Brief alcohol and drug interventions and motivational interviewing for older adults.

2015 ◽  
pp. 163-180
Author(s):  
Derek D. Satre ◽  
Amy Leibowitz
Keyword(s):  
Older Adults ◽  
Motivational Interviewing ◽  
Drug Interventions

scholarly journals TEACHING MOTIVATIONAL INTERVIEWING OF OLDER ADULTS IN AN INTERPROFESSIONAL EDUCATION SETTING: A PILOT STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S872-S873
Author(s):  
Nina L Tamashunas ◽  
Elizabeth Smilovich-Fine
Keyword(s):  
Older Adults ◽  
Motivational Interviewing ◽  
Interprofessional Education ◽  
Statistical Significance ◽  
Pressure Control ◽  
Health Behavior Change ◽  
Student Diversity ◽  
Speech Pathology ◽  
Motivation For Change ◽  
Interactive Workshop

Abstract Motivational interviewing (MI), a person-centered method of strengthening personal motivation for change, improves health behaviors (i.e. blood pressure control) in older adults. However, literature lacks exploration of teaching MI in interprofessional and geriatric settings. We sought to pilot and assess the utility of an MI curriculum for an interprofessional group of second-year graduate students (medical, physician assistant, nursing, and speech pathology) working with older adults. The 5-week curriculum included a 2-hour interactive workshop, a geriatric standardized patient (SP), and small group meetings with a geriatric community member. We employed a pretest/posttest design to assess perceived importance and confidence using a 5-point Likert scale and knowledge acquisition using a modified version of the Motivational Interviewing Knowledge and Attitudes Test. Feedback from students on curricular design was obtained via a post-curriculum survey. Of the 17 students enrolled, 100% (17/17) completed the pretest and posttest and 94% (16/17) completed the post-curriculum survey. Previous MI training ranged from 0 to 12 hours. Students felt more confident in their MI skills (p<0.05) after the curriculum. Aggregate knowledge scores did not achieve statistical significance. Feedback indicated that students enjoyed practicing with SPs and processing feedback and would have preferred more student diversity and a more advanced curriculum. While limited by sample size, this pilot demonstrated that a brief geriatric-specific curriculum was well received and improved student confidence in MI skills. Larger studies should explore tailoring teaching methods of MI knowledge and skills in a diverse learner population working with older adults to promote health behavior change.

scholarly journals The MIPAM trial – motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults – a randomized controlled trial

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasmus Tolstrup Larsen ◽  
Christoffer Bruun Korfitsen ◽  
Camilla Keller ◽  
Jan Christensen ◽  
Henning Boje Andersen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Community Dwelling ◽  
Step Count ◽  
World Health ◽  
Controlled Study ◽  
Daily Step ◽  
Randomized Controlled ◽  
Daily Step Count

Abstract Background One in four older adults in Denmark and almost half of the very old above 75 do not meet the World Health Organization’s recommendations for a minimum of physical activity (PA). A cost-efficient and effective way to increase focus on and motivation for daily walking might be to use Physical Activity Monitors (PAMs) in combination with behavioural change intervention. Thus, the objective of this randomized controlled study was to investigate the effect of Motivational Interviewing (MI) as an add-on intervention to a PAM-based intervention measured in community-dwelling older adults. Methods This two-arm parallel group randomized controlled effectiveness trial compared a 12-weeks PAM-based intervention with additional MI (PAM+MI group) with a PAM-based intervention alone (PAM group). The primary outcome, average daily step count, was analysed with a linear regression model, adjusted for sex and baseline daily step count. Following the intention-to-treat principle, multiple imputation based on baseline step count, sex and age was performed. Results In total, 38 participants were randomized to the PAM intervention and 32 to the PAM+MI intervention arm. During the intervention period, PAM+MI participants walked on average 909 more steps per day than PAM participants, however insignificant (95%CI: − 71; 1889) and reported 2.3 points less on the UCLA Loneliness Scale (95%CI: − 4.5; − 1.24). Conclusion The use of MI, in addition to a PAM-based intervention among older adults in PA promoting interventions hold a potential clinically relevant effect on physical activity and should thus be investigated further with adequately powered RCTs. Trial registration This study was pre-registered in the clinicaltrials.gov database with identifier: NCT03906162.

scholarly journals Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial

2020 ◽  
Vol 18 (1) ◽  
pp. 101
Author(s):  
Yi-Pang Lo ◽  
Shang-Lin Chiang ◽  
Chia-Huei Lin ◽  
Hung-Chang Liu ◽  
Li-Chi Chiang
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Training ◽  
Physical Fitness ◽  
Motivational Interviewing ◽  
Aerobic Exercise ◽  
Controlled Trial ◽  
Aerobic Exercise Training ◽  
Middle Aged ◽  
Health Related

The presence of multimorbidity in middle-aged and older adults, which reduces their physical activity and quality of life, is a global health challenge. Exercise is one of the most important health behaviors that individuals can engage in. Previous studies have revealed that aerobic exercise training is beneficial for healthy middle-aged and older adults and those with various chronic diseases, but few studies have designed individualized aerobic exercise training for individuals with multimorbidity. Although individuals with multimorbidity are considerably less adherent to physical activity interventions, telephone-based motivational interviewing may help in strengthening motivation and promoting behavioral change for increasing physical activity and health-related physical fitness. This study aimed to examine whether a 12-week individualized aerobic exercise training in a rehabilitation center combined with telephone-based motivational interviewing is effective in promoting physical activity and health-related physical fitness among middle-aged and older adults with multimorbidity. A randomized controlled trial was conducted. Forty-three participants (aged > 40) were recruited and randomly assigned to the intervention group, comparison group, or control group. The participants’ physical activity and health-related physical fitness were assessed at baseline and at 12 weeks. The results indicated that after individualized aerobic exercise training combined with telephone-based motivational interviewing, the participants reported increased total physical activity (Fin = 481.3, p = 0.011), vigorous-intensity physical activity (Fin= 298.9, p = 0.007), dominant and nondominant hand grip (kg) (Fin = 1.96, p = 0.019; Fin = 2.19, p = 0.027, respectively), FEV1/FVC (Fin = 0.045, p = 0.043), VO2 max (ml/kg/min) (Fin = 5.30, p = 0.001), VO2 max predicted (%) (Fin = 21.6, p = 0.001), work (watts) (Fin = 22.5, p = 0.001), and anaerobic threshold (L/min) (Fin = 0.165, p = 0.011). Twelve weeks of individualized aerobic exercise training in the rehabilitation center combined with telephone-based motivational interviewing can increase the total physical activity, vigorous physical activity, and cardiorespiratory fitness of middle-aged and older adults with multimorbidity.

Telephone-Based Motivational Interviewing to Promote Physical Activity and Stage of Change Progression in Older Adults

2014 ◽  
Vol 22 (4) ◽  
pp. 527-535 ◽  
Author(s):  
Kaitlin R. Lilienthal ◽  
Anna Evans Pignol ◽  
Jeffrey E. Holm ◽  
Nancy Vogeltanz-Holm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Aging Adults ◽  
Healthy Activity ◽  
To Receive

This study examined the efficacy of motivational interviewing (MI) for increasing physical activity in aging adults. Eighty-six participants aged 55 years and older were randomly assigned to receive either four weekly sessions of telephone-based MI for increasing physical activity, or a healthy activity living guide (information only control). Changes from baseline weekly caloric expenditure from physical activity, self-efficacy for physical activity, and stage of change for physical activity were compared across groups at posttreatment and six months follow-up. Results indicated that MI participants had higher weekly caloric expenditures from physical activity at posttreatment, but not at six months follow-up; higher self-efficacy for physical activity at six months follow-up; and demonstrated greater stage of change progression across assessments. These findings support the use of telephone-based MI for increasing physical activity in older adults in the short-term. Future studies will need to determine if follow-up booster sessions increase long-term efficacy.

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