The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community

Little research exists on the impact of behavior change interventions in disadvantaged communities. We conducted a prospective study to explore the effectiveness of motivational interviewing on physical activity change within a deprived community and the social- psychological and motivational predic...

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Main Authors: Hardcastle, Sarah, Blake, N., Hagger, Martin
Format: Journal Article
Published: Springer New York LLC 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/20385
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author Hardcastle, Sarah
Blake, N.
Hagger, Martin
author_facet Hardcastle, Sarah
Blake, N.
Hagger, Martin
author_sort Hardcastle, Sarah
building Curtin Institutional Repository
collection Online Access
description Little research exists on the impact of behavior change interventions in disadvantaged communities. We conducted a prospective study to explore the effectiveness of motivational interviewing on physical activity change within a deprived community and the social- psychological and motivational predictors of change in physical activity including stage of change, self-efficacy, social support, and variables from self-determination theory and the theory of planned behavior. Five motivational interviewing counsellors recruited 207 patients and offered motivational interviewing sessions to support physical activity behavior change. At 6-months there were significant improvements in physical activity, stage of change, and social support. A dose–response relationship was evident; those who attended 2 or more consultations increased their total physical activity, stage of change and family social support more than those who attended just one. Hierarchical regression analyses indicated that number of sessions and change in stage of change predicted 28.4 % of the variance in change in total physical activity and, with social support from friends, 21.0 % of the variance in change walking time. Change in perceived behavioral control and attitudes, friend social support, and number of sessions predicted 16.8 % of the variance in change in vigorous physical activity. Motivational interviewing is an effective approach for promoting physical activity amongst lower socio-economic status groups in the short term. The study demonstrates good translational efficacy, and contributes to a limited number of physical activity interventions targeting low income groups in the UK.
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spelling curtin-20.500.11937-203852018-05-07T04:05:25Z The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community Hardcastle, Sarah Blake, N. Hagger, Martin Motivational interviewing Behavior change Physical activity Socio-economic status Primary care Health promotion Little research exists on the impact of behavior change interventions in disadvantaged communities. We conducted a prospective study to explore the effectiveness of motivational interviewing on physical activity change within a deprived community and the social- psychological and motivational predictors of change in physical activity including stage of change, self-efficacy, social support, and variables from self-determination theory and the theory of planned behavior. Five motivational interviewing counsellors recruited 207 patients and offered motivational interviewing sessions to support physical activity behavior change. At 6-months there were significant improvements in physical activity, stage of change, and social support. A dose–response relationship was evident; those who attended 2 or more consultations increased their total physical activity, stage of change and family social support more than those who attended just one. Hierarchical regression analyses indicated that number of sessions and change in stage of change predicted 28.4 % of the variance in change in total physical activity and, with social support from friends, 21.0 % of the variance in change walking time. Change in perceived behavioral control and attitudes, friend social support, and number of sessions predicted 16.8 % of the variance in change in vigorous physical activity. Motivational interviewing is an effective approach for promoting physical activity amongst lower socio-economic status groups in the short term. The study demonstrates good translational efficacy, and contributes to a limited number of physical activity interventions targeting low income groups in the UK. 2012 Journal Article http://hdl.handle.net/20.500.11937/20385 10.1007/s10865-012-9417-1 Springer New York LLC restricted
spellingShingle Motivational interviewing
Behavior change
Physical activity
Socio-economic status
Primary care
Health promotion
Hardcastle, Sarah
Blake, N.
Hagger, Martin
The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title_full The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title_fullStr The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title_full_unstemmed The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title_short The effectiveness of a motivational interviewing Primary-care based intervention on physical activity and predictors of change in a disadvantaged community
title_sort effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community
topic Motivational interviewing
Behavior change
Physical activity
Socio-economic status
Primary care
Health promotion
url http://hdl.handle.net/20.500.11937/20385