Ann-Sofi Östlund1,2, Barbro Wadensten3, Elisabeth Häggström3,4, Helena Lindqvist5, Marja-Leena Kristofferzon3,4. 1. Department of Public Health and Caring Sciences, Uppsala University, Sweden . ann-sofi.ostlund@hig.se. 2. Faculty of Health and Occupational Studies, University of Gävle, Sweden. ann-sofi.ostlund@hig.se. 3. Department of Public Health and Caring Sciences, Uppsala University, Sweden. 4. Faculty of Health and Occupational Studies, University of Gävle, Sweden. 5. Department of Clinical Neuroscience, MIC Lab, Karolinska Institutet, Stockholm, Sweden.
Abstract
AIM: The aim of this study was to describe what verbal behaviours/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk. BACKGROUND: Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviours such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for. DESIGN: A descriptive and predictive design was used. METHODS: Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analysed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5. FINDINGS: The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk. CONCLUSIONS: To increase patients' change talk, primary care nurses need to use more open questions, complex reflections and questions and reflections directed towards change.
AIM: The aim of this study was to describe what verbal behaviours/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk. BACKGROUND: Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviours such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for. DESIGN: A descriptive and predictive design was used. METHODS: Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analysed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5. FINDINGS: The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk. CONCLUSIONS: To increase patients' change talk, primary care nurses need to use more open questions, complex reflections and questions and reflections directed towards change.
Authors: Paula Anne Newman-Casey; Olivia Killeen; Sarah Miller; Chamisa MacKenzie; Leslie M Niziol; Ken Resnicow; John W Creswell; Paul Cook; Michele Heisler Journal: Health Commun Date: 2018-12-20
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