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Article: Effectiveness of Motivational Interviewing on Improving Care for Patients with Type 2 Diabetes in China: A Randomized Controlled Trial

TitleEffectiveness of Motivational Interviewing on Improving Care for Patients with Type 2 Diabetes in China: A Randomized Controlled Trial
Authors
KeywordsChina
Motivational interviewing
Patient empowerment
Self-management
Type 2 diabetes
Issue Date2020
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/
Citation
BMC Health Services Research, 2020, v. 20 n. 1, p. 57:1-57:9 How to Cite?
AbstractBACKGROUND: To assess the effects of a motivational interviewing (MI)-based patient empowerment program (PEP) on type 2 diabetes mellitus (DM) patient self-management compared to traditional diabetes health education. METHODS: Two hundred and twenty-five patients, recruited from community health centers (CHCs) and the family medicine clinic in the University of Hong Kong-Shenzhen Hospital in Shenzhen, were randomly assigned to the intervention or control groups. Patients in the intervention group (n = 117) received a four-session PEP in small groups over 1 month by trained nurses and doctors. The control group (n = 108) received the traditional lecture-style health education on DM. All the patients were followed up for 3 months. Outcomes included problem areas in diabetes (PAID) that measures diabetes-related emotional distress, patient enablement index (PEI), mental health, patient satisfaction respectively as well as lifestyle behaviors were assessed at baseline, post-activity and 3 months. RESULTS: At post-intervention and the 3-month follow-up, the PAID score improved significantly in the intervention group (12.7 ± 13.6, 5.8 ± 7.6) compared to the control group (22.7 ± 22.8, 11.7 ± 14.6). No difference was found between groups for changes to exercise, diet, and medication adherence. The PEI score improved significantly at the 3-month follow-up in the MI group (7.27 ± 2.45 vs 5.81 ± 2.97). CONCLUSION: The PEP has a significant effect on improving diabetes-related distress, but MI was not significantly different from the traditional health education programs when it comes to the readiness to change. TRIAL REGISTRATION: NCT04120844, ClinicalTrials.Gov. Date of registration: October 9th 2019 (Retrospectively registered).
Persistent Identifierhttp://hdl.handle.net/10722/260518
ISSN
2023 Impact Factor: 2.7
2023 SCImago Journal Rankings: 1.029
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLi, Z-
dc.contributor.authorChen, Q-Q-
dc.contributor.authorYan, JY-
dc.contributor.authorLiang, W-
dc.contributor.authorWong, WCW-
dc.date.accessioned2018-09-14T08:43:00Z-
dc.date.available2018-09-14T08:43:00Z-
dc.date.issued2020-
dc.identifier.citationBMC Health Services Research, 2020, v. 20 n. 1, p. 57:1-57:9-
dc.identifier.issn1472-6963-
dc.identifier.urihttp://hdl.handle.net/10722/260518-
dc.description.abstractBACKGROUND: To assess the effects of a motivational interviewing (MI)-based patient empowerment program (PEP) on type 2 diabetes mellitus (DM) patient self-management compared to traditional diabetes health education. METHODS: Two hundred and twenty-five patients, recruited from community health centers (CHCs) and the family medicine clinic in the University of Hong Kong-Shenzhen Hospital in Shenzhen, were randomly assigned to the intervention or control groups. Patients in the intervention group (n = 117) received a four-session PEP in small groups over 1 month by trained nurses and doctors. The control group (n = 108) received the traditional lecture-style health education on DM. All the patients were followed up for 3 months. Outcomes included problem areas in diabetes (PAID) that measures diabetes-related emotional distress, patient enablement index (PEI), mental health, patient satisfaction respectively as well as lifestyle behaviors were assessed at baseline, post-activity and 3 months. RESULTS: At post-intervention and the 3-month follow-up, the PAID score improved significantly in the intervention group (12.7 ± 13.6, 5.8 ± 7.6) compared to the control group (22.7 ± 22.8, 11.7 ± 14.6). No difference was found between groups for changes to exercise, diet, and medication adherence. The PEI score improved significantly at the 3-month follow-up in the MI group (7.27 ± 2.45 vs 5.81 ± 2.97). CONCLUSION: The PEP has a significant effect on improving diabetes-related distress, but MI was not significantly different from the traditional health education programs when it comes to the readiness to change. TRIAL REGISTRATION: NCT04120844, ClinicalTrials.Gov. Date of registration: October 9th 2019 (Retrospectively registered).-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/-
dc.relation.ispartofBMC Health Services Research-
dc.rightsBMC Health Services Research. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectChina-
dc.subjectMotivational interviewing-
dc.subjectPatient empowerment-
dc.subjectSelf-management-
dc.subjectType 2 diabetes-
dc.titleEffectiveness of Motivational Interviewing on Improving Care for Patients with Type 2 Diabetes in China: A Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailWong, WCW: wongwcw@hku.hk-
dc.identifier.authorityWong, WCW=rp01457-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12913-019-4776-8-
dc.identifier.pmid31973759-
dc.identifier.pmcidPMC6979352-
dc.identifier.scopuseid_2-s2.0-85078234344-
dc.identifier.hkuros291864-
dc.identifier.volume20-
dc.identifier.issue1-
dc.identifier.spage57:1-
dc.identifier.epage57:9-
dc.identifier.isiWOS:000512764300001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1472-6963-

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