Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care.
OBJECTIVE
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, HbA1c, weight, blood pressure, total cholesterol, LDL, triglycerides, 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.
Heinrich
Evelien
E
Department of Health Promotion, Maastricht University, Caphri, The Netherlands. Evelien.Heinrich@gvo.unimaas.nl
Candel
Math J J M
MJ
Schaper
Nicolaas C
NC
de Vries
Nanne K
NK
D001521:Behavior Therapy / Q000379:methods*; D003376:Counseling / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004032:Diet; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D016896:Treatment Outcome