Motivational interviewing and exercise programme for community‐dwelling older persons with chronic pain: a randomised controlled study

Aims and objectives To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self‐efficacy, and compliance with exercise for community‐dwelling older persons with chronic pain. Background Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design Single‐blinded randomised control study. Methods Older persons with chronic pain (n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing‐trained physiotherapist and registered nurses. Participants in the experimental group received an 8‐week integrated motivational interviewing and physical exercise programme, while the control group received regular activities in the centre. Motivational interviewing used open‐ended questions to encourage participants to express and recognise their pain and behaviours and professional feedback was given accordingly. Pain intensity, pain self‐efficacy, anxiety, happiness, depression, mobility and quality of life were measured before and after the motivational interviewing and physical exercise programme. Attendance and compliance rate of the programme was calculated in the experimental group. Results Significant improvements in pain intensity, pain self‐efficacy, anxiety, happiness and mobility after the motivational interviewing and physical exercise programme (all p