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
Dr Paul O'Halloran from La Trobe University
24 participants
Jul 8, 2013
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
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 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)
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ACTRN12613000680763