None listed
Conditions
Brief summary
The primary aim of the study is to examine if a telephone based intervention designed to increase confidence and motivation (i.e. Motivational Interviewing) increases physical activity in people living in the community following a hip fracture. Secondary aims relate to the effect of this intervention on confidence, quality of life, mental health and mobility.
Interventions
The participants who are randomly allocated to receive the Motivational Interviewing intervention will receive usual care they would receive in the community plus the 8 weekly 30-minute sessions of motivational interviewing (Miller & Rollnick, 2002, 2013) over the telephone for 8 weeks. This intervention is a directive style of communication in which the person delivering the intervention works collaboratively with the client to assist the client to increase his/her motivation to change their be
The participants who are randomly allocated to receive the Motivational Interviewing intervention will receive usual care they would receive in the community plus the 8 weekly 30-minute sessions of motivational interviewing (Miller & Rollnick, 2002, 2013) over the telephone for 8 weeks. This intervention is a directive style of communication in which the person delivering the intervention works collaboratively with the client to assist the client to increase his/her motivation to change their behaviour (in this case physical activity). This is done through a process of clients forming their own arguments for change which builds the clients importance and confidence of change (Miller & Rollnick, 2002, 2013). Motivational Interviewing has been demonstrated to lead to health behaviour change, in non-hip fracture populations, in several large meta-analytic studies (Hettema et al., 2005; Rubak et al., 2005; Lundahl et al., 2010).
Sponsors
Dr Paul O'Halloran from La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
65 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
1. They have had a hip fracture and are now living at home independently within 6 months of discharge 2. They are aged over 65 years 3. They speak conversational English 4. They are currently insufficiently active – as defined by obtaining less than 30 minutes of activity most days of the week
Exclusion criteria
1. They have a cognitive impairment of any kind – this is because the Motivational Interviewing intervention is a talking intervention that requires people to be able to think clearly and generate their own ideas of how they can change their behaviour 2. They score in the severe range of depression or anxiety as measured by the Depression Anxiety and Stress Scale (DASS: Lovibond & Lovibond, 1995) 3. They do not speak conversational English - this is because the Motivational Interviewing intervention is a talking intervention and the person delivering the intervention only speaks English and there are not sufficient funds to employ another person who is able to speak in other languages 4. They are less than 65 years of age – this is because the population of interest for the current study is people 65+, because this is the group who is most likely to experience problems with reduced mobility following a hip fracture 5. They are highly dependent on medical care, in either high level or low level care – this is because the population of interest is people living independently in the community who are capable of becoming more active 6. They are already sufficiently active, as defined as obtaining at least 30 minutes of activity most days of the week
Outcome results
None listed