Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05356455 |
| Other study ID # |
KTO KaratayU - SBYH-01 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
October 15, 2021 |
| Est. completion date |
April 20, 2022 |
Study information
| Verified date |
April 2022 |
| Source |
KTO Karatay University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Purpose of the research This research was planned to evaluate the effect of motivational
interview technique on loneliness in university students aged 18-25 living far from home.
Description:
Loneliness is an unpleasant emotional state that needs to be investigated and examined, and
can be perceived and defined in different ways in society. In addition, the most well-known
definition of loneliness belongs to Peplau and Perlman (1984): According to Peplau and
Perlman (1984), loneliness is an unpleasant feeling that causes anxiety and anxiety as a
result of the inconsistency between the individual's existing social relationships and the
social relationships he/she wishes to have or imagine. is the case. According to Weiss
(1973), another important theorist, loneliness is the absence of desired social relationships
or the absence of intimacy, intimacy and sensuality in these relationships despite having
different social relationships.Loneliness is the deepest emotion and thought of the human
mind. The only being who knows that he is alone, who is satisfied with this situation and
even needs another person is human. Individuals who think of loneliness as a freedom and
self-discovery can get lost in the depth of this feeling over time. While it may seem like a
good way to generate solitude or recuperate your energy by taking time to listen to yourself,
it is never completely healthy and effective. Because if the habitual loneliness becomes
chronic, it can overwhelm the individual and make it destructive. The definition of this
unpleasant emotional state and the way it is experienced in each person can be different. It
is a virtuous and at the same time overwhelming emotional state. Loneliness actually gives
very valuable information in getting to know people and interpreting life.
University years, which coincide with the late adolescence of 18-25 years, is a risky period
with many problems such as staying away from home and family, adaptation to a new city,
problems with education, uncertainties in becoming a candidate for a profession. The
intensity of problems and expectations, the inadequacy of their families' social support
prevent individuals from making correct assessments, lower their self-confidence and cause
some mental problems. Anxiety, hopelessness and helplessness due to these problems push
university students to loneliness. The young adult stage, called "developing adulthood",
which ranges from 18 to 25 years of age, has higher risk-taking behavior, psychiatric
disorders, and negative health behaviors than previous generations. Indeed, young adults'
mental illness has increased in recent years, including anxiety and depression. In addition,
many young adults have recently left their homes and families to attend university.
Separation from their families has also prevented them from establishing long-term romantic
relationships. As a result, levels of loneliness are high (up to 71% "sometimes" or "often"
alone). In general, young adults struggle with a growing number of health problems. Many of
these problems also occur during university years. Although most of the literature on
loneliness focuses on older adults, many studies show that loneliness is especially common
among younger generations. 43.3%, and 26% of university students stated that they would
"never" or "rarely" find a friend when they needed it . As a result of this pushed
loneliness, unwanted mental health problems such as depression and anxiety may occur.In
recent years, interpersonal relations have deteriorated for some reasons and there has been a
rapid increase in the number of people who lack intimacy and intimacy. Deterioration of
interpersonal relations creates situations such as developing technology, fast lifestyles,
frequent use of social media, virtual communication scattered with emojis and virtual dating
. As a result of this, loneliness emerges as an important problem that negatively affects the
life of the person and is increasing day by day. University students may experience
loneliness due to being away from their families, and sometimes they may feel lonely even
though they are with their friends. Therefore, the basis of loneliness can be the lack of
social relationships and the inadequacy of satisfaction from these relationships. In
addition, it is stated that university students in the young adult age group who experience
the feeling of loneliness state less reasons to continue their lives, cause depression and
anxiety, express a higher probability of suicide, and are more hopeless about the future.
Therefore, when all these are taken into account, it has been seen that there is a
meaningless and opposite relationship between the individual's attitudes towards protecting
his own health and the feeling of loneliness. In addition, the increase in the perception of
social support indirectly affects the sense of loneliness and public health by indirectly
causing healthy behaviors. Contrary to the idea that loneliness will increase in later ages
in the society and it is more common in the elderly, studies have shown that it is also
common in young adults.Therefore, as there are university years between the ages of 18-25, it
is seen that unpleasant feelings such as loneliness are experienced more frequently in this
age range . Thinking about their future and their efforts to adapt to a new school, a new
city and an unusual new environment for their dreams create different problems for many
students, and these problems alienate university students from themselves. Considering all
these situations , it is thought that it is an indispensable basic requirement for university
students to take initiatives for university students to continue their social relations at
the desired level, to eliminate the unpleasant feeling of loneliness they experience, to
adapt to the environment and to maintain their psychological well-being.Looking at the
results of the meta-analysis researched and attempted on loneliness, it is seen that the
earliest study and research dates back to the 1930's. If we briefly talk about these
researches and initiatives; It has been stated that it may be beneficial to develop social
skills, increase social support, increase opportunities for social interaction, and address
incompatible social cognition. When many studies are examined, when social skills are
examined among university students who experience loneliness in general, the cause of
loneliness is associated with self-consciousness and shyness. Finally, studies focusing on
incompatible social cognition through Cognitive Behavioral Therapy have been found to be
somewhat successful in reducing loneliness. It has been seen that the purpose of Cognitive
Behavioral Therapy is to teach lonely individuals to identify negative thoughts, to associate
them with reality and to distinguish them. When some studies are examined; Interventions
focusing on social skills and social support showed promise for reducing loneliness. In fact,
some studies have indicated that combining Cognitive Behavioral Therapy with social skills
training is more effective in treating adults alone than treatment alone. All of the reviews
noted the lack of randomized controlled trials and called for greater rigor in the evaluation
of loneliness reduction interventions.It is thought that the Motivational Interview Technique
on the loneliness experienced by university students who experience loneliness will be
effective because it provides an initiative, an individual-oriented approach and awareness,
similar to Cognitive Behavioral Therapy .
Motivational Interview Technique, which is an individual-centered and understanding oriented
approach designed to motivate individuals who are not ready for change, provides its own
internal motivation formation by solving the ambivalence of individuals towards changing
behavior . In short, it is a technique that is used by making use of the individual's own
internal motivation in order to realize the situation in which the person lives and to take
action and action after being aware of it. When the randomized controlled studies with
Motivational Interview Technique are examined, it is seen that it can be used in smoking,
alcohol and substance use, drug use of chronic patients, post-traumatic conditions, diet
compliance of Type 2 Diabetes patients, improving drug compliance of patients with
hypertension, improving self-care in patients with depression and anxiety disorders and
chronic heart failure. has been found to be effective meta-analyses are examined, it is
stated that it is .Considering the meta-analyses, it was stated that it was effective even in
very short interviews (15 minutes). Motivational Interview Technique is an approach that
tries to understand the individual, as it questions the expectations, beliefs, future goals,
and what he does for his goals. It is thought that it is very important for nurses, who work
as the basic human power in health protection and development practices, to use Motivational
Interview Technique, which is an individual-centered and effective approach, in nursing
practices. For this reason, it is thought that Motivational Interview Technique will be
effective in loneliness in order for individuals to be aware of their situation, to get rid
of their ambivalent feelings and to take action to change. For this reason, it is considered
important to conduct studies evaluating the effect of Motivational Interview Technique on
loneliness and to test the effect of Motivational Interview Technique on loneliness.
