title: Motivational interviewing to promote adherence behaviors in pediatric type 1 diabetes.
abstract: Suboptimal regimen adherence among youth with type 1 diabetes (T1D) is a common challenge for patients, families, and providers. Motivational interviewing (MI) is a brief communication style designed to elicit intrinsic motivation and strengthen commitment to behavior change goals. As pediatric MI research expands, a critical review of its evidence base and applicability to promote adherence behaviors for youth with T1D is needed. This review introduces the core tenets of MI and clinical applications in T1D, synthesizes the existing MI research in T1D, and discusses the next steps in MI research. Overall, mixed results for MI interventions in T1D reflect variations in research study design and clinical implementation. Targeting adherence rather than glycemic outcomes typically demonstrates greater results, highlighting the promise of MI to facilitate meaningful and enduring improvements in youths' T1D adherence behaviors.
authors.affiliation: Baylor College of Medicine, Texas Children's Hospital, 1102 Bates St. Suite 940.37, Houston, TX, 77030, USA, priscilp@bcm.edu.
authors.forename: Priscilla W
authors.initials: PW
authors.lastname: Powell
authors.forename: Marisa E
authors.initials: ME
authors.lastname: Hilliard
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000523:psychology*; D004032:Diet; D005190:Family; D006442:Glycated Hemoglobin; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D055118:Medication Adherence / Q000523:psychology*; D062405:Motivational Interviewing; D020377:Self Efficacy
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human