The Effect of Motivational Interviewing-Based Health Behavior Training in Chronically Ill Migrant Women

The Effect of Health Seeking Behavior Training Based on Motivational Interviewing Techniques on Health Seeking Behavior, Illness Self-Management and Anxiety in Immigrant Elderly Women With Chronic Disease: A Randomized Controlled Trial

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.

Inclusion Criteria:

• Migrant older women aged 65 years and older with chronic diseases,
• Immigrant women who have been living in Turkey for at least six months and who may or may not have acquired citizenship,
• Women who have no communication problems and who volunteered to be included in the study

Exclusion Criteria:

• Women with dementia, Alzheimer's disease and diagnosed mental illness with a mini-mental test score below 24