A pilot study of motivational interviewing in adolescents with diabetes

Channon, Susan Jane; Smith, Victoria; Gregory, John Welbourn

doi:10.1136/adc.88.8.680

Cited by 151 publications

(117 citation statements)

References 12 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…However, interventions that take a prescriptive, educational approach may also increase resistance among participants who are not intending to change [21,22]. Motivation to adhere to epilepsy medications has received little research attention.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

Pakpour

Gholami

Esmaeili

et al. 2015

Epilepsy & Behavior

View full text Add to dashboard Cite

Purpose: Medication nonadherence is one of the most important reasons for treatment failure in patients with epilepsy. The present study investigated the effectiveness of a multicomponent intervention to improve adherence to antiepileptic drug (AED) medication in patients with epilepsy. Methods: In a prospective, randomized multicenter trial, three sessions of face-to-face motivational interviewing (MI) in combination with complementary behavior change techniques were compared with standard care. Motivational interviewing prompted change talk and self-motivated statements from the patients, planning their own medication intake regimen and also identifying and overcoming barriers that may prevent adherence. Participants were provided with calendars to self-monitor their medication taking behavior. A family member and the health-care team were invited to attend the last session of MI in order to improve the collaboration and communication between patients, their caregiver or family member, and their health-care provider. At baseline and 6-month follow-up, psychosocial variables and medical adherence were assessed. Results: In total, 275 participants were included in the study. Compared with the active control group, patients in the intervention group reported significantly higher medication adherence, as well as stronger intention and perceptions of control for taking medication regularly. The intervention group also reported higher levels of action planning, coping planning, self-monitoring, and lower medication concerns. Conclusions: This study shows that MI can be effective in clinical practice to improve medication adherence in patients with epilepsy. It also provides evidence that combining volitional interventions, including action planning, coping planning, and self-monitoring with motivational interviewing can promote the effectiveness of the medical treatments for epilepsy by improving adherence.

show abstract

Section: Introductionmentioning

confidence: 99%

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

Pakpour

Gholami

Esmaeili

et al. 2015

Epilepsy & Behavior

View full text Add to dashboard Cite

show abstract

“…diet and exercise) in patients with diabetes [13]. Research has not yet been able to establish full consensus on the effect of MI on clinical [14][15][16][17][18][19] and psychosocial aspects [15,18,[20][21][22] in diabetes. Previous reviews emphasise the need for studies of high methodological quality and adequate power to explore the effect of MI on glycaemic control and wellbeing in patients with diabetes [11,13,23].…”

Section: Introductionmentioning

confidence: 99%

The effect of motivational interviewing on glycaemic control and perceived competence of diabetes self-management in patients with type 1 and type 2 diabetes mellitus after attending a group education programme: a randomised controlled trial

et al. 2011

View full text Add to dashboard Cite

Aims/hypothesis The aim of this study was to measure the efficacy of motivational interviewing (MI) compared with usual care on changes in glycaemic control and competence of diabetes self-management in patients with diabetes mellitus.Methods Patients were eligible if they had type 1 or 2 diabetes mellitus, were over 18 years of age and had participated in a 4 day group education programme offered at a diabetes clinic at a university hospital in Denmark. Exclusion criteria included pregnancy, severe debilitating disease and cognitive deficit. Out of 469 patients who attended the group education programme, 349 patients were randomised to either a usual care control group or an intervention group, which received up to five individual counselling sessions in 1 year based on MI, in addition to usual care. A randomised parallel design was used and openlabel allocation was done by random permuted blocks, with allocation concealment by sequentially numbered, sealed, opaque envelopes. The primary outcome was glycated haemoglobin (HbA 1c ). Analysis regarding measurements of glycated haemoglobin (HbA 1c ) and competence of selfmanagement (using the Problem Areas in Diabetes Scale [PAID] and Perceived Competence for Diabetes Scale [PCDS]) was based on 298 participants followed for a 24 month period. Data were collected at the Department of Endocrinology at Odense University Hospital. Our hypotheses were that MI could: (1) reduce HbA 1c levels; (2) increase self-efficacy; and (3) increase diabetes self-care, compared with usual care. Results Out of the 176 included in the control group and 173 in the intervention group, 153 and 145 were analysed in the groups, respectively. When using the baseline value as covariate there were no significant differences in change score between the two study groups with regard to mean level of HbA 1c (0.131, p=0.221), PAID scores (−1.793, p=0.191) or PCDS scores (0.017, p=0.903) at the 24 month follow-up, using a mixed effects regression model. TheElectronic supplementary material The online version of this article

show abstract

“…1 Main components include health professionals exhibiting empathy and eliciting the patient's own reasons for wanting to change in a collaborative, nonjudgmental manner. 1 General practitioners [2][3][4] and specialists 5 are increasingly using this technique, and its efficacy has been demonstrated across multiple behavioral domains, 6,7 including diet, 8 medication adherence, 9 diabetes care, 10,11 and substance abuse. 6 Within endocrinology, the role of behavior modification is a critical part of helping patients manage their diabetes.…”

Section: Introductionmentioning

confidence: 99%

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Bean¹,

Biskobing²,

Francis³

et al. 2012

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Despite the importance of lifestyle change in disease management and the growing evidence supporting motivational interviewing (MI) as an effective counseling method to promote behavioral change, to date there are few published reports about MI training in graduate medical education. Objective The study aimed to pilot the feasibility and effectiveness of a brief MI training intervention for endocrinology fellows and other providers. Methods We used a pretest/posttest design to evaluate a brief MI training for 5 endocrinology fellows and 9 other providers. All participants completed subjective assessments of perceived confidence and beliefs about behavioral counseling at pretest and posttest. Objective assessment of MI was conducted using fellows' audiotaped patient encounters, which were coded using a validated tool for adherence to MI before and after the training. Paired t tests examined changes in objective and subjective assessments. Results The training intervention was well received and feasible in the endocrinology setting. At posttest, participants reported increased endorsement of the MI spirit and improved confidence in MI skills. Objective assessment revealed relative improvements in MI skills across several domains. However, most domains, as assessed by a validated tool, did not reach competency level after the training intervention. Conclusions Although more intensive training may be needed to develop MI competence, the results of our pilot study suggest that brief, targeted MI training has short-term efficacy and is well received by endocrinology fellows and other providers.

show abstract

A pilot study of motivational interviewing in adolescents with diabetes

Cited by 151 publications

References 12 publications

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

The effect of motivational interviewing on glycaemic control and perceived competence of diabetes self-management in patients with type 1 and type 2 diabetes mellitus after attending a group education programme: a randomised controlled trial

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Contact Info

Product

Resources

About