The effects of group motivational interviewing and externalizing conversations for adolescents with Type-1 diabetes

Knight, Katherine M.; Bundy, Christine; Morris, R; Higgs, Jf; Jameson, Robert; Unsworth, P; Jayson, Dinah

doi:10.1080/1354850031000087528

Cited by 51 publications

(32 citation statements)

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“…MI combined with other therapeutic approaches, such as dietary advice or CBT, has reported reductions in HbA 1c level, a greater sense of control, improved perceptions of diabetes and improved self-esteem. [119][120][121] Attempts to incorporate MI into other formats, for example a six-session 'personal trainer' intervention delivered by non-clinical practitioners, 122 have shown promising results, lowering HbA 1c levels in older teenagers.…”

Section: Motivational Interviewingmentioning

confidence: 99%

Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomised controlled trial with integral process and economic evaluation – the CASCADE study

Christie

Thompson

Sawtell

et al. 2014

Health Technology Assessment

148

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et al. Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomised controlled trial with integral process and economic evaluation -the CASCADE study. Health Technol Assess 2014;18(20).Health Technology Assessment is indexed and abstracted in Index Medicus/MEDLINE, Excerpta Medica/EMBASE, Science Citation Index Expanded (SciSearch ® ) and Current Contents ® / Clinical Medicine. Health Technology AssessmentHTA/HTA TAR ISSN 1366-5278 (Print) ISSN 2046-4924 (Online) Five-year impact factor: 5.804Health Technology Assessment is indexed in MEDLINE, CINAHL, EMBASE, The Cochrane Library and the ISI Science Citation Index and is assessed for inclusion in the Database of Abstracts of Reviews of Effects.This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe 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 journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 06/44/05. The contractual start date was in May 2008. The draft report began editorial review in January 2013 and was accepted for publication in June 2013. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers...

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Section: Motivational Interviewingmentioning

confidence: 99%

Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomised controlled trial with integral process and economic evaluation – the CASCADE study

Christie

Thompson

Sawtell

et al. 2014

Health Technology Assessment

148

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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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“…While literature specifically on externalizing as a group intervention remains sparse, some authors have identified externalizing as a meaningful way for groups to work with participants' stories (Dean 1998;Laube and Trefz 1994). Most articles that discuss externalizing do so in the context of multi-session or ongoing therapy groups (Dean 1998;Gilbert and Beidler 2001;Laube 1998;Laube and Trefz 1994;Vassallo 1998), sometimes in conjunction with motivational interviewing (Knight et al 2003;Weber et al 2006). When stages of group development are considered, externalizing is seen as particularly relevant in the initial stages of group formation, leading to the identification of unique outcomes that can be developed into preferred narratives during subsequent developmental stages (Laube 1998;Vassallo 1998).…”

Section: The Use Of Externalizing Conversations In Treatment Groupsmentioning

confidence: 94%

“…Attention shifts to the relationship between person and problem (Knight et al 2003), allowing the person to explore how the problem has operated. These insights then form the basis for more effective solutions, as the person revises his or her relationship with the problem by responding differently to its demands and expectations (Freedman and Combs 1996;White and Epston 1990).…”

Section: Therapy As Re-authoringmentioning

confidence: 99%

Externalizing Conversations: Single Session Narrative Group Interventions in a Partial Hospital Setting

Hill¹

2010

Clin Soc Work J

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Partial hospital programs (PHPs) provide ambulatory treatment for mental health and substancerelated problems when symptoms are too severe to be managed on an outpatient basis, but do not reach the threshold for inpatient admission. Groups are the primary treatment modality. This article explores the application of externalizing conversations, a core narrative intervention, to PHP group work. After a description of the setting, an overview is provided on the practice of externalizing, its place in narrative therapy, and its use in groups. With this background, two single-session group externalizing interventions are discussed using case material.

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The effects of group motivational interviewing and externalizing conversations for adolescents with Type-1 diabetes

Cited by 51 publications

References 0 publications

Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomised controlled trial with integral process and economic evaluation – the CASCADE study

Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomised controlled trial with integral process and economic evaluation – the CASCADE 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

Externalizing Conversations: Single Session Narrative Group Interventions in a Partial Hospital Setting

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