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This randomized controlled experimental study will be conducted to investigate the effect of health seeking behavior training based on motivational interviewing techniques on health seeking behaviors, illness self-management and anxiety in migrant elderly women with chronic illness.
Hypotheses of the Study H11: Health-seeking behaviors training based on motivational interviewing techniques with migrant elderly women with chronic diseases will improve individuals' correct health-seeking behaviors.
H12: Health seeking behaviors training based on motivational interviewing techniques with migrant elderly women with chronic diseases will increase individuals' disease self-management.
H13: Health-seeking behaviors training based on motivational interviewing techniques with migrant elderly women with chronic diseases will reduce the anxiety level of individuals.
In the study, there will be an intervention group in which health-seeking behavior training based on motivational interviewing techniques will be applied and a control group in which no intervention will be applied.
The "Migrant Elderly Women with Chronic Diseases" in the intervention group, who will receive Health Seeking Behavior Training based on Motivational Interviewing Techniques, will be divided into four groups (the researcher conducting the intervention will interview the individuals in the 4 groups individually for 4 days). The interviews will be conducted 4 days a week (Monday, Tuesday, Thursday and Friday) and the Health Seeking Behavior Training Based on Motivational Interviewing Techniques, which lasts 4 weeks and each session is approximately 30-35 minutes, will be applied face-to-face.
''Migrant Elderly Women with Chronic Diseases'' who constitute the sample of the study will be informed about the Health Seeking Behavior Training based on Motivational Interviewing Techniques by obtaining the necessary permissions. After the intervention group and control group are determined by simple randomization method, pre-tests will be applied to both groups through face-to-face interviews. For the individuals in the intervention group, the days on which the Health Seeking Behavior Training Based on Motivational Interviewing Techniques will be implemented will be determined. The "Migrant Elderly Women with Chronic Diseases" in the intervention group who will receive Health Seeking Behavior Training based on Motivational Interviewing Techniques will be divided into four groups (the researcher who will conduct the application will interview the individuals in the 4 groups individually for 4 days). The interviews will be conducted 4 days a week (Monday, Tuesday, Thursday and Friday), lasting 4 weeks and each session will last approximately 30-35 minutes. Individuals who will come to the face-to-face training and belong to the intervention group divided into four will be called by the researcher for the training and called to a room with a therapeutic environment at the university. In addition, interviews will be continued by providing a therapeutic environment. The researcher will conduct interviews with each group on the days and times they have jointly planned. Thus, face-to-face practice will be carried out with a group every day. After the completion of the Health Seeking Behavior Training based on Motivational Interviewing Techniques, post-tests will be applied to the intervention and control groups through face-to-face interviews.
In the control group, pre-tests will be collected and no intervention will be made. For the post-test, the patients will be interviewed face-to-face on the agreed appointment date and post-test data will be collected in line with the data collection tools.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Health Seeking Behavior Training Based on Motivational Interviewing Techniques | Experimental | The "Migrant Elderly Women with Chronic Diseases" in the intervention group, who will receive Health Seeking Behavior Training based on Motivational Interviewing Techniques, will be divided into four groups (the researcher conducting the intervention will interview the individuals in the 4 groups individually for 4 days). The interviews will be conducted 4 days a week (Monday, Tuesday, Thursday and Friday) and the Health Seeking Behavior Training based on Motivational Interviewing Techniques, which lasts 4 weeks and each session is approximately 30-35 minutes, will be applied face-to-face. |
|
| Control group | No Intervention | There will be no intervention for individuals in this group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health Seeking Behavior Training Based on Motivational Interviewing Techniques | Behavioral | The Effect of Health Seeking Behavior Training Based on Motivational Interviewing Techniques on Health Seeking Behavior, Illness Self-Management and Anxiety in Migrant Elderly Women with Chronic Diseases. |
| Measure | Description | Time Frame |
|---|---|---|
| Health Seeking Behavior Scale | It was developed by Kıraç and Öztürk in 2019 to assess individuals' health seeking behavior. The scale consists of 12 questions and three sub-dimensions: online health seeking behavior, professional health seeking behavior and traditional health seeking behavior. The score to be obtained from the scale varies between 12-60 and the scores obtained are divided by the number of scale items and an average between 1-5 points is obtained. The increase in the scores obtained from the total scale and its sub-dimensions indicates that the health seeking behavior of the individual increases. | 0 weeks |
| Health Seeking Behavior Scale | It was developed by Kıraç and Öztürk in 2019 to assess individuals' health seeking behavior. The scale consists of 12 questions and three sub-dimensions: online health seeking behavior, professional health seeking behavior and traditional health seeking behavior. The score to be obtained from the scale varies between 12-60 and the scores obtained are divided by the number of scale items and an average between 1-5 points is obtained. The increase in the scores obtained from the total scale and its sub-dimensions indicates that the health seeking behavior of the individual increases. | 4 weeks |
| Health Anxiety Scale | The scale developed by Salkovskis et al. in 2002 is a self-report scale consisting of 18 items. The Turkish validity and reliability of the scale was conducted by Aydemir et al. in 2013. The scale consists of 18 items. Fourteen items of the scale consist of statements containing quadruple responses questioning the mental status of the patients. The total score that can be obtained from the scale varies between 0 and 54 points. A high score on the scale indicates a high level of health anxiety. | 0 weeks |
| Health Anxiety Scale | The scale developed by Salkovskis et al. in 2002 is a self-report scale consisting of 18 items. The Turkish validity and reliability of the scale was conducted by Aydemir et al. in 2013. The scale consists of 18 items. Fourteen items of the scale consist of statements containing quadruple responses questioning the mental status of the patients. The total score that can be obtained from the scale varies between 0 and 54 points. A high score on the scale indicates a high level of health anxiety. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pınar HARMANCI | Contact | 507 776 69 44 | pinar.harmanci@istiklal.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Yasemin SAZAK | Kahramanmaraş İstiklal University | Principal Investigator |
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| 4 weeks |
| Chronic Disease Self-Management Scale | The Turkish validity and reliability of the scale developed by Ngai et al. in 2020 was conducted by Öztürk et al. in 2021. The Turkish version of the scale consists of 23 items and 4 sub-dimensions. The sub-dimensions of the scale are self-stigmatization, coping with stigmatization, health care effectiveness and treatment compliance. The scale items are in a 5-point Likert scale and are scored between 5 and 5. | 0 weeks |
| Chronic Disease Self-Management Scale | The Turkish validity and reliability of the scale developed by Ngai et al. in 2020 was conducted by Öztürk et al. in 2021. The Turkish version of the scale consists of 23 items and 4 sub-dimensions. The sub-dimensions of the scale are self-stigmatization, coping with stigmatization, health care effectiveness and treatment compliance. The scale items are in a 5-point Likert scale and are scored between 5 and 5. | 4 weeks |
| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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