A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes
A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes
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DOI：
10.2337/dc06-2260
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发表时间：
2007-06-01
期刊：
影响因子：
16.2
通讯作者：
Gregory, John W.
中科院分区：
文献类型：
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作者：
Channon, Sue J.;Huws-Thomas, Michelle V.;Gregory, John W.
目的-我们试图研究动机访谈与14-17岁的青少年与1型diabetes.Research设计和方法的有效性-在一项随机对照试验分析的意向治疗，66名青少年与1型糖尿病出席糖尿病诊所在南威尔士，英国，随机分为干预组（38例）和对照组（28例）。干预组的青少年接受动机访谈，对照组接受支持访问。所有参与者都接受了12个月的单独培训。在基线，6，12，和24个月的主要结果评估措施是血清AIC和心理社会自我报告问卷，包括生活质量和幸福measurements.RESULTS -在12个月，60例患者有完整的数据。在干预结束时（12个月），动机访谈组的平均AIC显著低于对照组（P = 0.04），调整基线值后。在24个月时（n = 47），AIC的这种差异得以维持（P = 0.003）。在12个月时，心理社会变量存在差异，动机访谈组显示出更积极的幸福感，生活质量改善，以及他们个人疾病模型的差异（均P < 0.01）。其中一些差异维持在24 months.Conclusions -动机访谈可以是一种有效的方法，促进行为的变化，在青少年与I型糖尿病，随后改善血糖控制。
OBJECTIVE - We sought to examine the efficacy of motivational interviewing with teenagers aged 14-17 years with type 1 diabetes.RESEARCH DESIGN AND METHODS - In a randomized controlled trial analyzed by intention to treat, 66 teenagers with type 1 diabetes attending diabetes clinics in South Wales, U.K., were randomly assigned to the intervention group (38) and control group (28). Teenagers in the intervention group received motivational inter-viewing, and the control group received support visits. All participants received individual sessions over 12 months. The main outcome measures assessed at baseline, 6, 12, and 24 months were serum AIC and psychosocial selfreport questionnaires including quality of life and well-being measures.RESULTS - At 12 months, 60 patients had complete data. At the end of the intervention (12 months), the mean AIC in the motivational interviewing group was significantly lower than in the control group (P = 0.04), after adjusting for baseline values. At 24 months (when n = 47), this difference in AIC was maintained (P = 0.003). There were differences in psychosocial variables at 12 months, with the motivational interviewing group indicating more positive well-being, improved quality of life, and differences in their personal models of illness (all P < 0.01). Some of these differences were maintained at 24 months.CONCLUSIONS - Motivational interviewing can be an effective method of facilitating behavioral changes in teenagers with type I diabetes with subsequent improvement in their glycemic control.