Group motivational interviewing in schools: Development of a health promotion intervention

Group motivational interviewing in schools: Development of a health promotion intervention
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DOI:
10.1177/0017896915606938
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发表时间:
2016-08-01
影响因子:
1.3
通讯作者:
Murphy, Simon
Murphy, Simon
中科院分区:
医学4区
文献类型:
--
作者:
Hawkins, Jemma L.;Bravo, Paulina;Murphy, Simon

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目的:鉴于中学健康促进的缺点,小组动机访谈提供了一种潜在的替代方法。这两个阶段的研究,以建立一组动机访谈干预的关键组成部分,可行性和可接受性,专注于酒精consumption.Methods:在第1阶段,焦点小组与12名学生和8名教师探讨了威尔士现有的健康教育问题。第二阶段涉及一个1小时的小组动机访谈会议的发展,以解决提出的问题。该会议是提供给两个班的学生年龄在13- 15岁,由两个动机面试从业人员的促进。会议观察和录音和编码的两名研究人员使用评估动机面试团体观察员量表(AMIGOS)。学生接受的会议被捕获使用满意度questionnaire.Results:会议是一致的动机面试原则,提供同理心和重点讨论,同时最大限度地提高参与者的自主权和优势。大多数学生认为在会议期间听取,认为这是有帮助的,并认为他们可以学到更多的从这种experience.Conclusion:一组动机面试会议,开发过程中确定的重点小组的关键组成部分的基础上,被证明是可以接受的学生和可行的提供在中学。这一办法需要进一步研究,以建立可持续的交付机制。
Objective: In the light of the shortcomings of curriculum-based health promotion in secondary schools, group motivational interviewing provides a potential alternative approach. This two-phase study set out to establish the key components, feasibility and acceptability of a group motivational interviewing intervention, focused on alcohol consumption.Methods: In phase 1, focus groups with 12 students and 8 teachers explored issues with existing health education in Wales. Phase 2 involved the development of a 1-hour group motivational interviewing session to address the issues raised. The session was delivered to two classes of students aged 13-15years, facilitated by two motivational interviewing practitioners. Sessions were observed and audio-recorded and coded by two researchers using the Assessment of Motivational Interviewing Groups Observer Scale (AMIGOS). Student acceptability of the session was captured using a satisfaction questionnaire.Results: Sessions were consistent with motivational interviewing principles, providing empathic and focused discussion while maximising participants' autonomy and strengths. The majority of students felt listened to during the session, considered it was helpful and felt that they could learn more from this kind of experience.Conclusion: A group motivational interviewing session, developed based on key components identified during focus groups, was shown to be acceptable to students and feasible to deliver in secondary schools. The approach requires further research to establish sustainable delivery mechanisms.