How patients with type 2 diabetes mellitus respond to motivational interviewing.

How patients with type 2 diabetes mellitus respond to motivational interviewing.
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DOI:
10.1016/j.diabres.2011.08.011
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发表时间:
2012-01
影响因子:
5.1
通讯作者:
Gabbay, Robert A.
Gabbay, Robert A.
中科院分区:
医学3区
文献类型:
--
作者:
Dellasega, Cheryl;Anel-Tiangco, Raquel M.;Gabbay, Robert A.

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确定2型糖尿病患者对旨在促进积极行为改变的动机性访谈(MI)干预的感受。由同一主持人进行的焦点小组定性研究。附属于学术医疗中心和社区综合医院的家庭或普通内科诊所。一个研究中心主要由低收入西班牙裔患者组成。四个焦点小组,由19名2型糖尿病成人患者组成,他们来自NIH资助的一项关于MI和糖尿病的大型随机对照试验。组内和组内分析进行录音采访的成绩单。病人对标准护理的看法基本上是负面的,有几个人描述了家长式和贬低的态度。出现了与MI相关的五个主题:非判断性责任,作为一个人被倾听和回应,鼓励和授权,协作行动规划和目标设定,以及指导而不是批评。一些2型糖尿病患者接受动机访谈,这是一种比传统护理更以患者为中心和授权的提供者方法。
To determine how patients with Type 2 DM feel about a Motivational Interviewing (MI) intervention designed to promote positive behavior change. Qualitative study using focus groups conducted by the same facilitator. Family or general internal medicine practice clinics affiliated with an academic medical center and a community general hospital. One site consisted of primarily low income Hispanic patients. Four focus groups consisting of nineteen adult patients with Type 2 Diabetes Mellitus solicited from a large NIH-funded randomized controlled trial on MI and Diabetes. Across and within group analysis was performed on transcripts of the taped interviews. Patient perceptions of standard care were largely negative, with several individuals describing paternalistic and demeaning attitudes. Five themes related to MI emerged: Nonjudgmental Accountability, Being Heard and Responded to as a Person, Encouragement and Empowerment, Collaborative Action Planning & Goal Setting, and Coaching Rather than Critiquing. Some patients with Type 2 Diabetes are receptive to motivational interviewing which is a provider approach that is more patient-centered and empowering than traditional care.
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