 88%, 92.5% of the sessions were attended, and the participants' satisfaction score was 24.14 ± 7.3/32. The counsellors were rated as "good" and "fair" in relational and technical components, respectively. The categories derived from qualitative analysis were session composition, acceptability of outcome measures, positive impact of the VIMINT study and suggestions to improve future studies. The findings showed that VIMINT intervention should be feasible and acceptable for older adults. Evidence from this study provides relevant information that will guide the planning of future studies investigating the effectiveness of virtual MI on physical activity among community-dwelling older adults.

摘要

本研究的目的是评估虚拟动机性访谈(VIMINT)对提高社区居住老年人身体活动水平的可行性。采用混合方法单组前后设计进行可行性研究。每位参与者通过Zoom平台接受五节动机性访谈(MI)课程。通过招募率、损耗率和保留率、依从性、满意度、咨询师能力以及对参与者和咨询师的访谈来评估可行性和可接受性。在基线、课程结束后和2个月随访时评估包括身体活动在内的其他结果。招募了8名参与者;平均年龄为68.9±3.9岁。保留率为88%,课程参与率为92.5%,参与者的满意度评分为24.14±7.3/32。咨询师在关系和技术方面的评分分别为“良好”和“中等”。定性分析得出的类别包括课程组成、结果测量的可接受性、VIMINT研究的积极影响以及对改进未来研究的建议。研究结果表明,VIMINT干预对老年人来说应该是可行且可接受的。本研究的证据提供了相关信息,将指导未来研究的规划,这些研究旨在调查虚拟MI对社区居住老年人身体活动的有效性。

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