J Korean Acad Nurs.  2017 Jun;47(3):406-419. 10.4040/jkan.2017.47.3.406.

Development and Evaluation of a Motivational Interviewing Program for Exercise Improvement in Persons with Physical Disabilities

• Jeong JH
• Jeong IS

• KMID: 2426469
• DOI: http://doi.org/10.4040/jkan.2017.47.3.406

Abstract

PURPOSE
The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention.
METHODS
The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the χ²-test, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18.
RESULTS
The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (χ²=26.61, p<.001).
CONCLUSION
The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

Keyword

Disabled persons; Motivational interviewing; Exercise

MeSH Terms

Adult
Aged
Disabled Persons/*psychology
*Exercise
Female
Humans
Male
Middle Aged
Motivational Interviewing/*methods
*Program Development
*Program Evaluation
Self Efficacy

Reference

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