Motivational Interviewing and Glycemic Control in Adolescents With Poorly Controlled Type 1 Diabetes: A Randomized Controlled Pilot Trial

Tuomaala, Anna‐Kaisa; Hero, Matti; Tuomisto, Martti T.; Lähteenmäki, Maria; Miettinen, Päivi J.; Laine, Tiina; Wehkalampi, Karoliina; Kiiveri, Sanne; Ahonen, Pekka; Ojaniemi, Marja; Kaunisto, Kari; Tossavainen, Päivi; Lapatto, Risto; Sarkola, Taisto; Pulkkinen, Mari‐Anne

doi:10.3389/fendo.2021.639507

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Nevertheless, we were able to demonstrate that a 2-day course led to changes in the applied conversation techniques, which is in line with published data [ 13 , 32 ]. The patients seem to benefit more from the intervention with increasing MI experience [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Motivational interviewing from the paediatricians’ perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs)

Kammering,

Cruz,

Platzbecker

et al. 2024

BMC Pediatr

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Background Counselling adolescents with chronic medical conditions (CMCs) can be challenging regarding suitable interviewing skills and clinicians’ attitudes toward the patient. Successful communication can be a key element of treatment. Motivational Interviewing (MI) is broadly applicable in managing behavioural problems and diseases by increasing patient motivation for lifestyle changes. However, data concerning the applicability, feasibility and implementation of MI sessions in everyday practice are missing from the physicians’ point of view. Method The present study was conducted as a mixed methods design. Twenty paediatricians were randomized to a 2-day MI course followed by MI consultations. Data were collected through a questionnaire one year after MI training. Factors for effective training and possible barriers to successful use of MI were examined. Results Completed questionnaires were returned by 19 of 20 paediatricians. The paediatricians’ experiences with MI demonstrate that MI is regarded as a valuable tool when working with adolescents with CMCs. 95% of all respondents reported that they found MI education necessary for their clinical work and were using it also outside the COACH-MI study context. 73.7% percent saw potential to strengthen the connection to their patients by using MI. The doctors were already using more MI conversation techniques after a 2-day MI course. Obstacles were seen in the short training, the lack of time and missing undisturbed environment (interruptions by telephone, staff, etc.) during clinical flow. Conclusions MI techniques are not yet a regular part of medical training. However, a 2-day MI course was rated effective and provided a lasting impact by physicians caring for children and adolescents with chronic medical conditions (CMCs), although booster sessions should be offered regularly. Trial registration The study was registered in the German Clinical Trials Register (DRKS00014043) on 26/04/2018.

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Section: Discussionmentioning

confidence: 99%

Motivational interviewing from the paediatricians’ perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs)

Kammering,

Cruz,

Platzbecker

et al. 2024

BMC Pediatr

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Involvement of Racially and Ethnically Minoritized Youths in Behavioral Type 1 Diabetes Interventions: A Systematic Review

Dimentstein

Greenberg

Valenzuela

2023

Journal of Pediatric Psychology

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Objective Psychosocial interventions targeting glycemic health in youth with type 1 diabetes (T1D) have been promising. Nonetheless, disparities in T1D treatment and outcomes are pervasive among racially/ethnically minoritized (REM) youth and a systematic review examining the inclusion of REM youth in psychosocial interventions is lacking. Therefore, the present systematic review examined the literature to determine the inclusion of REM youth with T1D in psychosocial interventions. Methods A systematic literature review was conducted per PRISMA guidelines for psychosocial intervention studies of youth (<19 years) with T1D between 2011 and 2022 using PubMed, PsycINFO, CINAHL, and MedLine. Tables of contents for JPP, CPPP, and Diabetes Care were also reviewed. The date last searched was April 26, 2022. Studies were examined for risk of bias using the QualSyst rating system. Results Twenty-four studies met inclusion criteria with a total of 3,117 participants. Studies utilized various psychological interventions (e.g., CBT, MI, behavioral modalities). Seventeen studies reported participants’ race/ethnicity and eleven studies included >20% REM youth. Conclusions One study examined the impact of interventions on REM youth or whether the intervention reduces existing racial/ethnic disparities. Implications for future research and practice are discussed.

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Long‐term effects of non‐pharmacological interventions in adolescents and young adults with type 1 diabetes: A systematic review and meta‐analysis

Lee,

Lee

et al. 2024

Worldviews Ev Based Nurs

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BackgroundConsistent diabetes control is crucial for patients with type 1 diabetes (T1D) to prevent diabetic complications. Analyzing the long‐term effects of non‐pharmacological interventions can improve diabetes management.AimTo examine the long‐term effects of non‐pharmacological interventions in adolescents and young adults with T1D through a systematic review and meta‐analysis of randomized controlled trials (RCTs).MethodsThe searches, without any year limitations, were conducted in seven databases. Two reviewers independently performed data extraction and risk of bias assessments. The meta‐analysis was conducted using the RevMan 5.4 program and R Studio. The study was registered with PROSPERO (CRD42024503185).ResultsA total of 40 studies were included in the systematic review, of which 28 were included in the meta‐analysis. Notably, non‐pharmacological interventions were effective in improving glycated hemoglobin (HbA1c) at 6 months and self‐care at >12 months of follow‐up. Subgroup analyses revealed that combined interventions encompassing self‐care behavior management, education, and psychological interventions could enhance self‐care. Additionally, a combination of face‐to‐face and telephonic communication was effective in improving HbA1c.Linking Evidence to ActionNon‐pharmacological interventions are effective in improving HbA1c levels and self‐care in adolescents and young adults undergoing long‐term treatment. However, few studies have analyzed their effects on cardiovascular disease risk factors. Future studies should investigate the long‐term effects of non‐pharmacological interventions.

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Motivational Interviewing and Glycemic Control in Adolescents With Poorly Controlled Type 1 Diabetes: A Randomized Controlled Pilot Trial

Cited by 4 publications

References 28 publications

Motivational interviewing from the paediatricians’ perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs)

Motivational interviewing from the paediatricians’ perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs)

Involvement of Racially and Ethnically Minoritized Youths in Behavioral Type 1 Diabetes Interventions: A Systematic Review

Long‐term effects of non‐pharmacological interventions in adolescents and young adults with type 1 diabetes: A systematic review and meta‐analysis

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