Evcimen Hasan, Bilgin Sonay
Vocational of Health Services, Mus Alparslan University, Mus, Turkey.
Faculty of Nursing, Atatürk University, Erzurum, Turkey.
Public Health Nurs. 2025 Mar-Apr;42(2):930-939. doi: 10.1111/phn.13530. Epub 2025 Jan 2.
The aim of this study was to examine the effect of motivational interview-based training on nutrition exercise behavior, sedentary behavior duration, and anthropometric outcomes in adolescents.
This randomized controlled single-blind experimental study was conducted between January 2021 and March 2023. The research sample consisted of 76 adolescents with obesity (intervention: 38 and control: 38) determined by power analysis. The intervention group received a 6-session motivational interview-based training program. No intervention was applied to the control group. Data were collected using a personal information form, nutrition exercise behavior scale, adolescent sedentary activity questionnaire, and body mass ındex measurement form. Data collection tools were administered to both groups before the intervention, at the last session and at the 3rd month follow-up. In the analysis of the data, chi-square test, independent sample t-test and two-way mixed design ANOVA were used.
There was no statistically significant difference between the pretest nutrition exercise behavior scale, sedentary activity questionnaire, and body mass index z-scores of the intervention and control groups (p > 0.05). After the motivational interview-based education program, nutrition exercise behaviors improved (p: 0.00), sedentary behavior duration and BMI decreased (p: 0.00) in the intervention group. No significant difference was observed in the control group. Nutritional exercise behavior, duration of sedentary behavior and BMI values of the intervention group showed a significant difference compared to the control group (p: 0.00).
It was determined that motivational interviewing applied to adolescents with obesity created a positive change on nutritional exercise behavior, sedentary behavior durations, and anthropometric results. It is recommended that nurses should use motivational interviewing in the management of nutrition and exercise behaviors of adolescents with obesity.
Clinical Trials ID: NCT05268653.
本研究旨在探讨基于动机性访谈的培训对青少年营养运动行为、久坐行为时长和人体测量结果的影响。
本随机对照单盲实验研究于2021年1月至2023年3月进行。通过功效分析确定研究样本为76名肥胖青少年(干预组:38名;对照组:38名)。干预组接受了为期6节的基于动机性访谈的培训课程。对照组未进行干预。使用个人信息表、营养运动行为量表、青少年久坐活动问卷和体重指数测量表收集数据。在干预前、最后一节课和第3个月随访时,对两组进行数据收集工具的施测。在数据分析中,使用卡方检验、独立样本t检验和双向混合设计方差分析。
干预组和对照组在营养运动行为量表、久坐活动问卷和体重指数z评分的预测试中,差异无统计学意义(p>0.05)。在基于动机性访谈的教育计划实施后,干预组的营养运动行为得到改善(p:0.00),久坐行为时长和体重指数下降(p:0.00)。对照组未观察到显著差异。干预组的营养运动行为、久坐行为时长和体重指数值与对照组相比有显著差异(p:0.00)。
研究确定,对肥胖青少年应用动机性访谈对营养运动行为、久坐行为时长和人体测量结果产生了积极变化。建议护士在肥胖青少年的营养和运动行为管理中使用动机性访谈。
临床试验标识符:NCT05268653。