Motivational Interviewing Mi For Type 2 Diabetic Patients

Author : Cheryl L. Waker
Publisher :
ISBN 13 :
Total Pages : 163 pages
Book Rating : 4.:/5 (814 download)

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Download or read book The Effects of Motivational Interviewing on Diabetes Self-management Behaviors and Glycemic Control in Type 2 Diabetes written by Cheryl L. Waker and published by . This book was released on 2012 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetes Mellitus is one of the most prevalent chronic diseases of the 21st century with devastating consequences from sustained hyperglycemia. After being diagnosed with diabetes, many individuals need to integrate diabetes self-management practices into daily life to improve glycemic control. Individuals wanting to improve their diabetes self-management behavior may feel ambivalent about making behavior change or not have the knowledge or skills to be successful. Healthcare providers are in an influential position to promote patients' diabetes self-management practices by using interventions that are effective in real-world settings. There is a gap in the literature of translational studies testing interventions for healthcare providers to use with their patients to facilitate health behavior change. Methods: This translational study was an experimental, pre/post-test, two-group control design. The primary aims of this study were to: 1) test the effects of motivational interviewing (MI) on diabetes self-management behaviors and glycemic control in a private practice setting; 2) determine costs associated with motivational interviewing, and evaluate the acceptability of the intervention. A convenience sampling method was used to recruit 154 adult individuals with type 2 diabetes who were randomly assigned to either the intervention or control group. The intervention group received usual care and two 60-minute MI sessions whereas the control group received usual care. Data was collected at baseline and at three months. Clinical outcome measures included healthy eating, physical activity, and glucose monitoring behaviors and A1c values. Other measures included participant's perception of the acceptability, helpfulness, and autonomy supportiveness of the intervention. Additionally, cost of training and delivery of the intervention were calculated. Statistical analysis included repeated measures ANOVA and multiple regression. Findings: Both groups had modest improvement on diet, physical activity, and glucose monitoring subscales and A1c values. Repeated measures ANOVA was used to test the effects of MI, which demonstrated significance for within-subjects main effects of diet and physical activity, however interaction effects were not significant and between group differences were mixed. Multiple regression was used to determine if an improvement in diet, physical activity, and glucose monitoring would predict a significant reduction in A1c. There was a 0.5 mean reduction in A1c with MI and the model was significant. Participants rated MI as a highly acceptable, helpful, and autonomy supportive intervention. The cost of MI training was calculated as $7606, and the cost to deliver the intervention was $117 per individual session. Conclusions: Motivational interviewing is a promising strategy that healthcare providers can use in the clinical setting to facilitate diabetes self-management behaviors among individuals with type 2 diabetes. Even though results of this study were mixed, the participants had made modest improvements in performance of healthy eating, physical activity, and glucose monitoring with a reduction in A1c. Participants perceived the intervention to be highly acceptable and helpful. Last, the cost of the training and delivery of the intervention are modest compared to the potential benefit of improving glycemic control among individuals with type 2 diabetes.