RESUMO
The primary purpose of the study was to determine whether girls in one school receiving nurse counseling plus an after-school physical activity club showed greater improvement in physical activity, cardiovascular fitness, and body composition than girls assigned to an attention control condition in another school (N = 69). Linear regressions controlling for baseline measures showed no statistically significant group differences, but the directionality of differences was consistent with greater intervention group improvement for minutes of moderate to vigorous physical activity/hour (t = 0.95, p = .35), cardiovascular fitness (t = 1.26, p = .22), body mass index (BMI; t = -1.47, p = .15), BMI z score (t = -1.19, p = .24), BMI percentile (t = -0.59, p = .56), percentage body fat (t = -0.86, p = .39), and waist circumference (t = -0.19, p = .85). Findings support testing with a larger sample.
Assuntos
Comportamento do Adolescente/psicologia , Promoção da Saúde/métodos , Atividade Motora/fisiologia , Serviços de Enfermagem Escolar/métodos , Comportamento Sedentário , População Urbana/estatística & dados numéricos , Actigrafia/métodos , Adolescente , Composição Corporal/fisiologia , Índice de Massa Corporal , Distribuição de Qui-Quadrado , Criança , Feminino , Humanos , Modelos Lineares , Papel do Profissional de Enfermagem , Projetos Piloto , Estatística como Assunto , Inquéritos e QuestionáriosRESUMO
Motivational interviewing, which involves the use of person-centered, directive counseling techniques, shows promise for changing adolescent behaviors. The purpose of this article was to describe the methodology and findings related to the treatment fidelity of three face-to-face motivational interviewing sessions involving middle school girls and a school nurse to help the girls increase their moderate-to-vigorous physical activity. The following four areas related to treatment fidelity were addressed: (a) study design, (b) training of interventionists, (c) intervention delivery, and (d) intervention receipt. Findings showed that 34 of 37 (91.9%) girls completed all three sessions. An initial motivational interviewing training workshop followed by evaluation of audiotaped sessions with constructive feedback can result in successful and consistent delivery by a school nurse.
