title: Themes elicited during motivational interviewing to improve glycaemic control in adults with Type 1 diabetes mellitus.
abstract: OBJECTIVE
  To elicit the barriers and motivators to better diabetes self care in patients with Type 1 diabetes.
  
  
  METHODS
  We obtained a purposive sample of 47 patients with Type 1 diabetes and persistent suboptimal glycaemic control from a randomized controlled trial of nurse-delivered psychological interventions. Each participant's second session of motivational interviewing was analysed using content analysis.
  
  
  RESULTS
  Four major themes emerged: emotions of living with Type 1 diabetes, perceived barriers to diabetes management, motivators for change and methods of coping. Increased assistance and support from family and healthcare teams, the prospect of improved emotional and physical well-being and feelings of success were described as factors that might motivate participants to practice more effective self care.
  
  
  CONCLUSIONS
  An enhanced awareness of the range of psychological concepts in diabetes may enable a better therapeutic relationship between clinicians and patients.
authors.affiliation: Institute of Psychiatry, Kings College London, London, UK.
authors.forename: K
authors.initials: K
authors.lastname: Ridge
authors.forename: J
authors.initials: J
authors.lastname: Treasure
authors.forename: A
authors.initials: A
authors.lastname: Forbes
authors.forename: S
authors.initials: S
authors.lastname: Thomas
authors.forename: K
authors.initials: K
authors.lastname: Ismail
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000523:psychology* / Q000628:therapy; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D010817:Physician-Patient Relations; D012648:Self Care / Q000523:psychology*; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin