Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial

Marina Arkkukangas, Staffan Hultgren, Marina Arkkukangas, Staffan Hultgren

Abstract

Objective: The elderly population over 65 is increasing globally, and interventions promoting health and preventive work, especially fall prevention, will constitute a large part of physiotherapists' duties in the near future. To address the challenges of promoting effective and sustainable health behavior changes among older persons, physiotherapists need support when it comes to how to apply behavior change strategies, especially in fall prevention. Therefore, the aim of this study was to describe implementation of motivational interviewing in a fall prevention exercise program. This study is a side product of another project.

Results: Data from a recently performed three-armed randomized controlled trial were used to describe the implementation of motivational interviewing in the exercise group (n = 58). Level of motivation (priorities) and self-efficacy for both the physiotherapist and the participant in treatment, and to use a guide targeted towards the planned treatment are recommended actions. Regular meetings and follow ups as well as updates of motivational interviewing skills during a treatment period, should also be considered to achieve treatment fidelity. Trial registration NCT01778972, Retrospectively registered January 29, 2013.

Keywords: Behavior; Exercise; Falls; Older adults; Physiotherapist.

Conflict of interest statement

Ethics approval and consent to participate

All participants gave written informed consent. The RCT study was approved by the regional ethics committee in Uppsala, Dnr. 2012/147 (RCT study NCT01778972, ClinicalTrials gov).

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Source: PubMed

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