Feasibility of Motivational Interviewing to Engage Older Inpatients in Fall Prevention A Pilot Randomized Controlled Trial
Feasibility of Motivational Interviewing to Engage Older Inpatients in Fall Prevention A Pilot Randomized Controlled Trial
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DOI：
10.3928/00989134-20190813-03
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发表时间：
2019-09-01
影响因子：
1.3
通讯作者：
Winters-Stone, Kerri
中科院分区：
文献类型：
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作者：
Kiyoshi-Teo, Hiroko;Northup-Snyder, Kathlynn;Winters-Stone, Kerri
在当前的3个月、两组、非盲、单中心、先导性随机对照试验中，联系了120名高跌倒风险住院老年人（年龄>= 65岁），并招募了67名参与者。干预组接受简短的动机访谈（MI）干预。两组均接受常规的医院跌倒预防方案。在基线、2天、1周、1个月和3个月时进行测量。MI干预大约需要21分钟，并在开始熟练程度时提供。大约66%的参与者完成了3个月的数据收集。干预组报告称，干预后跌倒的恐惧比对照组减少得更多（β = -0.856 vs. β = -0.236），并在3个月时保持跌倒预防行为（beta= 0.001 vs. beta= -0.083）目前的研究发现，在急性环境中预防跌倒的短暂MI是可行的，并为MI的积极影响提供了初步证据。
In the current 3-month, two arm, unblinded, single site, pilot randomized controlled trial, 120 high fall risk hospitalized older adults (age >= 65) were contacted, and 67 participants were enrolled. The intervention arm received a brief motivational interviewing (MI) intervention. Both arms received routine hospital fall prevention protocols. Measurements were conducted at baseline, 2 days, 1 week, 1 month, and 3 months. MI intervention took approximately 21 minutes and was provided at beginning proficiency level. Approximately 66% of participants completed 3-month data collection. The intervention group reported a greater decrease in fear of falling after the intervention than the control arm (beta= -0.856 vs. beta = -0.236) and maintained fall prevention behaviors at 3 months (beta= 0.001 vs. beta= -0.083) (p < 0.05).The current study found brief MI for fall prevention in acute settings feasible and provided preliminary evidence for a positive impact of MI.