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Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized

Marina Arkkukangas1,2, Staffan Hultgren3

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Motivational interviewing supports physiotherapists in fall prevention programs for older adults. Implementing this technique requires ongoing training and support for both therapists and patients to ensure effectiveness.

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Area of Science:

  • Gerontology
  • Public Health
  • Physical Therapy

Background:

  • The global elderly population is growing, increasing the need for health promotion and fall prevention strategies.
  • Physiotherapists require enhanced skills in behavior change strategies for effective fall prevention in older adults.

Purpose of the Study:

  • To describe the implementation of motivational interviewing within a fall prevention exercise program for the elderly.
  • To identify key factors for successful integration of motivational interviewing in geriatric fall prevention.

Main Methods:

  • Utilized data from a three-armed randomized controlled trial involving 58 participants in an exercise group.
  • Described the implementation process of motivational interviewing as a support strategy.

Main Results:

  • Recommended actions include assessing motivation and self-efficacy in both physiotherapists and participants.
  • Emphasized the importance of a treatment guide, regular meetings, follow-ups, and ongoing skill updates for treatment fidelity.

Conclusions:

  • Motivational interviewing can be a valuable tool for physiotherapists in fall prevention programs.
  • Ensuring treatment fidelity requires continuous support and training for healthcare providers and engagement strategies for older adults.