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KMID : 0806120170470030406
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대한간호학회지
2017 Volume.47 No. 3 p.406 ~ p.419
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Development and Evaluation of a Motivational Interviewing Program for Exercise Improvement in Persons with Physical Disabilities
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Jeong Jeong-Hee
Jeong Ihn-Sook
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Abstract
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Purpose: The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilitiesand to examine the effect of this motivational interviewing intervention.
Methods: The study employed a nonequivalent control group pretestand posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruitedfrom 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduledonce a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention,2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise,stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using thec2-test, Fisher’s exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18.
Results:The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001),and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differencesbetween the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (c2=26.61,p<.001).
Conclusion: The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.
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KEYWORD
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Disabled persons, Motivational interviewing, Exercise
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