Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care.

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Abstract

AIM: The present study assessed the effects of a Motivational Interviewing (MI) based counselling training for nurses on clinical, behavioural and process outcomes among diabetes type 2 patients. METHODS: The study is an RCT with follow-up measurements after 12 and 24 months. Thirty-three nurses and 584 patients participated. Nurses in the experimental condition received the training; control group nurses were trained after the study. The training consisted of two training sessions, two follow-up meetings, written feedback and three direct feedback sessions. Basic MI-principles and techniques and an MI-based counselling protocol were addressed. RESULTS: Results indicated disadvantageous effects on fat intake and HDL and advantageous effects on chance locus of control and knowledge. No effects were found on vegetable or fruit intake, physical activity, HbA1c, weight, blood pressure, total cholesterol, LDL, triglycerides, health care climate, quality of life or on self-efficacy. CONCLUSIONS: As in other MI studies, mixed results were found. It would be premature to recommend dissemination of MI in diabetes care. More studies are needed in real-world settings with health care professionals of the field instead of intensively trained MI interventionists. Knowledge should be gained about adequate training and factors contributing to the implementation of MI in daily practice.
Original languageEnglish
Pages (from-to)270-278
Number of pages9
JournalDiabetes Research and Clinical Practice
Volume90
Issue number3
DOIs
Publication statusPublished - Dec 2010

Keywords

  • Diabetes mellitus
  • Motivational Interviewing
  • Randomized controlled trial
  • Primary care
  • Behaviour change counselling
  • SELF-MANAGEMENT EDUCATION
  • GLUCOSE CONTROL
  • MHLC SCALES
  • HEALTH-CARE
  • METAANALYSIS
  • VALIDITY
  • ADULTS
  • COMPLICATIONS
  • QUESTIONNAIRE
  • ADHERENCE

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