Effect of motivational interviewing on gestational weight gain and fetal growth in pregnant women with type 2 diabetes

Àsbjörnsdóttir, Björg; Vestgaard, Marianne; Ringholm, Lene; Andersen, Lise Lotte Torvin; Jensen, Dorte Møller; Damm, Peter; Mathiesen, Elisabeth R.

doi:10.1136/bmjdrc-2019-000733

Cited by 13 publications

(11 citation statements)

References 34 publications

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“…This is a pre‐planned analysis of a prospective, observational cohort study including a cohort of pregnant women with type 2 diabetes 17 and a cohort of pregnant women without diabetes for comparison 18 . In essence, the cohort of pregnant women with type 2 diabetes consisted of consecutive women from a population of four million inhabitants referred to Center for Pregnant Women with Diabetes, Rigshospitalet or Department of Gynaecology and Obstetrics, Odense University Hospital in 2015 to 2018.…”

Section: Participants and Methodsmentioning

confidence: 99%

“…In essence, the cohort of pregnant women with type 2 diabetes consisted of consecutive women from a population of four million inhabitants referred to Center for Pregnant Women with Diabetes, Rigshospitalet or Department of Gynaecology and Obstetrics, Odense University Hospital in 2015 to 2018. Inclusion criterion was broad: singleton pregnancy before 20 gestational weeks in women diagnosed with type 2 diabetes 17 . Women with insufficient Danish language skills were excluded.…”

Section: Participants and Methodsmentioning

confidence: 99%

“…The following definitions were used 17 : preterm delivery as birth before 37 completed gestational weeks. Birthweight z ‐score was based on Nordic growth curves adjusted for gestational age and infant sex 21 .…”

Section: Participants and Methodsmentioning

confidence: 99%

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Prevalence of anxiety and depression symptoms in pregnant women with type 2 diabetes and the impact on glycaemic control

et al. 2021

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Aims To study the prevalence of anxiety and depression symptoms in pregnant women with type 2 diabetes compared with pregnant women without diabetes. Secondly, to explore whether anxiety and/or depression symptoms in early pregnancy have an impact on glycaemic control and gestational weight gain. Methods A prospective cohort study of 90 consecutive singleton pregnant women with type 2 diabetes and 88 singleton pregnant women without diabetes. All women completed the Hospital Anxiety and Depression Scale questionnaire in early and late pregnancy. A score ≥8 in the anxiety or the depression scale was used to define anxiety and/or depression symptoms. Results Anxiety and/or depression symptoms were present in 40% of women with type 2 diabetes and 7% of women without diabetes in early pregnancy (Relative Risk = 5.87 (95% Confidence Interval: 2.60–13.22)). The figures were similar in late pregnancy. In women with type 2 diabetes and anxiety and/or depression symptoms in early pregnancy, HbA1c (mean ± SD) was 52 ± 14 vs. 49 ± 11 mmol/mol (6.9 ± 1.2 vs. 6.6 ± 1.0%), p = 0.31 in early pregnancy and 43 ± 8 vs. 40 ± 4 mmol/mol (6.1 ± 0.7 vs. 5.8 ± 0.4%), p = 0.04 in late pregnancy compared with women without symptoms. Gestational weight gain was similar in both groups. Conclusions In women with type 2 diabetes, 40% had anxiety and/or depression symptoms in early pregnancy. Women with these symptoms obtained less optimal glycaemic control in late pregnancy but similar gestational weight gain as the remaining women.

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Section: Participants and Methodsmentioning

confidence: 99%

Section: Participants and Methodsmentioning

confidence: 99%

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Prevalence of anxiety and depression symptoms in pregnant women with type 2 diabetes and the impact on glycaemic control

et al. 2021

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“…Accurate and fast information about health and techniques to maintain health is very important for patients with diabetes mellitus (15). In this motivational interviewing method, providing education including diet patterns, activity patterns, and maintaining patient selfcare has been designed to increase productivity and quality of life for people with diabetes mellitus type 2 (16).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Motivational Interviewing on Self-Management of Type 2 Diabetes Mellitus Patients: A Systematic Review

Lestari

Wihastuti²,

Ismail³

2021

JKB

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<p>Diabetes mellitus is a health problem that will affect the health status of patients. Motivational interviewing a counseling technique focusing on clients and it is designed for helping individuals explore and accomplish ambivalence in behavior. This systematic review aimed at describing effectiveness motivationaI interviewing on self-management of diabetes mellitus type 2 patients. There are 1359 articles of 526 ScienceDirect articles, 422 ProQuest, 290 PubMed, and 121 Ebsco articles. The systematic review method began by identifying 20 articles from four electronic databases for previous studies that were published during 2011-2021. The results of the systematic review obtained that motivational interviewing can provide improved self-management and control blood glucose DM type 2 patients. The conclusion motivational interviewing can affect the patient's self-management especially on blood glucose profile, dietary compliance, quality of life, self-efficacy, HbA1c levels of DM type 2 patients.</p>

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“…A small pilot study demonstrated signi cant reduction in alcohol consumption at 2-month follow-up after a 1-hour motivational interview (26). It has been shown to be effective in improving healthy eating behaviours in pregnant women with T2DM (27). The multi-centre randomised controlled DALI trial(28) used motivational interviewing principles in women at risk for GDM to address healthy eating and physical activity behaviour changes, reporting increased task self-e cacy for PA.…”

Section: Discussionmentioning

confidence: 99%

Integrating Motivational Interviewing into Clinical Care to Increase Physical Activity Levels in Women with Gestational Diabetes

Smith¹,

Ridout²,

Livingstone³

et al. 2020

Preprint

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Background: Regular physical activity (PA) improves glycaemic control in women diagnosed with Gestational Diabetes (GDM). However, PA advice competes with other components of care, with many women forgoing the benefits of regular PA. Motivational interviewing (MI) is an effective technique for increasing individual PA levels. A clinical pathway was developed integrating MI on PA into the routine care. This report evaluates the impact of MIs on self-reported PA levels.Methods: Women attending a single centre NHS GDM clinic were invited to engage in an individual PA-focused MI session, delivered by a trained midwife. This included goal setting and activity planning. All women had a confirmed diagnosis of GDM based on a 75g oral glucose tolerance test using the International association of diabetes and pregnancy study group diagnostic thresholds. A modified version of the exercise vital sign was used to evaluate self-reported aerobic PA levels at baseline and two-week telephone follow-up. PA levels were coded into three categories: i) red (<30mins moderate intensity PA (MIPA)/week), ii) amber (30-150mins MIPA/week) and iii) green (150mins MIPA/week). Women with contraindications to PA were excluded. The main outcome was the difference PA levels from baseline to two weeks. The Pearson’s Chi-squared test was used to evaluate statistical difference in self-reported PA levels from baseline to follow-up.Results: Complete follow-up data was obtained from 62 women. Mean gestation was 27+5/40 weeks (9-36+4/40), mean age 31.7y (21-43y) and mean BMI 29.9kg/m2 (18.3-48.2 kg/m2). At baseline, 19 (30.6%) were coded red (<30mins MIPA/week); 26 (41.9%) amber (30-150mins MIPA/week); and 17 (27.4%) green (150mins MIPA/week). Self-reported physical activity levels of these women at two-week follow-up revealed only 3 (4.8%) women coded red, 24 (38.7%) amber and 35 (56.5%) green. This demonstrates a significant association for increased PA levels after MI at two-week follow-up (p=0.0001).Conclusion: This new clinical pathway provides encouraging results, showing that self-reported PA increased significantly at two-week follow-up. Further work is now required to examine the impact on glycaemic control, maternal and fetal outcomes, and maintenance of PA levels. This model of care should be integrated into other high-risk patient groups.

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Effect of motivational interviewing on gestational weight gain and fetal growth in pregnant women with type 2 diabetes

Cited by 13 publications

References 34 publications

Prevalence of anxiety and depression symptoms in pregnant women with type 2 diabetes and the impact on glycaemic control

Prevalence of anxiety and depression symptoms in pregnant women with type 2 diabetes and the impact on glycaemic control

Effectiveness of Motivational Interviewing on Self-Management of Type 2 Diabetes Mellitus Patients: A Systematic Review

Integrating Motivational Interviewing into Clinical Care to Increase Physical Activity Levels in Women with Gestational Diabetes

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