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

被引:44
作者
Heinrich, Evelien [1 ]
Candel, Math J. J. M. [2 ]
Schaper, Nicolaas C. [3 ]
de Vries, Nanne K. [1 ]
机构
[1] Maastricht Univ, Dept Hlth Promot, Caphri, Netherlands
[2] Maastricht Univ, Dept Methodol & Stat, Caphri, Netherlands
[3] Univ Hosp Maastricht, Dept Internal Med, Div Endocrinol, Caphri, Netherlands
关键词
Diabetes mellitus; Motivational Interviewing; Randomized controlled trial; Primary care; Behaviour change counselling; SELF-MANAGEMENT; HEALTH-CARE; ADULTS; QUESTIONNAIRE; METAANALYSIS; ADHERENCE; EDUCATION; EFFICACY; VALIDITY; PROGRAM;
D O I
10.1016/j.diabres.2010.09.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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, HbA(1c), weight, blood pressure, total cholesterol, LDL, trigly-cerides, 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. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:270 / 278
页数:9
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