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    Implementing Motivational Interviewing for Exercise with Depressed Adults

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    Author
    Kristiansen, Kurt
    Issue Date
    2018
    Advisor
    Love, Rene
    
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: Depression can negatively impact all aspects of life including physical health, financial stability, and job security. Motivational Interviewing (MI) reflects a counseling style based on five general principles: reflective listening, developing a discrepancy between the patient’s goals, values and their current behavior, avoiding argument and direct confrontation, adjusting to client resistance instead of opposing directly, and finally, supporting self-efficacy and optimism. Exercise can improve mood, lessen the course of depression, and can provide benefits in addition to antidepressants. However, many with mental illness do not get enough exercise and this can compound their illness. Objective: The purpose of this DNP project was to determine the barriers and facilitators of employing Motivational Interviewing (MI) for exercise in an outpatient mental health clinic in Northern Arizona Methodology: Patients were interviewed pre and post MI intervention, as well as administered PHQ-9 pre and post MI intervention. Written responses were analyzed for commonalities in their survey questions. Setting: West Yavapai Guidance Clinic in Prescott Valley, AZ. Participants: There were five patients that met project guidelines for depression during the convenience sampling period. Results: Response rate among participants was 60%, with 80% female and 20% male. The PHQ-9 scores was lower at the one month follow up after the MI intervention for two participants and stayed the same for the third. Commonalties that were identified were “relaxed,” “peaceful,” and “nature,” as well as “dogs.” Barriers were “time” and “weather.” Conclusion: The five participants reported depression and were identified as having depression on the PHQ-9. The three who followed up reported that they thought of exercise more frequently, and linked it to their mental health. With this small sample size there exhibited a positive association between targeting people’s behavior via MI on exercise, and subsequent improvement in PHQ-9 scores, as well as positive thoughts regarding mental health and exercise.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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