title: Motivational Interviewing (MI) to Change Type 2DM Self Care Behaviors: A Nursing Intervention.
abstract: OBJECTIVE
  This paper evaluates a novel nursing intervention designed to improve physical and psychological outcomes for adult patients with Type 2 DM.
  
  
  BACKGROUND
  Self care behaviors are an important component of diabetes treatment, yet for many reasons, patients do not adhere to suggested plans. Motivational Interviewing (MI) is a patient centered strategy that helps overcome ambivalence to change. Nurses, who frequently educate patients with diabetes about self care, can use MI as a way to improve health behaviors.
  
  
  METHODS
  As a component of a large RCT, focus groups were used to evaluate the impact of an MI nursing intervention. Nineteen patients (8% of treatment group) participated in four different groups. IPA was used to explore patient response to the intervention.
  
  
  RESULTS
  Patients were able to reflect on and identify responses to sessions with the study nurses that differed from "typical" health care provider visits. Many of their descriptions captured the essence of MI practice.
  
  
  CONCLUSIONS
  MI is a viable and useful technique for nurses to use in educating and caring for persons with Type 2 DM.
authors.affiliation: Professor, Department of Humanities, Women's Studies, and Nursing (Dr. Dellasega); Professor, Penn State Diabetes Center, Penn State College of Medicine (Dr. Gabbay); Coordinator, The Diabetes Treatment Plan (Ms. Durdock and Ms. Martinez-King), Penn State Milton S. Hershey Medical Center, Hershey, PA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Dellasega
authors.affiliation: Professor, Department of Humanities, Women's Studies, and Nursing (Dr. Dellasega); Professor, Penn State Diabetes Center, Penn State College of Medicine (Dr. Gabbay); Coordinator, The Diabetes Treatment Plan (Ms. Durdock and Ms. Martinez-King), Penn State Milton S. Hershey Medical Center, Hershey, PA.
authors.forename: Robert
authors.initials: R
authors.lastname: Gabbay
authors.affiliation: Professor, Department of Humanities, Women's Studies, and Nursing (Dr. Dellasega); Professor, Penn State Diabetes Center, Penn State College of Medicine (Dr. Gabbay); Coordinator, The Diabetes Treatment Plan (Ms. Durdock and Ms. Martinez-King), Penn State Milton S. Hershey Medical Center, Hershey, PA.
authors.forename: Kendra
authors.initials: K
authors.lastname: Durdock
authors.affiliation: Professor, Department of Humanities, Women's Studies, and Nursing (Dr. Dellasega); Professor, Penn State Diabetes Center, Penn State College of Medicine (Dr. Gabbay); Coordinator, The Diabetes Treatment Plan (Ms. Durdock and Ms. Martinez-King), Penn State Milton S. Hershey Medical Center, Hershey, PA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Martinez-King
keywords: behavior change; diabetes; motivation; nursing