Not Yet RecruitingPhase 2ACTRN12613000680763

A randomised controlled trial evaluating the use of Motivational Interviewing compared to usual care to increase physical activity in people living in the community after a hip fracture


Sponsor

Dr Paul O'Halloran from La Trobe University

Enrollment

24 participants

Start Date

Jul 8, 2013

Study Type

Interventional

Conditions

Summary

The primary aim of the study is to examine if a telephone based intervention designed to increase confidence and motivation (i.e. Motivational Interviewing) increases physical activity in people living in the community following a hip fracture. Secondary aims relate to the effect of this intervention on confidence, quality of life, mental health and mobility.


Eligibility

Sex: Both males and femalesMin Age: 65 YearssMax Age: 89 Yearss

Inclusion Criteria4

  • They have had a hip fracture and are now living at home independently within 6 months of discharge
  • They are aged over 65 years
  • They speak conversational English
  • They are currently insufficiently active – as defined by obtaining less than 30 minutes of activity most days of the week

Exclusion Criteria6

  • They have a cognitive impairment of any kind – this is because the Motivational Interviewing intervention is a talking intervention that requires people to be able to think clearly and generate their own ideas of how they can change their behaviour
  • They score in the severe range of depression or anxiety as measured by the Depression Anxiety and Stress Scale (DASS: Lovibond & Lovibond, 1995)
  • They do not speak conversational English - this is because the Motivational Interviewing intervention is a talking intervention and the person delivering the intervention only speaks English and there are not sufficient funds to employ another person who is able to speak in other languages
  • They are less than 65 years of age – this is because the population of interest for the current study is people 65+, because this is the group who is most likely to experience problems with reduced mobility following a hip fracture
  • They are highly dependent on medical care, in either high level or low level care – this is because the population of interest is people living independently in the community who are capable of becoming more active
  • They are already sufficiently active, as defined as obtaining at least 30 minutes of activity most days of the week

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Interventions

The participants who are randomly allocated to receive the Motivational Interviewing intervention will receive usual care they would receive in the community plus the 8 weekly 30-minute sessions of mo

The participants who are randomly allocated to receive the Motivational Interviewing intervention will receive usual care they would receive in the community plus the 8 weekly 30-minute sessions of motivational interviewing (Miller & Rollnick, 2002, 2013) over the telephone for 8 weeks. This intervention is a directive style of communication in which the person delivering the intervention works collaboratively with the client to assist the client to increase his/her motivation to change their behaviour (in this case physical activity). This is done through a process of clients forming their own arguments for change which builds the clients importance and confidence of change (Miller & Rollnick, 2002, 2013). Motivational Interviewing has been demonstrated to lead to health behaviour change, in non-hip fracture populations, in several large meta-analytic studies (Hettema et al., 2005; Rubak et al., 2005; Lundahl et al., 2010).


Locations(1)

VIC, Australia

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ACTRN12613000680763