title: A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes.
abstract: OBJECTIVE To compare motivational interviewing-based education (MI) and structured diabetes education (SDE) for improving A1C and psychosocial measures in adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS This study was a 9-month randomized controlled trial comparing MI (n = 21) to SDE (n = 23). Interventions were at baseline (T0) and 3 months (T1), with A1C and psychosocial measures obtained at 6 months (T2) and 9 months (T3). RESULTS Over the 6 months of follow-up, the SDE group had lower adjusted mean A1C value (least squares mean 10.31, SE 0.32) than the MI group (least squares mean 11.35, SE 0.34) (P = 0.03, d = -0.66). There were no differences on any of the psychosocial measures. CONCLUSIONS SDE is effective at improving metabolic control in adolescents with type 1 diabetes. Diabetes educators were proficient in learning MI.
authors.affiliation: Division of Pediatric Endocrinology, UT Southwestern Medical Center, Dallas, Texas, USA. yawang73@hotmail.com
authors.forename: Yu-Chi
authors.initials: YC
authors.lastname: Wang
authors.forename: Sunita M
authors.initials: SM
authors.lastname: Stewart
authors.forename: Marsha
authors.initials: M
authors.lastname: Mackenzie
authors.forename: Paul A
authors.initials: PA
authors.lastname: Nakonezny
authors.forename: Deidre
authors.initials: D
authors.lastname: Edwards
authors.forename: Perrin C
authors.initials: PC
authors.lastname: White
mesh_terms: D000293:Adolescent; D002648:Child; D003376:Counseling; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009042:Motivation; D010353:Patient Education as Topic
chemical_list: D006442:Glycated Hemoglobin