激励面试作为提高长期COVID电话康复干预的动机和坚持的工具:来自随机临床试验的二次数据分析
Sandra León-Herrera1,2, Bárbara Oliván-Blázquez1,2, Mario Samper-Pardo3
1Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.
Psychology research and behavior management
|January 18, 2024
概括
动机面试可以提高使用移动应用程序的长期COVID患者对电话康复的坚持. 干预后更高的动机预测了更好的治疗参与度,这表明它对长期COVID恢复的有效性.
科学领域:
- 康复医学 康复医学 康复医学
- 行为心理学 行为心理学
- 数字健康数字健康
背景情况:
- 激励面试 (MI),最初用于滥用障碍,现在是一个多功能治疗工具.
- 长期COVID (2019年新冠病毒病后持续症状) 缺乏关于MI应用的研究.
- 这项研究解决了了解MI在长期COVID管理中的作用的差距.
研究的目的:
- 通过移动应用程序评估MI在长期COVID患者的远程康复遵守方面的有效性.
- 确定影响MI干预前后动机的因素.
- 探索动机,情感状态和坚持之间的关系.
主要方法:
- 在远程康复RCT中对52名成年长期COVID患者进行了长度子研究.
- 干预组接受了三次MI课程,以提高对移动应用程序程序的坚持.
- 收集的数据:动机,坚持,社会人口统计,临床数据,个人构造,情感状态;使用SPSS进行分析.
主要成果:
- 中位动机为MI前的8 (IQR2) 和MI后的8.5 (IQR2.75),中位变化为0.5 (IQR1).
- 较高的最终动机分数和积极的情感状态预测了对远程康复的更强的坚持.
- 肌痛性心脏病似乎对患者的动机和参与有积极的影响.
结论:
- 在MI后增加的动机与长期COVID中更高的远程康复坚持相关.
- MI显示出作为一个有效的干预措施来管理长期COVID症状的承诺.
- 进一步的研究可以探索优化MI协议的长COVID远程康复.
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