Motivational Interviewing on Self-Care Activities in T2DM: The Sample of Turkey

NCT05544435 | Completed

• 1 other identifier: ETÜ--ULUDAĞ---001
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose:This study aims to research the effects of motivational interviewing on self-care activities in patients with type 2 diabetes. Design and Method:This study is a quasi-experimental clinical research with pre-test post-test comparison.12 sessions were held in 3 months in the experimental group with motivational interviewing method. Findings:After a 3-month follow up, while a significant improvement was observed in post-intervention self-care activities in the experimental group, a significant decrease was observed in all self-care activities except foot care in the control group. Practice Implications:Motivational interviewing intervention can be used to develop self-care activities in type 2 diabetes patients, especially to guide diabetes nurses.

Conditions

Diabetes Mellitus, Type 2

Keywords

Motivational İnterviewing; Nursing; Self-caring activities; Turkey

Outcome Measures

Primary Outcomes (1)

• Summary of diabetes self-care activities scale (SDSCA)

  Summary of diabetes self-care activities scale consists of patient diet, exercise, blood sugar test, foot care and smoking.

  3 months after the start of the study

Secondary Outcomes (1)

• Metabolic variable values

  3 months after the start of the study

Study Arms (1)

Motivational Interviewing

EXPERIMENTAL

Intervention In addition to the care they always received, MI sessions were conducted by the researcher for the participants in the experimental group. This intervention was conducted as 30-45 minutes of 12 sessions in total for each patient for a period of 3 months by the academic nurse. In these sessions, the agenda was created in accordance with the nature of MI intervention, efforts were made to resolve the ambivalent feelings in the patient, the patient's change phase was determined, the patient's self-confidence for change was determined, it was questioned how much the patient cared for change and the patient was helped in determining the change plan. In addition, during the sessions, the problems patients experienced about self-care activities, the causes of these problems and the barriers in maintaining self-care activities were discussed and efforts were made to create awareness in patients.

Behavioral: Motivational İnterviewing

Interventions

Motivational İnterviewing BEHAVIORAL

Motivational Interviewing (MI), which is one of these methods, is an individual-based counselling approach that can easily be used by nurses who have been trained to help the management of disease in chronic diseases (Berhe et al., 2020; Kızılırmak \& Demir, 2018; Maslakpak et al., 2020). The core principles of MI includes expressing empathy by providing acceptance and understanding, realizing inconsistencies, avoiding discussions and supporting self-efficacy (Matinolli et al., 2012). The main purpose of MI is to identify the ambivalent emotions that occur in the patient in health-related activities, to strengthen and encourage insights of patients by supporting healthy lifestyle changes and self-confidence (R.Miller \& Rollnick, 2013). Because of its flexibility and ability to be applied in different behavioural aspects, MI can be administered individually and in groups by trained individuals (Maslakpak et al., 2020).

Motivational Interviewing

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 18 and older
• Diagnosed with T2DM at least six months ago
• To be literate
• Living in the city centre
• HbA1c value of 6.5% or higher
• Speak Turkish.

You may not qualify if:

• Having any psychiatric disease and mental problems

Sponsors & Collaborators

• Erzurum Technical University: lead

Study Sites (1)

Erzurum Technical University Faculty

Erzurum, 25050, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Elanur Uludağ, Dr.

  Erzurum Technical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 1, 2022
• First Posted: September 16, 2022
• Study Start: September 25, 2019
• Primary Completion: May 30, 2020
• Study Completion: May 30, 2020
• Last Updated: September 16, 2022

Record last verified: 2022-09

Locations

TU (1)