Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study
Objective: To explore how older adults perceive motivational interviewing influences their walking and physical activity after hip fracture. Methods: Qualitative study using an interpretive description framework. Twenty-four participants aged ≥65 years living in the community after hip fracture were...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628222000632 |
| _version_ | 1811294114903228416 |
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| author | Made U. Rimayanti Nicholas F. Taylor Paul D. O'Halloran Nora Shields |
| author_facet | Made U. Rimayanti Nicholas F. Taylor Paul D. O'Halloran Nora Shields |
| author_sort | Made U. Rimayanti |
| collection | DOAJ |
| description | Objective: To explore how older adults perceive motivational interviewing influences their walking and physical activity after hip fracture. Methods: Qualitative study using an interpretive description framework. Twenty-four participants aged ≥65 years living in the community after hip fracture were interviewed. Participants had received at least 8 sessions of motivational interviewing via telephone. Semi-structured interviews were transcribed verbatim and coded inductively by two researchers independently. All authors discussed findings and themes observed through the researchers' lens and mapped them to the Medical Research Council's framework for process evaluation. Results: Motivational interviewing was described as a nuanced and subtle intervention that guided participants through their journey of recovery. Three themes described possible mechanisms of how motivational interviewing might work: connection, checking in and confidence. In the context of recovering from hip fracture psychologically and physically, a strong connection with clinicians, along with weekly checking in, were perceived to build participants' confidence to walk after hip fracture. Conclusion: This study provided insight on participant perceptions of how motivational interviewing might work to support walking after hip fracture. Innovation: The addition of motivational interviewing to rehabilitation is a novel way of building confidence to walk for people recovering from hip fracture. |
| first_indexed | 2024-04-13T05:11:48Z |
| format | Article |
| id | doaj.art-3d8858bc78c34b5a8c7fba1371b2cf27 |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-04-13T05:11:48Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-3d8858bc78c34b5a8c7fba1371b2cf272022-12-22T03:01:00ZengElsevierPEC Innovation2772-62822022-12-011100078Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative studyMade U. Rimayanti0Nicholas F. Taylor1Paul D. O'Halloran2Nora Shields3School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, Australia; Corresponding author.School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, Australia; Allied Health Clinical Research Office, Eastern Health, Box Hill, VIC, AustraliaSchool of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, Australia; Allied Health Clinical Research Office, Eastern Health, Box Hill, VIC, Australia; School of Psychology and Public Health, La Trobe University, Bundoora, VIC, AustraliaSchool of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, AustraliaObjective: To explore how older adults perceive motivational interviewing influences their walking and physical activity after hip fracture. Methods: Qualitative study using an interpretive description framework. Twenty-four participants aged ≥65 years living in the community after hip fracture were interviewed. Participants had received at least 8 sessions of motivational interviewing via telephone. Semi-structured interviews were transcribed verbatim and coded inductively by two researchers independently. All authors discussed findings and themes observed through the researchers' lens and mapped them to the Medical Research Council's framework for process evaluation. Results: Motivational interviewing was described as a nuanced and subtle intervention that guided participants through their journey of recovery. Three themes described possible mechanisms of how motivational interviewing might work: connection, checking in and confidence. In the context of recovering from hip fracture psychologically and physically, a strong connection with clinicians, along with weekly checking in, were perceived to build participants' confidence to walk after hip fracture. Conclusion: This study provided insight on participant perceptions of how motivational interviewing might work to support walking after hip fracture. Innovation: The addition of motivational interviewing to rehabilitation is a novel way of building confidence to walk for people recovering from hip fracture.http://www.sciencedirect.com/science/article/pii/S2772628222000632Motivational interviewingHip fractureRehabilitationProcess evaluation |
| spellingShingle | Made U. Rimayanti Nicholas F. Taylor Paul D. O'Halloran Nora Shields Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study PEC Innovation Motivational interviewing Hip fracture Rehabilitation Process evaluation |
| title | Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study |
| title_full | Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study |
| title_fullStr | Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study |
| title_full_unstemmed | Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study |
| title_short | Gently steering - the mechanism of how motivational interviewing supported walking after hip fracture: A qualitative study |
| title_sort | gently steering the mechanism of how motivational interviewing supported walking after hip fracture a qualitative study |
| topic | Motivational interviewing Hip fracture Rehabilitation Process evaluation |
| url | http://www.sciencedirect.com/science/article/pii/S2772628222000632 |
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