Intervention Fidelity of Telephone Motivational Interviewing On Physical Activity, Fruit Intake, and Vegetable Consumption in Dutch Outpatients With and Without Hypertension.
Behavior change
Fidelity
Fidelity-effectiveness association
Fruit consumption
Motivational Interviewing
Vegetable consumption
“Activities, physical”
Journal
International journal of behavioral medicine
ISSN: 1532-7558
Titre abrégé: Int J Behav Med
Pays: England
ID NLM: 9421097
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
accepted:
02
03
2022
pubmed:
30
3
2022
medline:
31
1
2023
entrez:
29
3
2022
Statut:
ppublish
Résumé
In theory, Motivational Interviewing (MI) fidelity should be associated with client outcomes. Nevertheless, this fidelity-effectiveness association is rarely investigated. This study evaluated the extent to which Telephone Motivational Interviewing (TMI) fidelity is associated with change in self-reported physical activity (PA), fruit intake, and vegetable consumption. Adults in primary care (45-70 years) participated in a study that compared the effect of tailor print communication, telephone motivational interviewing (TMI), and a combination of the two on PA, fruit intake, and vegetable consumption. MI fidelity was assessed using the behavioral coding method "Motivational Interviewing Treatment Integrity Code (MITI)" in 409 randomly selected audio-recorded sessions, representing 232 participants of the TMI group. The associations between MI fidelity scores and the behavioral changes from baseline to 47-week follow-up were examined using backward multiple linear regression analyses (adjusted for covariates). A significant and positive association between the percentage of MI adherent responses and improvements in PA and fruit consumption was found with respectively a small and medium effect size. The global rating "Spirit" (which resembles an all-at-once appraisal of the interviewer's MI competence) was significantly, but inversely associated with progress in vegetable intake with a medium effect size. The finding that relatively lower MI competency was associated with higher vegetable consumption went against our expectations. Findings suggest that practicing MI-consistent skills was beneficial in promoting PA and fruit consumption, but moderated vegetable intake. This study contributes to the scientific confidence that TMI enables change in PA and fruit intake.
Sections du résumé
BACKGROUND
BACKGROUND
In theory, Motivational Interviewing (MI) fidelity should be associated with client outcomes. Nevertheless, this fidelity-effectiveness association is rarely investigated. This study evaluated the extent to which Telephone Motivational Interviewing (TMI) fidelity is associated with change in self-reported physical activity (PA), fruit intake, and vegetable consumption.
METHOD
METHODS
Adults in primary care (45-70 years) participated in a study that compared the effect of tailor print communication, telephone motivational interviewing (TMI), and a combination of the two on PA, fruit intake, and vegetable consumption. MI fidelity was assessed using the behavioral coding method "Motivational Interviewing Treatment Integrity Code (MITI)" in 409 randomly selected audio-recorded sessions, representing 232 participants of the TMI group. The associations between MI fidelity scores and the behavioral changes from baseline to 47-week follow-up were examined using backward multiple linear regression analyses (adjusted for covariates).
RESULTS
RESULTS
A significant and positive association between the percentage of MI adherent responses and improvements in PA and fruit consumption was found with respectively a small and medium effect size. The global rating "Spirit" (which resembles an all-at-once appraisal of the interviewer's MI competence) was significantly, but inversely associated with progress in vegetable intake with a medium effect size.
CONCLUSION
CONCLUSIONS
The finding that relatively lower MI competency was associated with higher vegetable consumption went against our expectations. Findings suggest that practicing MI-consistent skills was beneficial in promoting PA and fruit consumption, but moderated vegetable intake. This study contributes to the scientific confidence that TMI enables change in PA and fruit intake.
Identifiants
pubmed: 35347643
doi: 10.1007/s12529-022-10076-8
pii: 10.1007/s12529-022-10076-8
pmc: PMC9879808
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
108-121Subventions
Organisme : Nederlands Instituut voor Onderzoek van de Gezondheidszorg
ID : 220000120
Informations de copyright
© 2022. The Author(s).
Références
Am Psychol. 2009 Sep;64(6):527-37
pubmed: 19739882
Health Psychol Rev. 2017 Mar;11(1):1-16
pubmed: 27189713
Addiction. 2016 Jul;111(7):1151-2
pubmed: 26929059
Clin Nurs Res. 2017 Dec;26(6):731-746
pubmed: 29092634
J Clin Epidemiol. 2010 Jan;63(1):75-84
pubmed: 19447006
BMC Public Health. 2008 Jun 19;8:216
pubmed: 18565222
Patient Educ Couns. 2005 Feb;56(2):154-65
pubmed: 15653244
J Clin Epidemiol. 2006 Sep;59(9):920-5
pubmed: 16895814
BMC Health Serv Res. 2017 Jan 13;17(1):32
pubmed: 28086870
Int J Behav Nutr Phys Act. 2012 Jun 08;9(1):69
pubmed: 22681874
Patient Educ Couns. 2020 Mar;103(3):473-483
pubmed: 31585819
AIDS Behav. 2011 Nov;15(8):1623-34
pubmed: 21809048
Addict Behav. 2017 Oct;73:216-235
pubmed: 28554033
J Phys Act Health. 2012 Feb;9(2):225-36
pubmed: 22368222
Med Sci Sports Exerc. 2000 Sep;32(9 Suppl):S498-504
pubmed: 10993420
Transl Behav Med. 2014 Dec;4(4):372-81
pubmed: 25584086
Patient Educ Couns. 2019 Dec;102(12):2145-2155
pubmed: 31514978
Contemp Clin Trials. 2015 Jul;43:93-9
pubmed: 25962891
J Nutr Educ Behav. 2006 Mar-Apr;38(2):73-81
pubmed: 16595285
Patient Educ Couns. 2013 Nov;93(2):157-68
pubmed: 24001658
Clin Rehabil. 2014 Dec;28(12):1159-71
pubmed: 24942478
Eval Program Plann. 2017 Dec;65:47-53
pubmed: 28697374
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Am J Epidemiol. 2004 May 1;159(9):900-9
pubmed: 15105183
Psychol Health. 2017 Aug;32(8):942-975
pubmed: 28554222
Health Educ Res. 2009 Aug;24(4):699-720
pubmed: 19286893
Patient Educ Couns. 2015 Apr;98(4):499-505
pubmed: 25624118
Patient Educ Couns. 2011 Dec;85(3):363-8
pubmed: 21316897
J Subst Abuse Treat. 2018 Jan;84:30-41
pubmed: 29195591
J Subst Abuse Treat. 2016 Jun;65:20-5
pubmed: 26365536
Int J Behav Nutr Phys Act. 2010 Sep 03;7:64
pubmed: 20815869
Prev Med. 2011 Sep;53(3):182-7
pubmed: 21784096
J Consult Clin Psychol. 2014 Dec;82(6):973-83
pubmed: 24841862
PLoS One. 2018 Oct 18;13(10):e0204890
pubmed: 30335780
Ann Behav Med. 2011 Feb;41(1):104-18
pubmed: 20878293
Health Psychol Rev. 2016 Sep;10(3):297-312
pubmed: 26262912
Med Sci Sports Exerc. 2003 Sep;35(9):1537-45
pubmed: 12972874
Ann Behav Med. 2009 Oct;38(2):71-85
pubmed: 20012809
J Med Internet Res. 2014 Jan 27;16(1):e26
pubmed: 24472854
Eur J Epidemiol. 2021 Mar;36(3):345-360
pubmed: 33377998
J Subst Abuse Treat. 2018 Apr;87:64-69
pubmed: 29471928
J Subst Abuse Treat. 2006 Jul;31(1):67-73
pubmed: 16814012