物理治疗师提供的动机面试和与健康相关的行为改变:系统性审查和元分析
Elizabeth Wintle1, Nicholas F Taylor2, Katherine Harding2
1Community Rehabilitation Program, Eastern Health, Melbourne, Victoria, Australia; La Trobe University Academic and Research Collaborative in Health (ARCH), Melbourne, Australia.
Brazilian journal of physical therapy
|January 1, 2025
概括
物理治疗师提供的动机面试 (MI) 单独使用时可能会略有改善身体活动. 它的有效性在没有接受康复或动机较低的患者中最为明显.
科学领域:
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 动机面试 (MI) 被认为有助于促进健康行为变化和改善患者的结果.
- 物理治疗师提供的MI的具体影响仍在调查中.
研究的目的:
- 评估物理治疗师提供的MI对接受物理治疗或康复的成年人健康相关行为变化的有效性.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在2023年8月的CINAHL,Medline,PubMed,PEDro,Embase和Cochrane数据库中进行了搜索.
- 内部有效性使用PEDro尺度进行评估,并将GRADE方法应用于元分析.
主要成果:
- 分析了9个涉及909名参与者的RCT.
- 与最小干预相比,物理治疗师提供的MI显示了身体活动的潜在轻微增加 (SMD 0.21),尽管自我有效性和生活质量的证据不确定.
- 在与康复相结合时,肌痛性心脏病并没有对体力活动,生活质量或耐力产生额外的益处,对自我有效性的影响很小.
结论:
- 物理治疗师提供的心脏病发作可能对身体活动有很小的益处,特别是当它不是更广泛的康复计划的一部分时.
- 对没有接受康复治疗的患者或动机和自我效能有限的患者来说,MI似乎是最有利的.
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