Theory and Practice in Medicine, 2016, 22 tomas No. 5
THE EFFICACY OF MOTIVATIONAL INTERVIEWING IN PROMOTING HEALTH BEHAVIOR CHANGES AND ENHANCING SELF-EFFICACY AMONG MUSCULOSKELETAL PATIENTS DURING REHABILITATION
Laura Alčiauskaitė, Liuda Šinkariova, Loreta Zajančkauskaitė-Staskevičienė, Jurga Misiūnienė, Raimonda Petrolienė
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Key words: motivational interviewing, health behavior, self-efficacy.
Healthy lifestyle may improve the symptoms and recovering process for patients with musculoskeletal diseases. Despite this, patients are tend not to practice health promoting behavior. Previous studies show that using motivational interviewing might be effective in enhancing self-efficacy and promoting health behavior changes.
The objective of the study is to evaluate the effcacy of motivational interviewing in promoting health behavior changes and enhancing self-efficacy among muskuloskeletal patients.Materials and methods. The method of the study was quasi-experiment. This study included 126 muskuloskeletal patients (37 men and 89 women) in Abromiskes rehabilitation hospital, on the arthrology and trauma unit. The treatment group consisted of 66 patients and the control group consisted of 60 patients. Their age ranges from 21 till 75 (the mean of age was 57,69 ± 10,52). One to four motivational interviewing sessions have been applied to treatment group patients and their health behavior and self-efficacy changes were compared with control group patients.
Health behavior changes (use of alcohol, smoking, physical activity and diet) were evaluated using Readiness to Change Questionnaire (1992) which is based on Transtheorical model and represents three stages of change, including pre-contemplation, contemplation and action stages. Health self-efficacy was measured using health self-efficacy scale. The questionnaires
were filled in by both treatment and control group at baseline and post-treatment.
Results. The results revealed that patients from treatment group had made positive movements through the stages of changes for smoking and physical activity behavior after motivational interviewing sessions. Patients from control group also had made significant progression through the stages of changes for physical activity. Health self-efficacy has also increased for treatment group patients after motivational interviewing sessions, while control group did not show any significant change.
Conclusions. Motivational interviewing seems to be effective in changing their smoking and physical activity behavior and enhanching health self-efficacy for patients with muskuloskeletal disorders.
September 12, 2016 Accepted:
November 28, 2016