title: Implementation of Motivational Interviewing in a diabetes care management initiative in The Netherlands.
abstract: OBJECTIVE
  Motivational Interviewing (MI) is a counseling approach to support behavioural change. The objective of the present study was to examine the uptake of MI in daily practice by health care professionals in a care management initiative for patients with diabetes in the region of Maastricht, the Netherlands.
  
  
  METHODS
  MI was implemented by means of a training. Directly and six months after the training, the application of MI was measured objectively (MITI) and subjectively (questionnaire). In focus interviews, MI-trained professionals (n=10) and MI untrained professionals (n=10) were asked about facilitators and barriers for implementation. Additionally, data on patient characteristics (n=141) were collected.
  
  
  RESULTS
  Spirit of MI was present among professionals directly after the training and increased during follow-up. Mostly uncomplicated techniques were applied. Professionals stated the need for training and practice to be able to apply more complicated techniques.
  
  
  CONCLUSIONS
  The applicability of MI in daily practice was found feasible, with various degrees of uptake. Relevant conditions to further improve the implementation of MI in daily practice were identified.
  
  
  CONCLUSIONS
  In daily practice, a phased training in MI is recommended, with sufficient time and support by colleagues as essential conditions to profit most from the training sessions.
authors.affiliation: Department of Integrated Care, Maastricht University Medical Centre, Maastricht, The Netherlands. yvonne.eijk.hustings@mumc.nl
authors.forename: Yvonne J L
authors.initials: YJ
authors.lastname: van Eijk-Hustings
authors.forename: Lianne
authors.initials: L
authors.lastname: Daemen
authors.forename: Nicolaas C
authors.initials: NC
authors.lastname: Schaper
authors.forename: Hubertus J M
authors.initials: HJ
authors.lastname: Vrijhoef
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods* / Q000706:statistics & numerical data; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009426:Netherlands; D024802:Nurse's Role; D011795:Surveys and Questionnaires; D055815:Young Adult