Development and Evaluation of a Behavior Change Interviewing Skills Education Program for Public Health Nurses for People with Prevalent Dependence

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19754
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: National Defense Medical College
• Principal Investigator: Sezai Izumi 防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 准教授 (40736956)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 動機づけ面接 / 行動変容面接技術 / 依存症 / 禁煙支援

Outline of Final Research Achievements

In this study, a program of behavioral change interviewing techniques for pre-dependents was developed and implemented for public health nurses and other nursing professionals, and its effectiveness was verified.
It was found that the interview technique based on motivational interviewing is necessary to change knowledge and attitudes, and that it is also essential to improve self-efficacy, and that it may be effective in talking to and finding signs of behavior change, especially when dealing with people in the preparation stage of the indifference phase.
In particular, public health nurses found the Motivational Interviewing-based techniques useful in "bringing out the ambivalence of the consultant," "realizing what the consultant wants without imposing one's own values and thoughts," and "interviewing with an awareness of the depth of the dialogue.

Free Research Field

公衆衛生看護学

Academic Significance and Societal Importance of the Research Achievements

飲酒・喫煙をはじめとして、ギャンブルやゲーム、処方薬など様々な依存行動による心身の健康影響は看過できない。これまで看護職による依存症全般に対する行動変容面接技術に関するプログラムとしては、国外において、"5A"(喫煙）、"SBIRT"(飲酒）、"Motivational interviewing"（共通）を柱としたスキルトレーニングについて検証されているが、「喫煙・飲酒」に対するアプロ―チが主である。動機づけ面接を基本とした面接は依存症全般に対する汎用性が高く、必要な情報提供をはじめ他の介入の導入にもつなげやすい。本研究は看護職の日常的な支援のスキル向上に寄与することが期待できる。