This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients f...This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.展开更多
[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after a...[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.展开更多
BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression a...BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression after the intervention.Therefore,effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.AIM To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.METHODS We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI.They were divided into observation and control groups according to the random throwing method.The observation group consisted of 43 patients undergoing music therapy and motivational interviewing,and the control group(43 cases)underwent music therapy and conventional communication.The two groups were then compared on mood status[Chinese Brief Mood Status Scale(POMS)],coping methods[Medical Coping Methods Questionnaire(MCMQ)Chinese version],and healthy lifestyle behaviors[Heart Health Self-Efficacy and Self-Management(HH-SESM)scale].RESULTS Two weeks post-intervention,the observation group had lower POMS scores,improved MCMQ scores,and higher HH-SESM scores than the control group(P<0.05).CONCLUSION The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood,reduce anxiety and depression symptoms,and stimulate patients to actively face their condition.It also encourages the formation of healthy behavioral habits.展开更多
Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure ...Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.展开更多
Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.De...Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.展开更多
Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effec...Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.展开更多
Aim: To explore and analyze the feasibility of establishing a program of complex intervention in Traditional Chinese Medicine (TCM) based on Text Mining and Interviewing method. Methods: According to MRC, Constructing...Aim: To explore and analyze the feasibility of establishing a program of complex intervention in Traditional Chinese Medicine (TCM) based on Text Mining and Interviewing method. Methods: According to MRC, Constructing the program of complex intervention in TCM by Text Mining and Interviewing method should include 4 steps: 1) establishment of interview framework via normalization of extraction of ancient documents and Effectiveness of collection of modern periodical literatures;2) materialization of interview outline based on Focus Group Interview;3) rudimentary construction of complex intervention program based on Semi-structured Interview;4) evaluation of curative effect of complex intervention. Conclusions: It is feasible and significative to establish a program of complex intervention in TCM based on Text Mining and Interviewing method.展开更多
The purpose of this paper is to describe the challenges of elite interviewing and identify key factors that ensure success for qualitative researchers. The authors draw on their own experiences of interviewing powerfu...The purpose of this paper is to describe the challenges of elite interviewing and identify key factors that ensure success for qualitative researchers. The authors draw on their own experiences of interviewing powerful and influential members of government and various professions as well as tips from experienced researchers from the fields of social sciences and health. They identify five essential steps to successful interviewing： （1） identifying the key informants; （2） negotiating access; （3） background research and preparation; （4） site selection, presentation questioning approach, and execution; and （5） follow-up. Each of them is discussed in detail. The authors argue that the most important quality for the elite interviewer is self-management which involves developing an individual style of interviewing that is responsive to setbacks and unexpected opportunities展开更多
Why could Kingway, brand of Shenzhen Brewery CompanyLimited (SBC). in so short time realize its dream and acquire glories? What is its secret in success? What do itsdecision-makers look like? With all these questions,...Why could Kingway, brand of Shenzhen Brewery CompanyLimited (SBC). in so short time realize its dream and acquire glories? What is its secret in success? What do itsdecision-makers look like? With all these questions, reporter interviewed mangaer general Yuan Youjian.展开更多
When telecom giants in the world propose strategic transformation, domestic and foreign telecom equipment manufacturers at upper industrial chain are also faced with the dilemma of transformation, because each section...When telecom giants in the world propose strategic transformation, domestic and foreign telecom equipment manufacturers at upper industrial chain are also faced with the dilemma of transformation, because each section on the telecom industrial chain is closely connected with each other. Wu Ying,展开更多
My last interview of Mr.Leque was when he was the Chairman of the Government of Tibet Autonomous Region(TAR).As time went by,Mr.Leque became the Chairman of the People's Congress of TAR.Following the custom,I paid...My last interview of Mr.Leque was when he was the Chairman of the Government of Tibet Autonomous Region(TAR).As time went by,Mr.Leque became the Chairman of the People's Congress of TAR.Following the custom,I paid my respects by presenting a delicate Karta whereupon,he gracefully gifted me another in return.Talking and laughing between us put me at ease and then led naturally into my questions.展开更多
BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the w...BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.展开更多
Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and...Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and recurrence.Despite this,cardiac rehabilitation is underutilized and adherence to these programs has been a demonstrated barrier in achieving these outcomes.As a result,there is a growing focus on innovating these programs,especially from the standpoint of digital health and personalized medicine.This editorial discusses the possible roles of large language models,such as their role in ChatGPT,in further personalizing cardiac rehabilitation programs through simplifying medical jargon and employing motivational interviewing techniques,thus boosting patient engagement and adherence.However,these possibilities must be further investigated in the clinical literature.Likewise,the integration of large language models in cardiac rehabilitation will be challenging in its nascent stages to ensure accurate and ethical information delivery.展开更多
Objective:This review paper explores the concept,spirit,principles,and core skills of moti-vational interviewing(MI)as a psychological approach applied to CHD patients.Methods:Literature reviews based on English and C...Objective:This review paper explores the concept,spirit,principles,and core skills of moti-vational interviewing(MI)as a psychological approach applied to CHD patients.Methods:Literature reviews based on English and Chinese articles.Results:The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes,blood pressure control,hyperglycemia and hyperlipidemia control,compliance improvement,and improving quality of life amongst chronic heart failure patients.The Happy Life Club(HLC)is the only randomized controlled trial(RCT)that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus.The HLC pilot revealed positive outcomes,and RCTs will provide further evidence.Conclusion:MI has been expanded in its application to a wider range of lifestyle-related chronic diseases,including CHD.At the time of this review,MI represents a new concept and ap-proach in China for improving physical and mental health(body and mind)in patients with CHD.In order to integrate MI into medical practice,the authors suggest improving the medical education curriculum and strengthening vocational training,while conducting further research initiatives to assess the innovation and inform practice management.展开更多
Strengthening Global Climate Governance China is ready to work with Africa to promote global climate governance,uphold the principles of equity and common but differentiated responsibilities,and urge developed countri...Strengthening Global Climate Governance China is ready to work with Africa to promote global climate governance,uphold the principles of equity and common but differentiated responsibilities,and urge developed countries to acknowledge their historical responsibilities,fulfil their obligations,and provide financial,technological,and capacity-building support to developing nations,particularly those in Africa,Chinese Foreign Minister Wang Yi stated in a media interview following his visits to Namibia,the Republic of the Congo,Chad,and Nigeria in January.展开更多
The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attit...The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attitude and behavioral intention,to develop a dual-path model of how AI empowerment influences college graduates’acceptance of intelligent interview technology.Taking AI empowerment as the independent variable,perceived risk and attitude as mediating variables,and behavioral intention as the outcome variable,the study employs questionnaire surveys and structural equation modeling(SEM)for empirical analysis.The results show that AI empowerment exerts a significant positive impact on attitude,perceived risk,and behavioral intention.Both perceived risk and attitude play significant mediating roles between AI empowerment and behavioral intention.Interestingly,perceived risk does not suppress behavioral intention;instead,it positively promotes it through a“rational trade-off”mechanism.Moreover,perceived risk and attitude form a significant chain-mediated pathway,revealing a continuous psychological transmission mechanism of“rational cognition-emotional adjustment-behavioral decision-making”.This study enriches the theoretical framework of AI technology acceptance,extends the application of the SOR model to the context of intelligent recruitment,and provides valuable implications for optimizing university career guidance and enterprise recruitment systems.展开更多
Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this ...Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this study,using questionnaire surveys and in-depth interviews,the development of accessible tourism in Mount Tai Scenic Area was investigated and analyzed.Some countermeasures were put forward,including strengthening information guidance services,enhancing awareness and skills in accessibility services,improving feedback mechanisms for continuous refinement,and strengthening collaborations in the fields of the disabled and accessibility development,aiming to further promote humanistic care and enhance service satisfaction at the scenic area.展开更多
Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and r...Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and relates to the meaning of the family’s existence in terms of the entire family. The purpose of this study was to clarify the attributes of family spirituality and the influencing factors of its decline. Methods: Regarding family spirituality, 1) a literature search was conducted using PubMed and reviews of 20 English-language articles;and 2) semi-structured interviews were conducted with 12 Japanese families having elderly members in the household. Data triangulation was performed for both, and a directed content analysis was conducted using Hohashi’s Concentric Sphere Family Environment Theory as the framework. Results: Attributes of family spirituality included 21 categories, such as “I think that my family exists for my children and grandchildren.” Factors influencing the decline in family spirituality included 20 categories in total, including 6 categories of risk/causal/promoting factors such as “lack of caring for family members”;11 categories of preventive/inhibitory/suppression factors such as “healthcare professionals not being close to the family”;and three categories of context-sensitive factors such as “death of a family member.” Conclusions/Implications for Practice: Family intervention requires nurses to understand the attributes of family spirituality and to control the influencing factors of a decline in family spirituality. Through such efforts, families will be able to discover the meaning of the existence of the family and maintain and improve their well-being.展开更多
This study evaluates the impact of the"4GEON;Four continents connected through geoeducation"project on engaging local and Indigenous communities within UNE-SCO Global Geoparks(UGGps)through immersive and pla...This study evaluates the impact of the"4GEON;Four continents connected through geoeducation"project on engaging local and Indigenous communities within UNE-SCO Global Geoparks(UGGps)through immersive and playful geoeducation initiatives.It aims to assess the effects on environmental commitment,participation,perception of geological heritage,and fostering sustainable development and social responsibility among youths in selected geoparks.Qualitative research techniques,including semi-structured interviews and dynamic discussions,were employed.The systematic analysis of project documentation and align-ment with the United Nations Sustainable Development Goals(SDGs)was conducted to understand the project's broader implications.The findings underscore the crucial role of systematic knowledge transfer in enhancing geo-education within geoparks and emphasize the importance of inclusive communication,with a specific focus on the intercultural dimension of knowledge exchange.By fostering a deeper understanding and appreciation of diverse cultural perspectives,the project contributes to bridging gaps and building mutual respect among different communities.Practi-cal implications include insights for designing effective educational strategies that acknowledge and respect cultural diversity,aligning initiatives with SDGs,and leveraging Information and Communication Technology(ICT)tools to enhance engagement and learning outcomes,particu-larly for youth audiences.展开更多
文摘This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.
基金Supported by 2023 Shiyan Taihe Hospital Fund Project(2023JJXM024).
文摘[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.
文摘BACKGROUND Percutaneous coronary intervention(PCI)is one of the main treatment methods for myocardial infarction(MI).Despite its positive effects,patients often experience different degrees of anxiety and depression after the intervention.Therefore,effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.AIM To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.METHODS We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI.They were divided into observation and control groups according to the random throwing method.The observation group consisted of 43 patients undergoing music therapy and motivational interviewing,and the control group(43 cases)underwent music therapy and conventional communication.The two groups were then compared on mood status[Chinese Brief Mood Status Scale(POMS)],coping methods[Medical Coping Methods Questionnaire(MCMQ)Chinese version],and healthy lifestyle behaviors[Heart Health Self-Efficacy and Self-Management(HH-SESM)scale].RESULTS Two weeks post-intervention,the observation group had lower POMS scores,improved MCMQ scores,and higher HH-SESM scores than the control group(P<0.05).CONCLUSION The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood,reduce anxiety and depression symptoms,and stimulate patients to actively face their condition.It also encourages the formation of healthy behavioral habits.
文摘Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.
文摘Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.
文摘Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.
文摘Aim: To explore and analyze the feasibility of establishing a program of complex intervention in Traditional Chinese Medicine (TCM) based on Text Mining and Interviewing method. Methods: According to MRC, Constructing the program of complex intervention in TCM by Text Mining and Interviewing method should include 4 steps: 1) establishment of interview framework via normalization of extraction of ancient documents and Effectiveness of collection of modern periodical literatures;2) materialization of interview outline based on Focus Group Interview;3) rudimentary construction of complex intervention program based on Semi-structured Interview;4) evaluation of curative effect of complex intervention. Conclusions: It is feasible and significative to establish a program of complex intervention in TCM based on Text Mining and Interviewing method.
文摘The purpose of this paper is to describe the challenges of elite interviewing and identify key factors that ensure success for qualitative researchers. The authors draw on their own experiences of interviewing powerful and influential members of government and various professions as well as tips from experienced researchers from the fields of social sciences and health. They identify five essential steps to successful interviewing： （1） identifying the key informants; （2） negotiating access; （3） background research and preparation; （4） site selection, presentation questioning approach, and execution; and （5） follow-up. Each of them is discussed in detail. The authors argue that the most important quality for the elite interviewer is self-management which involves developing an individual style of interviewing that is responsive to setbacks and unexpected opportunities
文摘Why could Kingway, brand of Shenzhen Brewery CompanyLimited (SBC). in so short time realize its dream and acquire glories? What is its secret in success? What do itsdecision-makers look like? With all these questions, reporter interviewed mangaer general Yuan Youjian.
文摘When telecom giants in the world propose strategic transformation, domestic and foreign telecom equipment manufacturers at upper industrial chain are also faced with the dilemma of transformation, because each section on the telecom industrial chain is closely connected with each other. Wu Ying,
文摘My last interview of Mr.Leque was when he was the Chairman of the Government of Tibet Autonomous Region(TAR).As time went by,Mr.Leque became the Chairman of the People's Congress of TAR.Following the custom,I paid my respects by presenting a delicate Karta whereupon,he gracefully gifted me another in return.Talking and laughing between us put me at ease and then led naturally into my questions.
基金Supported by the School of Nursing Research Project at China Medical University,No.2017HL-21.
文摘BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.
文摘Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and recurrence.Despite this,cardiac rehabilitation is underutilized and adherence to these programs has been a demonstrated barrier in achieving these outcomes.As a result,there is a growing focus on innovating these programs,especially from the standpoint of digital health and personalized medicine.This editorial discusses the possible roles of large language models,such as their role in ChatGPT,in further personalizing cardiac rehabilitation programs through simplifying medical jargon and employing motivational interviewing techniques,thus boosting patient engagement and adherence.However,these possibilities must be further investigated in the clinical literature.Likewise,the integration of large language models in cardiac rehabilitation will be challenging in its nascent stages to ensure accurate and ethical information delivery.
基金This research received no specific grant from any funding agency in the public,commercial,or not-for-profit sectors.
文摘Objective:This review paper explores the concept,spirit,principles,and core skills of moti-vational interviewing(MI)as a psychological approach applied to CHD patients.Methods:Literature reviews based on English and Chinese articles.Results:The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes,blood pressure control,hyperglycemia and hyperlipidemia control,compliance improvement,and improving quality of life amongst chronic heart failure patients.The Happy Life Club(HLC)is the only randomized controlled trial(RCT)that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus.The HLC pilot revealed positive outcomes,and RCTs will provide further evidence.Conclusion:MI has been expanded in its application to a wider range of lifestyle-related chronic diseases,including CHD.At the time of this review,MI represents a new concept and ap-proach in China for improving physical and mental health(body and mind)in patients with CHD.In order to integrate MI into medical practice,the authors suggest improving the medical education curriculum and strengthening vocational training,while conducting further research initiatives to assess the innovation and inform practice management.
文摘Strengthening Global Climate Governance China is ready to work with Africa to promote global climate governance,uphold the principles of equity and common but differentiated responsibilities,and urge developed countries to acknowledge their historical responsibilities,fulfil their obligations,and provide financial,technological,and capacity-building support to developing nations,particularly those in Africa,Chinese Foreign Minister Wang Yi stated in a media interview following his visits to Namibia,the Republic of the Congo,Chad,and Nigeria in January.
基金The 2025 Guizhou University of Finance and Economics University-level Project“Research on the‘Action-Learning’Strategy of Artificial Intelligence in Complex Tasks”(Project No.:2025BAZYSY287)。
文摘The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attitude and behavioral intention,to develop a dual-path model of how AI empowerment influences college graduates’acceptance of intelligent interview technology.Taking AI empowerment as the independent variable,perceived risk and attitude as mediating variables,and behavioral intention as the outcome variable,the study employs questionnaire surveys and structural equation modeling(SEM)for empirical analysis.The results show that AI empowerment exerts a significant positive impact on attitude,perceived risk,and behavioral intention.Both perceived risk and attitude play significant mediating roles between AI empowerment and behavioral intention.Interestingly,perceived risk does not suppress behavioral intention;instead,it positively promotes it through a“rational trade-off”mechanism.Moreover,perceived risk and attitude form a significant chain-mediated pathway,revealing a continuous psychological transmission mechanism of“rational cognition-emotional adjustment-behavioral decision-making”.This study enriches the theoretical framework of AI technology acceptance,extends the application of the SOR model to the context of intelligent recruitment,and provides valuable implications for optimizing university career guidance and enterprise recruitment systems.
基金Sponsored by Tai’an Science and Technology Innovation Development Project(Policy Guidance Category)(2024ZC042)Research Project of Inner Mongolia Autonomous Region Center for the Theoretical System of Socialism with Chinese Characteristics(2024ZZB018).
文摘Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this study,using questionnaire surveys and in-depth interviews,the development of accessible tourism in Mount Tai Scenic Area was investigated and analyzed.Some countermeasures were put forward,including strengthening information guidance services,enhancing awareness and skills in accessibility services,improving feedback mechanisms for continuous refinement,and strengthening collaborations in the fields of the disabled and accessibility development,aiming to further promote humanistic care and enhance service satisfaction at the scenic area.
文摘Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and relates to the meaning of the family’s existence in terms of the entire family. The purpose of this study was to clarify the attributes of family spirituality and the influencing factors of its decline. Methods: Regarding family spirituality, 1) a literature search was conducted using PubMed and reviews of 20 English-language articles;and 2) semi-structured interviews were conducted with 12 Japanese families having elderly members in the household. Data triangulation was performed for both, and a directed content analysis was conducted using Hohashi’s Concentric Sphere Family Environment Theory as the framework. Results: Attributes of family spirituality included 21 categories, such as “I think that my family exists for my children and grandchildren.” Factors influencing the decline in family spirituality included 20 categories in total, including 6 categories of risk/causal/promoting factors such as “lack of caring for family members”;11 categories of preventive/inhibitory/suppression factors such as “healthcare professionals not being close to the family”;and three categories of context-sensitive factors such as “death of a family member.” Conclusions/Implications for Practice: Family intervention requires nurses to understand the attributes of family spirituality and to control the influencing factors of a decline in family spirituality. Through such efforts, families will be able to discover the meaning of the existence of the family and maintain and improve their well-being.
基金support of the Project“751-4GEON:Four Con-tinents Connected through Playful Geoeducation”and financial sup-port of the Specific Research Project“Information and Knowledge Management and Cognitive Science in Tourism”of FIM UHK is gratefully acknowledged.The authors wish to express their thanks to StanislavŠafránek,FIM UHK student,and David Zejda and Zuzana Kroulíková,former FIM UHK students,who assisted with the graphical elements.
文摘This study evaluates the impact of the"4GEON;Four continents connected through geoeducation"project on engaging local and Indigenous communities within UNE-SCO Global Geoparks(UGGps)through immersive and playful geoeducation initiatives.It aims to assess the effects on environmental commitment,participation,perception of geological heritage,and fostering sustainable development and social responsibility among youths in selected geoparks.Qualitative research techniques,including semi-structured interviews and dynamic discussions,were employed.The systematic analysis of project documentation and align-ment with the United Nations Sustainable Development Goals(SDGs)was conducted to understand the project's broader implications.The findings underscore the crucial role of systematic knowledge transfer in enhancing geo-education within geoparks and emphasize the importance of inclusive communication,with a specific focus on the intercultural dimension of knowledge exchange.By fostering a deeper understanding and appreciation of diverse cultural perspectives,the project contributes to bridging gaps and building mutual respect among different communities.Practi-cal implications include insights for designing effective educational strategies that acknowledge and respect cultural diversity,aligning initiatives with SDGs,and leveraging Information and Communication Technology(ICT)tools to enhance engagement and learning outcomes,particu-larly for youth audiences.
