Motivational/solution‐focused intervention improves HbA<sub>1c</sub> in adolescents with Type 1 diabetes: a pilot study

Viner, Russell; Christie, Deborah; Taylor, Valerie H.; Hey, Spencer Phillips

doi:10.1046/j.1464-5491.2003.00995.x

Cited by 136 publications

(98 citation statements)

References 17 publications

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“…It extends the evidence and confirms the beneficial impact of psychosocial interventions based on the principles of motivational interviewing that have been previously reported in smaller-scale stud- ies (8,9). Furthermore, this study is one of very few that demonstrate, using a randomized control study design, the potential of a psychosocial intervention to improve glycemic control in children with diabetes over a time period as long as two years (4).…”

Section: Secondary Outcome Measures: Psychosocial Questionnairessupporting

confidence: 86%

“…Motivational interviewing, a counseling approach to facilitate behavioral change (5), has been demonstrated as effective in adults in some health care settings (6,7), and there is preliminary evidence of its effectiveness in improving glycemic control and psychological well-being in teenagers with type 1 diabetes in short-term, uncontrolled trials (8,9). The multicenter randomized controlled trial reported here was developed to replicate and extend the findings of the pilot study (8), employing a fully powered design and an evaluation of longer-term outcomes.…”

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confidence: 99%

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A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

et al. 2007

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OBJECTIVE -We sought to examine the efficacy of motivational interviewing with teenagers aged 14 -17 years with type 1 diabetes.RESEARCH DESIGN AND METHODS -In a randomized controlled trial analyzed by intention to treat, 66 teenagers with type 1 diabetes attending diabetes clinics in South Wales, U.K., were randomly assigned to the intervention group (38) and control group (28). Teenagers in the intervention group received motivational interviewing, and the control group received support visits. All participants received individual sessions over 12 months. The main outcome measures assessed at baseline, 6, 12, and 24 months were serum A1C and psychosocial selfreport questionnaires including quality of life and well-being measures.RESULTS -At 12 months, 60 patients had complete data. At the end of the intervention (12 months), the mean A1C in the motivational interviewing group was significantly lower than in the control group (P ϭ 0.04), after adjusting for baseline values. At 24 months (when n ϭ 47), this difference in A1C was maintained (P ϭ 0.003). There were differences in psychosocial variables at 12 months, with the motivational interviewing group indicating more positive well-being, improved quality of life, and differences in their personal models of illness (all P Ͻ 0.01). Some of these differences were maintained at 24 months.CONCLUSIONS -Motivational interviewing can be an effective method of facilitating behavioral changes in teenagers with type 1 diabetes with subsequent improvement in their glycemic control.

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Section: Secondary Outcome Measures: Psychosocial Questionnairessupporting

confidence: 86%

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confidence: 99%

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

et al. 2007

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“…However, at 7-12 months the improvement was not maintained. 146 More recently, Channon and colleagues 147 conducted a multicentre RCT which allocated adolescents (14-17 years) to receive either four sessions of MI (n = 38) or support visits (n = 28 …”

Section: Evidence For Motivational Interviewing Based Therapiesmentioning

confidence: 99%

A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

Ismail

Maissi²,

Thomas³

et al. 2010

Health Technol Assess

204

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of project...

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“…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

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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

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Motivational/solution‐focused intervention improves HbA_1c in adolescents with Type 1 diabetes: a pilot study

Abstract: These pilot data suggest that a motivational/solution-focused group intervention is promising in improving HbA1c in adolescents and should be investigated further in a randomized controlled trial.

Cited by 136 publications

References 17 publications

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

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

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Motivational/solution‐focused intervention improves HbA1c in adolescents with Type 1 diabetes: a pilot study

Abstract: These pilot data suggest that a motivational/solution-focused group intervention is promising in improving HbA1c in adolescents and should be investigated further in a randomized controlled trial.

Cited by 136 publications

References 17 publications

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

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

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Motivational/solution‐focused intervention improves HbA_1c in adolescents with Type 1 diabetes: a pilot study