[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
Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis pa...Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis patients with low bone mass admitted to our hospital from June 2000 to the end of June 2023 were selected and randomly divided into an observation group and a control group using the envelope method,with 46 and 45 cases in each group,respectively.The control group received routine nursing care,while the observation group received health education nursing based on the Transtheoretical Model of Behavior Change.Bone mineral density(lumbar spine L1-L4,femoral neck),disease awareness(Osteoporosis Knowledge Test Questionnaire,OKT-Q),and self-efficacy(Adult Health Self-Management Skills Rating Scale,AHSMSRS)were compared between the two groups.Results:After the intervention,bone mineral density levels,disease awareness levels,and self-efficacy levels significantly increased in both groups,with the observation group showing greater improvements in all indicators compared to the control group(p<0.05).Conclusion:Interventions based on the Transtheoretical Model of Behavior Change effectively enhance patient self-efficacy and bone health by precisely matching behavioral stages,strengthening social support,and regulating neurobehavioral factors.展开更多
Background: Based on the transtheoretical model, the current study investigated whether awareness of physical activity(PA) recommendations had an impact on the stages of PA behavior change and levels of PA among Chine...Background: Based on the transtheoretical model, the current study investigated whether awareness of physical activity(PA) recommendations had an impact on the stages of PA behavior change and levels of PA among Chinese college students.Methods: In Study 1, with a cross-sectional study design, 9826 students were recruited, and their knowledge of international PA recommendations,PA stage distribution, and self-reported PA level were surveyed. Pearson's χ2 test was used to test whether those participants who were aware and not aware of PA guidelines were equally distributed across the stages of PA behavior, and independent t test was conducted to test the group difference in the actual levels of PA. In Study 2, 279 students who were not aware of the PA recommendations were randomly allocated to either an intervention group or a control group, and only those in the intervention group were presented with international PA guidelines. In both groups,students' PA stages and PA level were examined before the test and then 4 months post-test. Mc Nemar's test for correlated proportions and repeated-measures analysis of variance were conducted to examine the changes in PA stage membership and PA level after the intervention.Results: Study 1 results revealed that only 4.4% of the surveyed students had correct knowledge of PA recommendations. Those who were aware of the recommendations were in later stages of PA behavior(χ~2(4) = 167.19, p < 0.001). They were also significantly more physically active than those who were not aware of the recommendations(t(443.71) = 9.00, p < 0.001, Cohen's d = 0.53). Study 2 results demonstrated that the intervention group participants who were at the precontemplation and contemplation stages at the pre-test each progressed further in the PA stages in the post-test(χ~2(1) = 112.06, p < 0.001; χ~2(1) = 118.76, p = 0.03, respectively), although no significant change in PA level was observed(t(139) < 1, p = 0.89).Conclusion: The results showed that awareness of the PA recommendations was associated with higher stages and levels of PA behavior, and a brief educational exposure to PA recommendations led to improved stages of PA behavior but no change in the levels of PA among Chinese college students. More effective public health campaign strategies are needed to promote the dissemination of the PA recommendations and to raise the awareness of the Chinese student population.展开更多
This study utilises the modified Transtheoretical Model of Change(TTMC)to investigate the levels of adoption of transport-multi-function apps or Transport-SuperApp(TSA)and also examine the influence of users’personal...This study utilises the modified Transtheoretical Model of Change(TTMC)to investigate the levels of adoption of transport-multi-function apps or Transport-SuperApp(TSA)and also examine the influence of users’personality,socio-demographic factors,residential location,perceived built environment,and motivations of use.The analysis is based on data collected from 1,051 users in four Indonesian cities.In this study,a latent class cluster analysis(LCCA)was used which identified four distinct classes of TSA level of adoption:Over Enthusiast(OE)(42%)comprising users who extensively explore and utilise the functions of the apps;Exploring but has Disinterest(ED)(36%)comprising those who primarily use apps for popular functions such as transportation,shopping,and payment services,but lack interest in utilising other services;Shopping-oriented but has Broad Interest(SBI)(14%)comprising those who heavily use shopping services while displaying a high interest in other functions;and Minimalist and Unaware(MU)(8%)comprising those who utilises the core functions of TSA for transportation and shopping while exhibiting low awareness of other available functions within the apps.The study found that transportation and shopping services have the highest level of adoption compared to other TSAs’functions.The findings also suggest that the behaviour surrounding TSA utilization may evolve in the future and adoption levels are influenced by hedonic and utilitarian motivations.The OE users are associated with authority/control and tend to be more disorganised.Whereas SBI users tend to be more creative and open to new experiences.Compared to other classes,OE users are mostly found in Jakarta,a megapolitan area,and primarily reside near activity centres.展开更多
Objective Patients who experience knee osteoarthritis or chronic knee pain can alleviate their symptoms by performing self-knee massage.Understanding the readiness and types of determinants needed to facilitate self-k...Objective Patients who experience knee osteoarthritis or chronic knee pain can alleviate their symptoms by performing self-knee massage.Understanding the readiness and types of determinants needed to facilitate self-knee massage is needed to design effective,theory-informed interventions.The primary objective of this study was to apply the transtheoretical model of behavior change to identify how factors,which include the type of knee condition and pain level,predict an individual’s readiness to adopt self-knee massage.The secondary objective employed the capability,opportunity and motivation-behavior(COM-B)model to identify relevant determinants that are predictive of an individual’s readiness to undertake self-knee massage.Methods An observational study design was used to recruit individuals with knee osteoarthritis(n=270)and chronic knee pain(n=130).Participants completed an online survey that assessed the transtheoretical model of behavior change stages,COM-B determinants(capability,opportunity and motivation),along with self-administered massage behavior.Multivariate analysis of covariance and structural equation modeling were used to test the primary and secondary objective,respectively.Results Participants who had knee osteoarthritis scored higher on the action stage compared to those with chronic pain(P=0.003),and those who experienced greater level of pain scored higher in the contemplation(P<0.001)and action phases(P<0.001)of performing knee massage compared to those with milder pain.The COM-B structural equation model revealed self-administered knee massage to be predicted by capability(β=0.31,P=0.004)and motivation(β=0.29,P<0.001),but not opportunity(β=–0.10,P=0.39).Pain level predicted motivation(β=0.27,P<0.001),but not capability(β=0.09,P=0.07)or opportunity(β=0.01,P=0.83).Tests for mediating effects found that determinants of COM-B(motivation and capability)mediate between pain level and self-administered massage behavior(β=0.10,P=0.002).Conclusion Clinicians and researchers can expect that patients diagnosed with knee osteoarthritis or who have chronic knee pain are ready(action stage)or are considering the behavior(contemplation stage)of self-knee massage.Individuals who report having knee osteoarthritis or chronic knee pain should be coached to develop the skills to perform self-knee massage and helped to develop the motivation to carry out the therapy.展开更多
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.
基金National Key Research and Development Program of China(Project No.:2020YFC2004900)。
文摘Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis patients with low bone mass admitted to our hospital from June 2000 to the end of June 2023 were selected and randomly divided into an observation group and a control group using the envelope method,with 46 and 45 cases in each group,respectively.The control group received routine nursing care,while the observation group received health education nursing based on the Transtheoretical Model of Behavior Change.Bone mineral density(lumbar spine L1-L4,femoral neck),disease awareness(Osteoporosis Knowledge Test Questionnaire,OKT-Q),and self-efficacy(Adult Health Self-Management Skills Rating Scale,AHSMSRS)were compared between the two groups.Results:After the intervention,bone mineral density levels,disease awareness levels,and self-efficacy levels significantly increased in both groups,with the observation group showing greater improvements in all indicators compared to the control group(p<0.05).Conclusion:Interventions based on the Transtheoretical Model of Behavior Change effectively enhance patient self-efficacy and bone health by precisely matching behavioral stages,strengthening social support,and regulating neurobehavioral factors.
基金partly supported by the China Scholarship Council (No. 201406010330)
文摘Background: Based on the transtheoretical model, the current study investigated whether awareness of physical activity(PA) recommendations had an impact on the stages of PA behavior change and levels of PA among Chinese college students.Methods: In Study 1, with a cross-sectional study design, 9826 students were recruited, and their knowledge of international PA recommendations,PA stage distribution, and self-reported PA level were surveyed. Pearson's χ2 test was used to test whether those participants who were aware and not aware of PA guidelines were equally distributed across the stages of PA behavior, and independent t test was conducted to test the group difference in the actual levels of PA. In Study 2, 279 students who were not aware of the PA recommendations were randomly allocated to either an intervention group or a control group, and only those in the intervention group were presented with international PA guidelines. In both groups,students' PA stages and PA level were examined before the test and then 4 months post-test. Mc Nemar's test for correlated proportions and repeated-measures analysis of variance were conducted to examine the changes in PA stage membership and PA level after the intervention.Results: Study 1 results revealed that only 4.4% of the surveyed students had correct knowledge of PA recommendations. Those who were aware of the recommendations were in later stages of PA behavior(χ~2(4) = 167.19, p < 0.001). They were also significantly more physically active than those who were not aware of the recommendations(t(443.71) = 9.00, p < 0.001, Cohen's d = 0.53). Study 2 results demonstrated that the intervention group participants who were at the precontemplation and contemplation stages at the pre-test each progressed further in the PA stages in the post-test(χ~2(1) = 112.06, p < 0.001; χ~2(1) = 118.76, p = 0.03, respectively), although no significant change in PA level was observed(t(139) < 1, p = 0.89).Conclusion: The results showed that awareness of the PA recommendations was associated with higher stages and levels of PA behavior, and a brief educational exposure to PA recommendations led to improved stages of PA behavior but no change in the levels of PA among Chinese college students. More effective public health campaign strategies are needed to promote the dissemination of the PA recommendations and to raise the awareness of the Chinese student population.
基金Research Grant from ITENAS Bandungthe WCR Grant from The Ministry of Research,Technology,and Higher Education,the Republic of Indonesiathe DAVeMoS BMK Endowed Professorship in Digitalisation and Automation in Transport Systems(FFG Project No.862678).
文摘This study utilises the modified Transtheoretical Model of Change(TTMC)to investigate the levels of adoption of transport-multi-function apps or Transport-SuperApp(TSA)and also examine the influence of users’personality,socio-demographic factors,residential location,perceived built environment,and motivations of use.The analysis is based on data collected from 1,051 users in four Indonesian cities.In this study,a latent class cluster analysis(LCCA)was used which identified four distinct classes of TSA level of adoption:Over Enthusiast(OE)(42%)comprising users who extensively explore and utilise the functions of the apps;Exploring but has Disinterest(ED)(36%)comprising those who primarily use apps for popular functions such as transportation,shopping,and payment services,but lack interest in utilising other services;Shopping-oriented but has Broad Interest(SBI)(14%)comprising those who heavily use shopping services while displaying a high interest in other functions;and Minimalist and Unaware(MU)(8%)comprising those who utilises the core functions of TSA for transportation and shopping while exhibiting low awareness of other available functions within the apps.The study found that transportation and shopping services have the highest level of adoption compared to other TSAs’functions.The findings also suggest that the behaviour surrounding TSA utilization may evolve in the future and adoption levels are influenced by hedonic and utilitarian motivations.The OE users are associated with authority/control and tend to be more disorganised.Whereas SBI users tend to be more creative and open to new experiences.Compared to other classes,OE users are mostly found in Jakarta,a megapolitan area,and primarily reside near activity centres.
基金supported by Dr.Navin Kaushal's lab start-up funding from the School of Health and Human Sciences at Indiana University,Indianapolis.
文摘Objective Patients who experience knee osteoarthritis or chronic knee pain can alleviate their symptoms by performing self-knee massage.Understanding the readiness and types of determinants needed to facilitate self-knee massage is needed to design effective,theory-informed interventions.The primary objective of this study was to apply the transtheoretical model of behavior change to identify how factors,which include the type of knee condition and pain level,predict an individual’s readiness to adopt self-knee massage.The secondary objective employed the capability,opportunity and motivation-behavior(COM-B)model to identify relevant determinants that are predictive of an individual’s readiness to undertake self-knee massage.Methods An observational study design was used to recruit individuals with knee osteoarthritis(n=270)and chronic knee pain(n=130).Participants completed an online survey that assessed the transtheoretical model of behavior change stages,COM-B determinants(capability,opportunity and motivation),along with self-administered massage behavior.Multivariate analysis of covariance and structural equation modeling were used to test the primary and secondary objective,respectively.Results Participants who had knee osteoarthritis scored higher on the action stage compared to those with chronic pain(P=0.003),and those who experienced greater level of pain scored higher in the contemplation(P<0.001)and action phases(P<0.001)of performing knee massage compared to those with milder pain.The COM-B structural equation model revealed self-administered knee massage to be predicted by capability(β=0.31,P=0.004)and motivation(β=0.29,P<0.001),but not opportunity(β=–0.10,P=0.39).Pain level predicted motivation(β=0.27,P<0.001),but not capability(β=0.09,P=0.07)or opportunity(β=0.01,P=0.83).Tests for mediating effects found that determinants of COM-B(motivation and capability)mediate between pain level and self-administered massage behavior(β=0.10,P=0.002).Conclusion Clinicians and researchers can expect that patients diagnosed with knee osteoarthritis or who have chronic knee pain are ready(action stage)or are considering the behavior(contemplation stage)of self-knee massage.Individuals who report having knee osteoarthritis or chronic knee pain should be coached to develop the skills to perform self-knee massage and helped to develop the motivation to carry out the therapy.
