Randomized clinical trial to change parental practices for drug use in a telehealth prevention program: a pilot study / Ensaio clínico randomizado para mudar as práticas de uso de drogas dos pais em um programa telessaúde de prevenção: estudo piloto

Abstract Objectives: Programs for parents have been found to have a direct positive impact on reducing the consumption of psychoactive substances by adolescents, as well as having an indirect impact on reducing risk factors and increasing protective factors. The present study aimed to verify if a telehealth prevention program based on a brief motivational intervention helps to reduce parental risk practices and increase parental protective practices for drug use in comparison with psychoeducation. Methods: A pilot randomized controlled trial was performed at the National Service of Guidance and Information on Drug Use (Ligue 132), from September 2014 to December 2015, with the parents of adolescents (n = 26). The outcome measures were parental style, risk, and protective parental practices. Results: The brief motivational intervention was found to be more effective than psychoeducation in reducing the negligent behavior of parents. Furthermore, when comparing pre‐ and post‐intervention data, the brief motivational intervention helped to change parental style and the large majority of parental practices: increasing positive monitoring, as well as decreasing physical abuse, relaxed discipline, inconsistent punishment, and negative monitoring. Conclusions: These results demonstrate that the telehealth intervention is effective in modifying the parental practices known to help in preventing drug use. Studies with more number of subjects are required so that the results can be substantiated and generalized.

Resumo Objetivos: Os programas para pais parecem ter um impacto positivo direto sobre a redução do consumo de substâncias psicoativas por adolescentes, bem como um impacto indireto sobre a redução dos fatores de risco e aumento dos fatores protetores. O presente estudo visou a verificar se um programa telessaúde de prevenção com base em uma intervenção breve motivacional ajuda a reduzir as práticas de risco dos pais e aumentar as práticas protetoras com relação ao uso de drogas, em comparação à psicoeducação. Métodos: Um ensaio piloto controlado randomizado foi feito no Serviço Nacional de Informações e Orientações sobre Drogas (Ligue 132), de setembro de 2014 a dezembro de 2015, com os pais de adolescentes (n = 26). As medições dos resultados foram o estilo dos pais e as práticas de risco e protetoras dos pais. Resultados: A intervenção breve motivacional parece ser mais eficaz do que a psicoeducação na redução dos comportamentos negligentes dos pais. Adicionalmente, quando comparada aos dados pré e pós-intervenção, a intervenção breve motivacional ajudou a mudar o estilo dos pais e a grande maioria das práticas dos pais: aumentou o monitoramento positivo e reduziu o abuso físico, disciplina permissiva, punição não condizente e monitoramento negativo. Conclusões: Esses resultados demonstram que a intervenção telessaúde é eficaz na mudança das práticas dos pais, conhecida por ajudar a prevenir o uso de drogas. Estudos com maior número de indivíduos são necessários para que os resultados possam ser comprovados e generalizados.

Intervención motivacional en psicología de la salud: revisión de sus fundamentos conceptuales, definición, evolución y estado actual / Motivational intervention in health psychology: a review of the conceptual foundations, definition, evolution and current state

Se presenta una conceptualización acerca de la Intervención Motivacional basada en el análisis de los acontecimientos propios del Proceso Motivacional y se mencionan algunas microteorías motivacionales que proponen diversos constructos hipotéticos y variables intermediarias que explican el curso que sigue la conducta saludable en el estilo de vida de las personas, conformando lo que se considera como una Dimensión Psicológica de la Promoción y de la Prevención en Salud. Se hace un intento de definición de la Intervención Motivacional y se propone un modelo de Formulación Motivacional para darle contexto y fundamento. Se describen los temas a los que se ha aplicado la Intervención Motivacional a lo largo de la existencia formal y sistemática de este concepto, y los temas de análisis teórico y metodológico actuales, para lo cual se toman los reportes que incluyen ambos términos (Motivational, & Intervention) en los resúmenes de publicaciones indizadas en la base de datos Medline, en el período 1991-2013...

A conceptualization is presented of Motivational Intervention based upon the analysis of occurrences which are part and parcel of the Motivational Process, and some motivational micro-theories are mentioned as well which propose a variety of hypothetical constructs and intervening variables accounting for the course that healthy behavior follows within the lifestyles of people, comprising what is considered to be a Psychological Dimension of Health Promotion and Prevention. An approach to the definition of Motivational Intervention is provided, and to support it and contextualize it, a model of Motivational Formulation is proposed. The topics to which Motivational Intervention has been applied throughout the formal and systematic existence of the concept are described, as well as issues of current theoretical and methodological analyses, by analyzing reports including both terms (Motivational, & Intervention) in the abstracts of indexed publications in the Medline database, between 1991 and 2013...

The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly / 간호학회지

PURPOSE: This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model. METHODS: The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul. RESULTS: 1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group. CONCLUSION: The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.