Self-determination theory and motivational interviewing interventions for type 2 diabetes prevention and treatment: A systematic review

Abstract

Treatment of those with obesity, prediabetes, and type 2 diabetes often yields initial health improvements, but gains erode over time. A systematic search of self-determination theory and motivational interviewing papers for the above populations was conducted, yielding 54 publications and 42 independent samples. Interventions to treat overweight and obesity ( n = 15), prediabetes ( n = 4), and type 2 diabetes ( n = 23) are summarized and evaluated using the Quality Rating Scale. While the results of these studies are mixed, the majority of the interventions resulted in health benefits. Suggestions for future research are discussed.

Transcultural Diabetes Care in The United States – A Position Statement by the American Association of Clinical Endocrinologists

“…The impact of cultural factors on the performance of the diabetes Chronic Care Model (307,308), as assessed by the Patient Assessment of Chronic Illness Care, remains unclear (309). In the recent AACE DBCD model (169), wherein insulin resistance, abnormal adiposity (based on (298). The configuration of increasing knowledge and self-efficacy was the most empirically relevant in this study (298).…”

“…In 2012, nonadherence to medications accounted for the greatest avoidable costs in the U.S. healthcare system ($105.4 billion) (295). Various behavior change techniques can be used to improve medication adherence across different cultures (Table 9) (296)(297)(298). There will need to be greater exposure to behavioral medicine education in medical school and postgraduate programs, along with mentorship and direct supervision so that HCP can hone their skills.…”

“…In the recent AACE DBCD model (169), wherein insulin resistance, abnormal adiposity (based on (298). The configuration of increasing knowledge and self-efficacy was the most empirically relevant in this study (298). From a pragmatic standpoint, the transculturalization process is best envisioned as a modification to existing evidence-based guidelines, such as in Figure 2 for Latin Americans and Figure 4 as a broader update to the 2019 AACE/ACE Comprehensive Type 2 Diabetes Management Algorithm (310).…”

Self-Determination Theory Interventions Versus Usual Care in People With Diabetes: A Protocol for a Systematic Review With Meta-Analysis and Trial Sequential Analysis

“…Psychological therapies use the therapeutic alliance between patient and therapist, in which the patient's problems are understood in terms of emotions, cognitions, and behaviors [24], yet, psychological interventions have not proven effective on glycated hemoglobin (HbA1c) in people with type 1 [25] or type 2 diabetes [20]. Health educational tools that aim at translating person-centered care into practice and nding ways to enhance intrinsic motivation may lead to greater long-term behavior change than tools solely relying on external motivation [26]. This is the goal of the guided self-determination method [27][28][29][30] and self-determination theory [31].…”

Managing Difficult Conversation

“…While this simple rubric is made for managers, it has universal appeal and relevance. [1][2][3] The 5R framework can be used in all professional and personal situations. It is of special use to professionals who practice motivational interviewing.…”