Motivational interviewing and people with diabetes
DOI:
https://doi.org/10.1002/edn.180Keywords:
motivational interviewing, diabetes, glycaemic control, behaviour changeAbstract
AbstractMotivational interviewing (MI) is an evidence-based method of counselling which is used to enhance intrinsic motivation for change by exploring and resolving ambivalence. Research has shown that it is effective when used to treat substance abuse and a number of other health behaviours. It has also emerged as a useful technique when used for patients with chronic illness, such as diabetes.
The present paper serves to provide an overview of the theory and principles of MI practice and to evaluate its effectiveness as an intervention for patients with diabetes. The results of several recent randomised controlled trials are outlined and the mixed findings suggest that MI can be used as an effective way of enhancing diabetes treatment but that it appears most effective when targeted to one specific behavioural outcome (such as weight loss or dietary adherence). Barriers still exist which restrict its effectiveness and therefore the successful implementation of MI into health care settings. Key issues are discussed such as the importance of standardised training and ensuring treatment integrity. Further research is needed to establish the active underlying mechanisms which are driving change and to ascertain the longer-term benefits of MI to both patients and practitioners. This would help facilitate the successful integration of MI skills and/or practice into routine diabetes care.
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