[Motivational interviewing of unemployed acceptance and effects of counselling to improve health-related behaviour]

Title[Motivational interviewing of unemployed acceptance and effects of counselling to improve health-related behaviour]
Publication TypeJournal Article
Year of Publication2006
AuthorsHanewinkel, R, Wewel, M, Stephan, C, Isensee, B, Wiborg, G
Date PublishedApr
Publication Languageger
ISBN Number1439-4421 (Electronic)0941-3790 (Linking)
Accession Number16705560
Keywords*Health Behavior, *Motivation, Adult, Alcohol Drinking/epidemiology, Counseling, Directive Counseling/methods/*statistics & numerical data, Female, Germany/epidemiology, Health Promotion/*methods/statistics & numerical data, Humans, Interviews as Topic/*methods, Male, Middle Aged, Patient Acceptance of Health Care/*statistics & numerical data, Smoking/epidemiology, Treatment Outcome, Unemployment/*statistics & numerical data

PURPOSE: Conception, implementation and evaluation of a risk-reducing and health-promoting brief intervention addressed to unemployed. METHOD: Control-group-study with repeated measurement. 131 unemployed took part in the intervention group and 95 persons were matched according to age and sex and served as a reference group. The intervention group were recruited via flyers, press articles and several institutions, the reference group via the journal of a health insurance company. The reference group received a questionnaire twice assessing the same health-related variables as the intervention group. INTERVENTION: In the intervention group, life style-related variables - eating habits, exercising, smoking, alcohol consumption - were assessed via questionnaire. In a one-hour counselling session based on Motivational Interviewing, participants received an individual feedback on their results of the questionnaire, including a comparison against standards and a review of their personal risks and negative consequences as well as advice and recommendations, while the decision for or against a behaviour change was left to the participant. RESULTS: 85.2 % of the participants of the intervention reported that the counselling met their expectations, and 86.2 % would recommend the intervention to a friend. Statistically significant effects for the intervention group compared to the control group from pre- to post-measurement could be shown for alcohol consumption, eating habits, and exercise (p <or= 0.0125 with a Bonferroni correction for multiple comparisons). Differences were also shown for the subjective state of health; however, they failed to attain statistical significance. CONCLUSIONS: The results of the study indicate that this kind of intervention might have positive effects regarding the promotion of health and a healthy life-style and that it might sensitize participants regarding their subjective state of health. The results of the pilot study will have to be substantiated by further studies.

Original PublicationMotivierende Gesprachsfuhrung mit Arbeitslosen Akzeptanz und Ergebnisse einer Beratung zur Verbesserung gesundheitsrelevanter Verhaltensweisen.
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