Understanding patient experiences in a motivational interviewing intervention to improve whole-person lifestyle among individuals with hypertension or type 2 diabetes: a qualitative focus group study

Abstract

McManus (2021) Understanding patient experiences in a motivational interviewing intervention to improve whole-person lifestyle among individuals with hypertension or type 2 diabetes: a qualitative focus group study,

Effect of motivational interviewing on lifestyle modification among patients with hypertension attending the family medicine clinics of Irrua Specialist Teaching Hospital, Irrua, Nigeria – A randomized controlled trial (MILMAPH Study)

“…This is in line with the findings of a systematic review on the effect of MI on lifestyle modification that found moderate evidence of the beneficial effect of MI on promoting physical activity participation. 34 An intervention study using Telephone MI conducted among the Dutch population found a significant relationship between the percentage of MI adherent expressions and change in the level of PA from baseline to 47-week follow-up, with a small effect size (p<0.05). 37…”

“…Yet another systematic review discovered moderate evidence supporting the positive impact of motivational interviewing on smoking cessation. 34…”

“…It is a special type of patient-centred counselling that leverages on the framework that accesses risk behaviour, advises change, agrees on goals and plans through shared decision-making, assists with treatment and arranges for follow-up. 34–38 It has been used to effect changes in health behaviour through self-reflection thereby helping individuals prevent unhealthy behaviours and promoting healthy behaviours. 35,37 This has resulted in weight loss in overweight or obese patients and, a reduction in triglyceride levels, waist circumference, and systolic blood pressure.…”

“…35,37 This has resulted in weight loss in overweight or obese patients and, a reduction in triglyceride levels, waist circumference, and systolic blood pressure. 34…”

A systematic review of patient barriers and facilitators for implementing lifestyle interventions targeting weight loss in primary care

“…Although there are numerous reports stating that mental health should be a key element of lifestyle interventions,63,64 many participants in this review still report they cannot do it on their own and need more psychological guidance. Program staff should therefore be trained to give psychological guidance, such as motivational interviewing,65 and inform the GP of the issues. As lifestyle interventions are multicomponent programs and multidisciplinary, it might not be feasible to guarantee that the HCPs involved can help participants with mental health conditions.…”