Implementing the Motivational Interviewing Techniques for Self-Efficacy of the Midlife Population with Chronic Depression in Taiwan

Monday, 31 October 2011

Shiu-Yun K. Fu, PhD, RN
Brian McAvan, MA
Department of Nursing, Fu Jen Catholic University, New Taipei City, Taiwan

Learning Objective 1: The learner will be able to understand the valid localized self-efficacy scale for midlife depression clients and how accommodate the cultural and social context.

Learning Objective 2: The learner will be able to understand how the effectiveness of the motivation interviewing for midlife depression clients positive behavior change.

The objectives of this study are 1). To translate and validate the English version of the self-efficacy scale for depression clients (Parrud, 2000) into Mandarin with localization components; and 2). To use a nurse-led client-centered motivational interviewing (MI) intervention technique that specifically targets modifiable life risk factors associated with chronic depression among midlife men and women.

Samples will be recruited from a subset of midlife depression clients who have been reported to multiple Regional Community Health Centers. The inclusion criteria encompass all individuals with the ability to speak and understand comprehensively Mandarin Chinese, and who are aged 44 years or older. All midlife depression clients will complete the questionnaire before the start of the program and will be randomly assigned to an intervention or control group. Based on the advanced translation and validation process of the self-efficacy scale, the Chinese language version of the scale for midlife depression clients will be heavily scrutinized to indicate its validity.

The outcome of this study will establish that the innovative and unique intervention strategy of motivational interviewing can help conserve medical resources as well as bring about a higher standard to the quality of life for the depression population. This strategy may also be useful to those policy makers who would appreciate a cost-effective public service with the noticeable reduction of medical capital needed to establish the application of non-pharmacological intervention.