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Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised
Mimi M Y Tse1, Sinfia K S Vong, Shuk Kwan Tang
1School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong. hsmtse@inet.polyu.edu.hk
Journal of Clinical Nursing
|January 3, 2013
Summary
This study found that an integrated motivational interviewing and physical exercise program significantly improved pain, mobility, and psychological well-being in older adults with chronic pain. The intervention enhanced self-efficacy and exercise compliance.
Area of Science:
- Gerontology
- Pain Management
- Behavioral Medicine
Background:
- Chronic pain is a prevalent issue in older adults, often associated with poor pain management motivation and negative health consequences.
- Motivational interviewing (MI) shows promise as an effective therapeutic approach for chronic pain management.
Purpose of the Study:
- To evaluate the efficacy of a combined motivational interviewing and physical exercise program for community-dwelling older adults experiencing chronic pain.
- To assess the program's impact on pain intensity, physical and psychological function, quality of life, self-efficacy, and exercise adherence.
Main Methods:
- A single-blinded randomized controlled trial involving 56 older adults with chronic pain.
- Participants received either an 8-week integrated motivational interviewing and physical exercise program or regular center activities.
- Outcomes including pain intensity, self-efficacy, anxiety, depression, mobility, and quality of life were measured pre- and post-intervention.
Main Results:
- The experimental group demonstrated significant improvements in pain intensity, pain self-efficacy, anxiety, happiness, and mobility (p < 0.05).
- The control group showed no significant improvements, except for happiness.
- Statistically significant differences favoring the experimental group were observed in changes in pain intensity, state anxiety, and depression.
Conclusions:
- The integrated motivational interviewing and physical exercise program effectively enhances pain management, physical mobility, psychological well-being, and self-efficacy in older adults with chronic pain.
- Motivational interviewing is a adaptable counseling strategy that can modify behaviors, address ambivalence, and boost self-efficacy for behavior change.
- Implementing this combined program for older adults with pain is both effective and clinically significant.