title: Effectiveness of small-group interactive education vs. lecture-based information-only programs on motivation to change and lifestyle behaviours. A prospective controlled trial of rehabilitation inpatients.
abstract: OBJECTIVE
  Although patient education may promote motivation to change health behaviours, the most effective method has not yet been determined.
  
  
  METHODS
  This prospective, controlled trial compared an interactive, patient-oriented group program with lectures providing only information. We evaluated motivational stages of change and self-reported behaviours in three domains (sports, diet, relaxation) at four times up to one year (60% complete data) among 753 German rehabilitation inpatients (mean age 50 years, 52% male) with orthopaedic (59%) or cardiologic disorders (10%) or diabetes mellitus (31%).
  
  
  RESULTS
  We found improvements between baseline and follow up regarding each outcome (p<.001) in both groups. At the end of rehabilitation, participants of the interactive group, as compared to the lectures, showed more advanced motivation regarding diet (p<.10) and sports (p=.006). Interactive group patients reported healthier diets both after 3 months (p=0.013) and 12 months (p=0.047), more relaxation behaviours (p=.029) after 3 months and higher motivation for sports after 12 months (p=.08).
  
  
  CONCLUSIONS
  The superior effectiveness of the interactive group was only partly confirmed.
  
  
  CONCLUSIONS
  This short, 5-session interactive program may not be superior to lectures to induce major sustainable changes in motivation.
authors.affiliation: University of Würzburg, Institute of Psychotherapy and Medical Psychology, Würzburg, Germany.
authors.forename: Andrea
authors.initials: A
authors.lastname: Reusch
authors.forename: Veronika
authors.initials: V
authors.lastname: Ströbl
authors.forename: Heiner
authors.initials: H
authors.lastname: Ellgring
authors.forename: Hermann
authors.initials: H
authors.lastname: Faller
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D004032:Diet; D005260:Female; D006126:Group Processes; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D007297:Inpatients; D008019:Life Style; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D009043:Motor Activity; D009752:Nutritional Status; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012648:Self Care; D057566:Self Report; D013177:Sports; D055815:Young Adult