Motivational Interviewing and Physical Activity Behavior Change in Arthritis

关节炎的动机访谈和体育活动行为变化

• 批准号: 8286085
• 负责人: Linda S. Ehrlich-Jones
• 金额: $ 11.51万
• 依托单位: REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-22 至 2013-10-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8286085
• 关键词: ARHGEF5 gene; Academy; Affective; American; Appointment; Area; Arthritis; Behavior; Behavioral; Caring; Centers for Disease Control and Prevention (U.S.); Chicago; Chronic Disease; Client; Clinical; Clinical Research; Clinical Trials; Cognitive; Competence; Counseling; Data; Development; Discipline of Nursing; Disease; Educational workshop; Enrollment; Environment; Exercise; Faculty; Fright; Funding; Future; Goals; Grant; Health; Health Professional; Health Promotion; Health behavior; Hospitals; Individual; Institutes; Intervention; Interview; Joints; Knee Osteoarthritis; Knowledge; Life Style; Manuscripts; Measurement; Measures; Mediating; Mentored Patient-Oriented Research Career Development Award; Mentors; Modeling; Motivation; National Center for Research Resources; National Institute of Arthritis and Musculoskeletal and Skin Diseases; Office Visits; Outcome; Outcomes Research; Pain; Patients; Perception; Performance; Persons; Physical Medicine; Physical activity; Pilot Projects; Population; Probability; Process; Provider; Publications; Questionnaires; Randomized; Rehabilitation Nursing; Rehabilitation Outcome; Rehabilitation therapy; Reporting; Research; Research Project Grants; Research Support; Resources; Rheumatoid Arthritis; Rheumatology; Son; Sports Medicine; Statistical Models; United States; Universities; Validity and Reliability; Visit; Work; Writing; base; behavior change; career; career development; cost; design; disability; disorder prevention; experience; improved; improved functioning; indexing; instrument; meetings; member; motivational enhancement therapy; multidisciplinary; prevent; programs; public health relevance; response; responsible research conduct; skills; theories

DESCRIPTION (provided by applicant): I have been intrigued with the adaptability of people with arthritis, and how their motivation to strive for independence influences their ability to manage their disease. In 2005, Dr. Rowland Chang sought me out to participate in the intervention team for his R01 funded Improving Motivation for Physical Activity in People with Arthritis Clinical Trial (IMPAACT). My work on the IMPAACT intervention focusing on motivational interviewing has provided background as to the potential benefit of this type of counseling style in helping clients change their behavior. The IMPAACT intervention focuses on increasing lifestyle physical activity in persons with rheumatoid arthritis (RA) and knee osteoarthritis (OA). My career goal is to become an academically successful faculty member in the Department of Physical Medicine and Rehabilitation with an adjunct appointment in nursing with research support for studies of health promotion interventions that incorporate motivational interviewing for persons with chronic illness or disability. The objectives of this K23 award application are 1) to increase my theoretical knowledge in behavior change, 2) to increase my methodological skills in clinical research, 3) to increase my skills and experience in manuscript and grant writing and the responsible conduct of research, and 4) to establish my reputation in the fields of medical rehabilitation and nursing pertaining to health promotion practices. These goals will be achieved through coursework, attendance at workshops and seminars, presentations at regional and national meetings, publications and grant writing. My K23 research project aims to develop and validate an instrument that measures the client's assessment of the strength of the motivational interviewing processes performed by a health professional. Using this instrument, a pilot study of 30 persons with RA and 30 persons with knee OA will be performed to determine if the client's assessment of the strength of the motivational interviewing processes is associated with positive physical activity behavior change. In addition, we will explore if the effect of motivational interviewing processes on increased physical activity is mediated by changes in client motivation, affective response, and cognitive appraisal as hypothesized by Cox's Interaction Model of Client Health Behavior. I have a strong mentoring team and a supportive environment. The Rehabilitation Institute of Chicago (RIC) is a specialized, freestanding, not-for-profit hospital dedicated to the care and treatment of individuals with a variety of disabling conditions, including arthritis. The Center for Rehabilitation Outcomes Research at RIC focuses on research that documents patient outcomes and cost of care, identifies areas of ineffectiveness and inefficiency in the rehabilitation care process which have an impact on patient outcome. Finally, the NIAMS P60-funded Multidisciplinary Clinical Research Center in Rheumatology and the NCRR UL1-funded CTSA provide Northwestern University resources and support for my career development. PUBLIC HEALTH RELEVANCE: Relevance Motivational interviewing is a counseling style designed to help people change their behavior. This research will help health professionals understand how people with arthritis view the motivational interviewing process and how it helps them improve their physical activity behavior.

描述（由申请人提供）：我对关节炎患者的适应能力以及他们争取独立的动机如何影响他们控制疾病的能力很感兴趣。 2005 年，Rowland Chang 博士邀请我加入他的 R01 资助的改善关节炎患者体力活动动机临床试验 (IMPAACT) 的干预小组。我在以动机性访谈为重点的 IMPAACT 干预方面的工作为这种咨询方式在帮助客户改变行为方面的潜在好处提供了背景。 IMPAACT 干预措施的重点是增加类风湿关节炎 (RA) 和膝骨关节炎 (OA) 患者的生活方式体育活动。 我的职业目标是成为物理医学和康复系一名学术上成功的教员，并担任护理兼职，为健康促进干预措施的研究提供研究支持，其中包括对慢性病或残疾人进行动机访谈。 本次 K23 奖项申请的目的是 1) 增加我在行为改变方面的理论知识，2) 增加我在临床研究中的方法论技能，3) 增加我在手稿和拨款写作以及负责任的研究行为方面的技能和经验，以及 4) 建立我在与健康促进实践相关的医疗康复和护理领域的声誉。这些目标将通过课程作业、参加讲习班和研讨会、在区域和国家会议上的演讲、出版物和赠款写作来实现。 我的 K23 研究项目旨在开发和验证一种工具，用于衡量客户对健康专业人员进行的动机访谈过程强度的评估。使用该工具，将对 30 名 RA 患者和 30 名膝关节 OA 患者进行试点研究，以确定客户对动机访谈过程强度的评估是否与积极的身体活动行为改变相关。此外，我们将探讨动机性访谈过程对增加体力活动的影响是否是通过客户动机、情感反应和认知评估的变化来调节的，正如考克斯客户健康行为交互模型所假设的那样。 我有一个强大的指导团队和一个支持性的环境。芝加哥康复研究所 (RIC) 是一家专业、独立、非营利性医院，致力于护理和治疗患有各种残疾疾病（包括关节炎）的患者。 RIC 康复结果研究中心专注于记录患者结果和护理成本的研究，确定康复护理过程中影响患者结果的无效和低效率领域。最后，NIAMS P60 资助的风湿病多学科临床研究中心和 NCRR UL1 资助的 CTSA 为我的职业发展提供了西北大学的资源和支持。 公共卫生相关性：相关性 动机访谈是一种旨在帮助人们改变行为的咨询方式。这项研究将帮助健康专业人士了解关节炎患者如何看待动机性访谈过程以及它如何帮助他们改善身体活动行为。