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Motivational interviewing for fall prevention: Older adults' experience
Hiroko Kiyoshi-Teo1, Shannon Sweeney2, Bryanna De Lima3
1School of Nursing, Oregon Health & Science University, Portland, Oregon, USA.
Geriatric Nursing (New York, N.Y.)
|October 1, 2025
Summary
Motivational interviewing (MI) enhances older adults' engagement in fall prevention by increasing awareness. While participants had positive experiences, the link between awareness and concerns about falling requires further investigation.
Area of Science:
- Gerontology
- Behavioral Science
- Public Health
Background:
- Fall prevention is crucial for older adults.
- Motivational interviewing (MI) is a potential strategy to improve engagement in fall prevention behaviors.
- Understanding older adults' experiences with MI for fall prevention is important.
Purpose of the Study:
- To examine how motivational interviewing (MI) influences older adults' engagement in fall prevention.
- To explore older adults' experiences with MI for fall prevention.
- To compare qualitative findings with quantitative changes in concerns about falling.
Main Methods:
- Semi-structured qualitative interviews were conducted with ten older adults (age ≥65) at increased risk for falling.
- Participants had received MI for fall prevention.
- Thematic analysis was used for qualitative data, compared with quantitative measures of fall concerns.
Main Results:
- All participants reported a positive study experience.
- MI increased participants' awareness of fall prevention strategies.
- Awareness influenced older adults' engagement in fall prevention behaviors.
- No clear alignment was found between quantitative and qualitative reports on concerns about falling.
Conclusions:
- Motivational interviewing positively impacts older adults' experience and engagement in fall prevention.
- Further research is needed to explore the relationship between awareness and concerns regarding fall prevention.
- MI shows promise for enhancing fall prevention engagement in older populations.
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