Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care
Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care
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DOI：
10.1016/j.diabres.2010.09.012
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发表时间：
2010-12-01
影响因子：
5.1
通讯作者：
de Vries, Nanne K.
中科院分区：
文献类型：
--
作者：
Heinrich, Evelien;Candel, Math J. J. M.;de Vries, Nanne K.
目的：本研究评估的影响动机面试（MI）为基础的咨询培训护士的临床，行为和过程的结果之间的2型糖尿病patients.Methods：本研究是一项随机对照试验，12个月和24个月后的后续测量。33名护士和584名患者参加了研究。实验组护士接受培训;对照组护士在研究结束后接受培训。培训包括两次培训、两次后续会议、书面反馈和三次直接反馈。基本MI的原则和技术和MI为基础的咨询protocol addressed.Results：结果表明，不利影响脂肪摄入量和HDL和有利影响的机会控制点和知识。蔬菜或水果的摄入量，体力活动，HbA（1C），体重，血压，总胆固醇，低密度脂蛋白，甘油三酯，卫生保健的气候，生活质量或自我efficiency.Conclusions：在其他MI的研究，混合的结果被发现。需要更多的研究在现实世界的设置与卫生保健专业人员的领域，而不是密集训练的MI干预。应了解适当的培训和有助于在日常实践中实施管理信息的因素。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Aim: The present study assessed the effects of a Motivational Interviewing (MI) based counselling training for nurses on clinical, behavioural and process outcomes among diabetes type 2 patients.Methods: The study is an RCT with follow-up measurements after 12 and 24 months. Thirty-three nurses and 584 patients participated. Nurses in the experimental condition received the training; control group nurses were trained after the study. The training consisted of two training sessions, two follow-up meetings, written feedback and three direct feedback sessions. Basic MI-principles and techniques and an MI-based counselling protocol were addressed.Results: Results indicated disadvantageous effects on fat intake and HDL and advantageous effects on chance locus of control and knowledge. No effects were found on vegetable or fruit intake, physical activity, HbA(1c), weight, blood pressure, total cholesterol, LDL, trigly-cerides, health care climate, quality of life or on self-efficacy.Conclusions: As in other MI studies, mixed results were found. It would be premature to recommend dissemination of MI in diabetes care. More studies are needed in real-world settings with health care professionals of the field instead of intensively trained MI interventionists. Knowledge should be gained about adequate training and factors contributing to the implementation of MI in daily practice. (C) 2010 Elsevier Ireland Ltd. All rights reserved.