Novel motivational interviewing-based intervention improves engagement in physical activity and readiness to change among adolescents with chronic pain.

Journal: Health expectations : an international journal of public participation in health care and health policy

Volume: 27

Issue: 2

Year of Publication: 2024

Affiliated Institutions:  Doctoral School of Mental Health Sciences, Semmelweis University, Budapest, Hungary. Health Services Management Training Centre, Faculty of Health and Public Services, Semmelweis University, Budapest, Hungary. Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary. HRC Bethesda Children's Hospital, Paediatric Pain Centre, Budapest, Hungary.

Abstract summary 

Engaging adolescents with chronic pain in physical activities is challenging. Motivational interviewing (MI) combined with activity promotion may encourage teens to make behavioural changes. This research aimed to assess the feasibility and acceptability of our MI-based physical activity promotion programme, the M3 training.In our exploratory study with 35 adolescent-parent dyads, we evaluated the feasibility by enrolment, drop-out and retention rates. Acceptability of the M3 training was examined by adherence rates and participation experiences through open-ended questions. We also assessed changes in pain self-efficacy and readiness to change after the M3 training intervention.The M3 training was feasible with an adequate enrolment (77.8%) and retention (85.7%) rate. Both teens and parents found the M3 training acceptable and considered exercise and physical activity the most helpful elements of the programme (36% and 37%, respectively). While self-efficacy remained unchanged, we identified a significant increase in the readiness to change for adolescents and parents.M3 training improved physical activity engagement while prioritising adolescents' autonomy. Furthermore, it appears to be a clinically relevant approach and could result in a positive shift in readiness to change within a shorter timeframe.The preliminary version of the M3 training was reviewed and commented upon by the public (adolescents and adults). Adolescents who participated in this study were designing their own movement programme, considering their lived experiences. Participants' feedback was used to create the online version of the M3 training (which will be published elsewhere).

Authors & Co-authors:  Forgács-Kristóf Ádám Vargay Major

Study Outcome 

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Statistics
Citations :  Tabor A, Van Ryckeghem DML, Hasenbring MI. Pain unstuck: the role of action and motivation. Clin J Pain. 2020;36(3):143‐149. 10.1097/AJP.0000000000000786
Authors :  4
Identifiers
Doi : e14031
SSN : 1369-7625
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
autonomy;motivational interviewing;paediatric chronic pain;physical activity;self‐management
Study Design
Exploratory Study
Study Approach
Country of Study
Publication Country
England