Implementation of Motivational Interviewing in a diabetes care management initiative in The Netherlands.
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.
van Eijk-Hustings
Yvonne J L
YJ
Department of Integrated Care, Maastricht University Medical Centre, Maastricht, The Netherlands. yvonne.eijk.hustings@mumc.nl
Daemen
Lianne
L
Schaper
Nicolaas C
NC
Vrijhoef
Hubertus J M
HJ
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