Purpose
Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure.
Methods
A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests.
Results
At one month, there were significant group differences in exercise regularity (x² =6.10, p=.013) and levels of exercise (Z=-2.56, p=.024). There was a significant group-by-time effect on the quality of life (F=3.76, p=.044).
Conclusion
Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.

Citations

• Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities
  Marie Ivantechenko, Shubarna Akhter, Damara Gutnick
  Community Health Equity Research & Policy.2024;[Epub]     CrossRef
• Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis
  SuFen Zhu, Deepra Sinha, Megan Kirk, Moscho Michalopoulou, Anisa Hajizadeh, Gina Wren, Paul Doody, Lucy Mackillop, Ralph Smith, Susan A Jebb, Nerys M Astbury
  BMJ.2024; : e078713.     CrossRef
• Benefits and Harms of Digital Health Interventions Promoting Physical Activity in People With Chronic Conditions: Systematic Review and Meta-Analysis
  Graziella Zangger, Alessio Bricca, Behnam Liaghat, Carsten B Juhl, Sofie Rath Mortensen, Rune Martens Andersen, Camma Damsted, Trine Grønbek Hamborg, Mathias Ried-Larsen, Lars Hermann Tang, Lau Caspar Thygesen, Søren T Skou
  Journal of Medical Internet Research.2023; 25: e46439.     CrossRef

PURPOSE
The study aims were to examine motivation factors for behavioral modification among individuals with metabolic syndrome at each stage of behavioral change.
METHODS
The correlational research design was used to explore motivation factors of self-efficacy, perceived benefits, perceived barriers, and emotional salience to explain health behaviors. Total of 239 patients with metabolic syndrome completed the structured questionnaire and the data were analyzed by SPSS/WIN 22.0 for ANOVA and multiple regression analysis.
RESULTS
The average age of participants were 59 years old, and 52.3% perceived their health relatively worse than others. The motivation and health behaviors except for smoking cessation were significantly different at each stage of planning, preparation, and action-maintenance. The motivation factors explained 25% of variance in health behavior at planning stage, 38% at preparation stage, and 31% at action-maintenance stage. Self-efficacy and perceived barriers were significant predictors at the planning and action-maintenance stages, while self-efficacy was a significant predictor at preparation stage.
CONCLUSION
The performance of health behaviors was significantly different at the stages of change along with a different set of motivation factors. Nursing strategies should focus on cognitive and emotional motivation factors to lead initiation and maintenance of behavioral modification in individuals with metabolic syndrome.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea
  Myonghwa Park, Keunyeob Oh, Hyungjun Kim, Xing Fan, Thi-Thanh-Thnh Giap, Rhayun Song
  Patient Preference and Adherence.2023; Volume 17: 1063.     CrossRef
• Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
  Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
  Patient Preference and Adherence.2021; Volume 15: 2847.     CrossRef
• The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households
  Jin-Ah Jung, Hye-Won Cheon, On-Ju Ju
  Journal of Dental Hygiene Science.2021; 21(3): 185.     CrossRef
• Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
  Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
  Journal of Korean Academy of Nursing.2020; 50(4): 571.     CrossRef

PURPOSE
This study was conducted to identify job experiences of male hospital nurses.
METHODS
Data were collected from 20 male nurses working at general hospitals, through semi-structured in-depth interviews. The interviews were recorded and subsequently transcribed verbatim. Using content analysis, data were coded and categorized.
RESULTS
The analyzed domains were motivations for choosing nursing, occupational experiences (3 subdomains), and attitudes toward the future. A total of 85 significant statements were selected from the data and classified into 32 categories. The nurses' motivations for choosing nursing were advantages of employment, their aptitude, scarcity value of men, professionalism and job security, good promotion, stable income, and family influence. In occupational experiences, they were assigned to special fields and dissatisfied with vertical relationship, promotion system, their salary, and gaps in military service time; they had difficulties in adapting to female-dominated groups and encountered gender role stereotype and preconception; they were satisfied with their distinguished performance, but had damaged self-esteem, and were stressed and disappointed in their work. In their attitudes toward the future, they considered their career changes, but tried to make professional and personal advancement.
CONCLUSION
These findings have implications for recruiting and retaining male nurses in clinical settings.

PURPOSE
The purpose of this study was to develop an empowerment program as a nursing intervention for the patients having an acute stroke and to determine the effects of the program on their motivation, depression, and activities of daily living(ADLs). METHODS: An non-equivalent control group pretest-posttest design was used in this study. Sixty subjects were recruited from two separated institutions: 31 patients were allocated into experimental group and 29 were into control group. Six week empowerment program was provided to the experimental group. The study was conducted from November 2006 to March 2007. RESULTS: After 6 week empowerment program, rehabilitation motivation was significantly increased in the experimental group in comparison to the control group(t=-2.173, p=.036). There were no significant differences in depression and ADLs between experimental and control groups. CONCLUSION: The empowerment program effectively increased rehabilitation motivation of patients with stroke, while did not improve the levels of depression and ADLs. Future long-term intervention may benefit the patients more in terms of depression and ADLs when considering the acute stage of the patients in this study.

PURPOSE
The purposes of this study were to compare the motivation for health behavior, health behaviors practices, and ADL of institutionalized elderly women with those of non-institutionalized elderly women.
METHODS
A cross-sectional descriptive survey was conducted in convenience samples of 144 aged women(80 institutionalized and 64 non-institutionalized) using structured questionnaires. Descriptive statistics, chi-square-test, and ANCOVA were used for data analysis with SPSS program.
RESULTS
The institutionalized elderly reported significantly higher motivation than the non-institutionalized elderly. In subcategories of motivation, self-efficacy of the institutionalized elderly was significantly lower than that of the non-institutionalized elderly. The non-institutionalized elderly reported significantly lower perceived benefits and significantly higher perceived barriers than institutionalized elderly. The institutionalized elderly reported significantly lower health behaviors in exercise and nutrition than the non-institutionalized elderly. Among health behaviors of the non-institutionalized elderly women, stress management marked the lowest score.
CONCLUSION
To enhance motivation of institutionalized elderly women, interventions for building self-efficacy are needed. To promote the health behavior of the non-institutionalized elderly, stress management programs are needed. All elderly women need exercise.

PURPOSE
The purpose of this study were to investigate the level of family support, alcohol consumption and drinking motives in patients with liver cirrhosis and to examine the relationships among those variables.
METHODS
The subjects consisted of 60 patients with liver cirrhosis. Family support scale, Q-F methods and Drinking Motives Questionnaire were used to measure the level of family support, alcohol consumption and drinking motives.
RESULTS
The level of family support was 43.62. Prevalence of drinking was 90% and 43.3% were currently heavy drinkers. Alcohol consumption was related to sex and education. There were positive low relationships between the level of enhancement motive, coping motive, social motive, and Q-F Index.
CONCLUSION
Alcohol drinking is a serious health problem in patients with liver cirrhosis. It is necessary to have an educational approach for controlling drinking and family support.

PURPOSE
The positive effects of health behaviors in older population are well recognized, but maintenance of health habits was more difficult than initiation. The purposes of the study were to identify predictors of health behavior based on motivation theories, and to analyze predicting power of motivational factors to explain health behaviors in older adults.
METHODS
The data were collected from older adults either institutionalized or living in the community. Total of 159 subjects with 72 years old in average were recruited for an interview. Hierarchical multiple regression analysis were utilized to analyze the data with age, residential type, and motivational variables.
RESULTS
The results of the multiple regression analysis showed that age and residential type explained 3% of variance in health behaviors (F=3.705, p=0.027). When motivational variables were entered, additional 56.9% of variance were explained by the model (F=33.275, p<0.001). Among motivational variables, perceived benefits was the most important variable (beta=0.346, t=4.582, p<0.001), followed by self efficacy, emotional salience, and perceived barriers.
CONCLUSION
Considering the importance of each motivational variable, the focus of intervention strategies to assist older adults to maintain health behaviors should be on modifiable and important motivational variables, such as self-efficacy, perceived benefits and barriers, and emotional salience.

PURPOSE
This study was to examine the effect of morning stretching on depression and motivation of rehabilitation for stroke patients. METHOD: Design of this study was noneqivalent control pre-test post-test design. Subjects were total 62 patients (Experimental: 30 subjects, Control: 32 subjects) being hospitalized for stroke in a national medical center. Measures were CES-D for depression and PAREMO for motivation of rehabilitation. Data were collected from 1st March to 30th July, 2004. Data have been processed using SPSS/WIN 11.0. RESULTS: The results of this study were as followings: 1) Experimental group was showed lower level of depression than that of control group (t=8.934, P=.000). 2) Experimental group was showed higher motivation of rehabilitation than control group (t=-12.43, P=.000). CONCLUSION: As a result, it was confirmed that morning stretching which was intervened in this study was one of the nursing intervention that lowers the level of depression and promotes motivation of rehabilitation for stroke patients, that helps to improve their psychological and mental problems.

PURPOSE
to develop an instrument to assess the rehabilitation motivation and to test its reliability and validity.
METHOD
The data was collected with in-depth interviews of nine participants that include adults with disabilities acquired after they reached 18 years' of age. The development of the preliminary items was based on the theory of self-determination proposed by Deci and Ryan (1985) and the results from the analysis of the data. After these, appropriate specialists clarified the validity of the contents of the preliminary items twice. A test to reliability and validity was conducted with 186 disabled. A principal axis factor analysis with oblimin rotation was performed on 29 items.
RESULT
Finally 27 items were selected. The 5-factor solution emerged as the most appropriate model for the data. The different types of motivation for rehabilitation were identified as: task-oriented motivation, change- oriented motivation, obligatory motivation, external motivation, and amotivation. The alpha coefficient of internal consistency was .85.
CONCLUSION
The results of this study suggest that the instrument to measure motivation for the rehabilitation of the disabled may be a useful instrument with a high degree of reliability and validity.