Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: A randomized controlled trial

Chen, Shuming; Creedy, Debra; Lin, Huey‐Shyan; Wollin, Judy Ann

doi:10.1016/j.ijnurstu.2011.11.011

Cited by 163 publications

(127 citation statements)

References 23 publications

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“…Consistent with our results, others have reported short-term improvements in diabetes self-efficacy from a MI intervention. 16,38,39 Our study extends these findings to longer-term results and suggests the potential of motivational interviewing in achieving lasting diabetes health benefits. This promising approach warrants further research using telehealth coaching alone or in combination with routine reinforcement as an effective long-term intervention.…”

Section: Discussionsupporting

confidence: 73%

“…However, others using MI have reported benefits in self-efficacy and clinical outcomes similar to those found in our study. 16,20,38,40,41 The third limitation is the lack of measurement of clinical outcomes such as weight loss, hemoglobin A1c levels, blood pressure, lipid profiles, etc. A primary goal of the study was to determine the feasibility of offering specialized care within rural communities remotely.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15] Furthermore, a MI intervention in diabetes resulted in positive effects in self-management, psychological, and glycemic outcomes in type 2 diabetes compared with a control group receiving traditional care. 16 Traditional interventions for diabetes education have been primarily delivered through face-to-face counseling in clinics and individual visits with a nurse and/or certified diabetes educator. However, these types of interventions are difficult to implement in rural areas because of less availability of health expertise and education, longer travel times, and lack of transportation to access services.…”

mentioning

confidence: 99%

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Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Young

Miyamoto

Ward

et al. 2014

Telemedicine and e-Health

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Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highestranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p < 0.05) and the difference in difference estimation (0.42; p < 0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Young

Miyamoto

Ward

et al. 2014

Telemedicine and e-Health

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“…31 Patient coaching is increasingly being used to describe personalized patient decision support, including motivational interviewing. 37,38 Participants received training on the use of the PCS following study enrollment. Training included how to utilize the functions of the PCS on a mobile phone, including entering BG data, receiving automatic message data, and messaging certified diabetes educators (CDEs) assigned to participants.…”

Section: Mobile Health Interventionmentioning

confidence: 99%

Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management

Quinn

Khokhar

Weed

et al. 2015

Diabetes Technology & Therapeutics

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The purpose of this study was to evaluate participant self-efficacy and use of a mobile phone diabetes health intervention for older adults during a 4-week period. Participants included seven adults (mean age, 70.3 years) with type 2 diabetes cared for by community-based primary care physicians. Participants entered blood glucose data into a mobile phone and personalized patient Internet Web portal. Based on blood glucose values, participants received automatic messages and educational information to self-manage their diabetes. Study measures included prior mobile phone/Internet use, the Stanford Self-Efficacy for Diabetes Scale, the Stanford Energy/Fatigue Scale, the Short Form-36, the Patient Health Questionnaire-9 (depression), the Patient Reported Diabetes Symptom Scale, the Diabetes Stages of Change measure, and a summary of mobile system use. Participants had high self-efficacy and high readiness and confidence in their ability to monitor changes to control their diabetes. Participants demonstrated ability to use the mobile intervention and communicate with diabetes educators.

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“…In addition to our own, the results of several studies have indicated that patients' motivation, and motivational interviewing can be effective methods of education for type 2 diabetics. Such education is valuable for diabetes management and leads to improvements in foot care (Majerníková, 2011), selfmanagement, psychological outcomes, HbA1c control and weight loss (Calhoun et al, 2010;Chen et al, 2012) …”

Section: Discussionmentioning

confidence: 99%

Educational Assessment of Diabetics Requiring Vascular Surgery

Hlinková¹,

Němcová²,

Žiaková³

2017

Cent Eur J Nurs Midw

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Aim: Educational assessment involving epistemological, axiological, and technical conditions was demonstrated to be an important part of the educational process of improving the knowledge and behavior of diabetics requiring vascular surgery. Design: A quantitative interventional prospective study. Methods: The theoretical model of Practical Reasoning of Humanistic Interpretation Method was used to construct the educational assessment. The assessment was followed up by a quantitative interventional prospective study to determine conditions of behavior before and after education. The research sample comprised of diabetics with diabetic foot syndrome (DFS) (n = 52), and with Low Extremities Arterial Disease (LEAD) (n = 48) from the University Hospital in Martin, Slovakia. Results: We found no differences in epistemological, axiological, and technical conditions of diabetics with DFS versus LEAD before education. Six months after education, we found significantly better knowledge in patients with DFS. Group education methods, family status, and membership of a diabetics' club were some of the educational assessment factors confirmed as significant following education of both groups. Conclusion: Educational assessment based on a theoretical model of practical reasoning and behavior revealed a number of differences and conditions which determined learning and behavior in the case of vascular surgery patients, and, we may assume, others besides.

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Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: A randomized controlled trial

Cited by 163 publications

References 23 publications

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management

Educational Assessment of Diabetics Requiring Vascular Surgery

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