alexa Effectiveness of small-group interactive education vs. lecture-based information-only programs on motivation to change and lifestyle behaviours. A prospective controlled trial of rehabilitation inpatients.
Microbiology

Microbiology

Journal of Antivirals & Antiretrovirals

Author(s): Reusch A, Strbl V, Ellgring H, Faller H

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Abstract OBJECTIVE: Although patient education may promote motivation to change health behaviours, the most effective method has not yet been determined. METHODS: This prospective, controlled trial compared an interactive, patient-oriented group program with lectures providing only information. We evaluated motivational stages of change and self-reported behaviours in three domains (sports, diet, relaxation) at four times up to one year (60\% complete data) among 753 German rehabilitation inpatients (mean age 50 years, 52\% male) with orthopaedic (59\%) or cardiologic disorders (10\%) or diabetes mellitus (31\%). RESULTS: We found improvements between baseline and follow up regarding each outcome (p<.001) in both groups. At the end of rehabilitation, participants of the interactive group, as compared to the lectures, showed more advanced motivation regarding diet (p<.10) and sports (p=.006). Interactive group patients reported healthier diets both after 3 months (p=0.013) and 12 months (p=0.047), more relaxation behaviours (p=.029) after 3 months and higher motivation for sports after 12 months (p=.08). CONCLUSIONS: The superior effectiveness of the interactive group was only partly confirmed. PRACTICE IMPLICATIONS: This short, 5-session interactive program may not be superior to lectures to induce major sustainable changes in motivation. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. This article was published in Patient Educ Couns and referenced in Journal of Antivirals & Antiretrovirals

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