Effects of Motivational Interviewing Intervention on Self- Management and Hba1c in Type 2 Dıabetes Patients


Abstract views: 51 / PDF downloads: 11

Authors

DOI:

https://doi.org/10.5281/zenodo.10651168

Keywords:

Diabetes type 2, HbA1c, motivational interviewing, self-management

Abstract

This study examined the impact of motivational interviewing on self-management and HbA1c in patients with type 2 diabetes using a pretest–posttest control group in a quasi-experimental research design. Twenty-five experimental and twenty-six control patients who applied to an outpatient clinic in a training and research hospital made up the study's sample. The Diabetes Self-Management Instrument, the Behaviour Change Stage Identification Form for Type 2 Diabetes Patients, and the Patient Information Form were used to gather the data. Following the pretest, the control group underwent standard care while the experimental group underwent four sessions of the motivational interviewing (MI) method. In order to analyze the data, descriptive and comparative statistical techniques were applied. Before the intervention, the trial and control groups' patients' individual and illness characteristics, as well as the results of the Diabetes Self-Management scale, were similar. A statistically significant difference was observed in the post-test Diabetes Self-Management Scale total scores between the patients in the trial and control groups. There was a significant difference between the post-test HbA1c outcomes of the patients in the experimental and control groups when comparing their pre- and post-test HbA1c outcomes. The study's findings demonstrated the efficacy of motivational interviewing in raising type 2 diabetes patients' levels of self-management and reducing their HbA1c results.

 

 

References

Adu, M.D., Malabu, U.H., Malau-Aduli, A.E.O., Malau-Aduli, B.S., 2019. Enablers and barriers to effective diabetes self-management: A multi-national investigation. PloS One, 14(6): e0217771.

Alvarado-Martel, D., Boronat, M., Alberiche-Ruano, M.D.P., Algara-González, M.A., Ramallo-Fariña, Y., Wägner, A.M., 2020. Motivational ınterviewing and self-care in type 1 diabetes: a randomized controlled clinical trial study protocol. Frontiers in Endocrinology, 11:574312.

American Diabetes Association (ADA), 2019. News CAP: The ADA issues new Standards of Medical Care in Diabetes. The American Journal of Nursing, 119(4):15.

American Diabetes Association (ADA), 2022. Standards of Care in Diabetes-2023 Abridged for Primary Care Providers. Clinical Diabetes: a Publication of the American Diabetes Association, 41(1):4–31.

Berhe, K.K., Gebru, H.B., Kahsay, H.B., 2020. Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). PloS One, 15(10): e0240839.

Bell, D.L., Roomaney, R., 2020. Exploring the barriers that prevent practitioners from implementing motivational interviewing in their work with clients. Social Work, 56(4):416-429.

Bhat, N.A., Muliyala, K.P., Chaturvedi, S.K., 2020. Psychological Aspects of Diabetes. EMJ Diabet, 8(1):90-98.

Bilgin, A., Muz, G., Yuce, G.E., 2022. The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: Systematic review and meta-analysis. Patient Education and Counseling, 105(9):2806–2823.

Bischof, G., Bischof, A., Rumpf, H.J., 2021. Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice. Deutsches Arzteblatt international, 118(7):109–115.

Bonora, E., Trombetta, M., Dauriz, M., Travia, D., Cacciatori, V., Brangani, C., Negri, C., Perrone, F., Pichiri, I., Stoico, V., Zoppini, G., Rinaldi, E., Da Prato, G., Boselli, M. L., Santi, L., Moschetta, F., Zardini, M., and Bonadonna, R. C., 2020. Chronic complications in patients with newly diagnosed type 2 diabetes: prevalence and related metabolic and clinical features: the Verona Newly Diagnosed Type 2 Diabetes Study (VNDS) 9. BMJ Open Diabetes Research and Care, 8(1): e001549.

Carpenter, R., DiChiacchio, T., Barker, K., 2019. Interventions for self-management of type 2 diabetes: An integrative review. International Journal of Nursing Sciences, 6(1):70–91.

Dogru, A., Ovayolu, N., Ovayolu, O., 2019. The effect of motivational interview persons with diabetes on self-management and metabolic variables. JPMA. The Journal of the Pakistan Medical Association, 69(3):294–300.

Duckworth, A. L., Gross, J. J., 2020. Behavior Change. Organizational behavior and human decision processes, 161:39–49.

Internaional Diabees Federation, 2021. IDF diabetes atlas, http://www.diabet esatlas.org; [Accessed: 28.10.2023).

Lambrinou, E., Hansen, T.B., Beulens, J. W., 2019. Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26(2):55–63.

Li, Z., Chen, Q., Yan, J., Liang, W., Wong, W.C.W., 2020. Effectiveness of motivational interviewing on improving Care for Patients with type 2 diabetes in China: A randomized controlled trial. BMC Health Services Research, 20(1):57.

Lin, C.C., Anderson, R.M., Chang, C.S., Hagerty, B.M., Loveland-Cherry, C.J., 2008. Development and testing of the diabetes self-management ınstrument: a confirmatory analysis. Research in Nursing and Health, 31(4):370–380.

Muslu, L., Ardahan, M., 2022. The effect of the motivational interview program on coping and adaptation of patients with type 2 diabetes: An action research study. Journal of Basic and Clinical Health Sciences, 6(1):33-46.

Oz, H.S., Buyuksoy, G.D., 2022. The effects of motivational ınterview on healthy behaviour and quality of life in the uncontrolled type 2 diabetes patients. International Journal of Caring Sciences, 15(2):1194.

Powers, M.A., Bardsley, J.K., Cypress, M., Funnell, M.M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E.D., Maryniuk, M.D., Norton, A., Rinker, J., Siminerio, L.M., Uelmen, S., 2020. Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the american diabetes association, the association of diabetes care and education specialists, the academy of nutrition and dietetics, the american academy of family physicians, the american academy of pas, the american association of nurse practitioners, and the american pharmacists association. Diabetes Care, 43(7):1636–1649.

Selçuk-Tosun, A., Zincir, H., 2019. The effect of a transtheoretical model-based motivational interview on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial. International Journal of Nursing Practice, 25(4): e12742.

Thepwongsa, I., Muthukumar, R., Kessomboon, P., 2017. Motivational interviewing by general practitioners for Type 2 diabetes patients: a systematic review. Family Practice, 34(4):376–383.

Wong, M.K., Cheng, S.Y.R., Chu, T.K., Lam, F.Y., Lai, S.K., Wong, K.C., Liang, J., 2020. Impact of motivational ınterviewing on self-management in patients with type 2 diabetes: protocol for a pilot randomized controlled trial. JMIR Research Protocols, 9(3): e15709.

Downloads

Published

2024-03-12

How to Cite

KAYA MERAL, D., & KUTLU, F. Y. (2024). Effects of Motivational Interviewing Intervention on Self- Management and Hba1c in Type 2 Dıabetes Patients. MAS Journal of Applied Sciences, 9(1), 100–110. https://doi.org/10.5281/zenodo.10651168

Issue

Section

Articles