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预防跌倒的激励面试 (MI-FP) 试点研究:随机对照试验.

Hiroko Kiyoshi-Teo1, Elizabeth Eckstrom2, Deborah J Cohen3

  • 1School of Nursing, Oregon Health & Science University, Portland, Oregon, USA.

Journal of the American Geriatrics Society
|December 3, 2024
PubMed
概括

预防跌倒的动机面试 (MI-FP) 显示出有前途的趋势,但并没有显著减少老年人跌倒的情况. 未来的研究应该专注于提高参与者保留率和干预完成率,以获得更好的结果.

关键词:
改变行为 改变行为促进健康促进健康促进伤害预防伤害预防

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科学领域:

  • 老年学是一门学科.
  • 公共卫生 公共卫生
  • 行为科学 行为科学

背景情况:

  • 预防跌倒的动机面试 (MI-FP) 研究旨在增加老年人参与预防跌倒的策略.
  • 本试点研究报告了MI-FP干预的可行性,干预忠实性和初步影响.

研究的目的:

  • 评估降落预防 (MI-FP) 激励面试的可行性,干预忠实性和初步影响,针对高风险的老年人.
  • 评估与标准护理相比,预防跌倒行为,身体功能和跌倒率的变化.

主要方法:

  • 进行了一项试点随机对照试验,其中200名老年初级保健患者 (≥65岁) 患有高跌倒风险.
  • 干预组在6个月内接受了多达8次激励面试 (MI);对照组接受了标准护理.
  • 可行性通过保留 (≥75%) 和满意度 (≥75%) 来衡量;使用MITI 4.2编码方案评估忠实性.

主要成果:

  • 整体保留率为75.0%,其中82.8%的人报告满意度. 干预组的保留率低于对照组 (68.3%) (81.8%,p=0.04).
  • 提供了熟练的MI干预,但只有57.4%完成了≥6次.
  • 在6个月或12个月的任何结果措施中,没有发现群体之间的显著差异.

结论:

  • 虚拟MI-FP可能会提高老年人的可访问性,以讨论预防跌倒的策略.
  • 未来的研究是必要的,以提高MI-FP的参与者保留率和干预完成率.
  • 需要进一步的研究来优化MI-FP,以改善老年人群的跌倒预防结果.