Article

OBJECTIVE: To investigate if motivational interviewing improved physical
activity, self-efficacy, quality of life, mobility and mental health in people
living in the community after hip fracture. DESIGN: Single-blind randomized
controlled trial. SETTING: Community. PARTICIPANTS:
A total of 30 adults after
hip fracture who had been discharged from rehabilitation to independent living in
the community and allocated to a control group ( n = 14) or an intervention group
( n = 16). INTERVENTION: All participants received usual care. The intervention
group also received eight weekly sessions of motivational interviewing as
additional input, with the control group having no additional matching input.
MAIN OUTCOMES: The primary outcome was physical activity levels as measured by an
accelerometer (steps taken per day, time spent walking per day, and time spent
sitting or lying each day). Secondary outcomes included self-efficacy (confidence
about walking and not falling), health-related quality of life, mobility and
mental health. RESULTS: Relative to usual care, the motivational interviewing
group took significantly more steps per day (mean = 1237 steps, 95% confidence
interval (CI) 12 to 2463), walked for longer per day (mean = 14.4 minutes, 95% CI
0.6 to 28.8), had improved self-efficacy evidenced by being more confident about
walking (mean = 1.6 units out of 10, 95% CI 0.3 to 2.9) and not falling (mean =
1.1 units out of 10, 95% CI 0.3 to 1.9) and improved health-related quality of
life and mental health. CONCLUSION: This study provides preliminary evidence that motivational interviewing can result in clinically meaningful improvements in
physical activity and psychosocial outcomes for people recovering from hip
fracture.

Langue : ANGLAIS