Motivational Interviewing in Type 2 Diabetes Patients
Condition: Diabetes Mellitus, Type 2; Motivation
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 2
Study type: Interventional

Summary: 
      This research was planned to examine the effects of diabetes education given by motivational
      interviews on adherence to the disease, perception of diabetes self-efficacy and metabolic
      parameters in diabetes patients. The research sample will consist of 78 individuals with type
      2 diabetes (39 intervention group - 39 control group). Diabetes education will be given to
      the participants in the intervention (experimental) group of the research with the
      motivational interview method based on the Transtheoretic Model. The interviews will be
      completed at the end of 2 months, with a total of 6 sessions in the first month (4 sessions
      per month) and once every 15 days in the 2nd month (2 sessions per month). Participants in
      the control group will be given standard diabetes education. Participants in the intervention
      (experimental) and control groups will be asked to follow the habit of exercising regularly
      and blood sugar.
    

Detailed description: 
      To the participants in the intervention group of the research; Diabetes education will be
      given by using the motivational interview method, which is structured on the basis of the
      Transtheoretic Model. Data will be obtained by face-to-face interview method individually.
      Information will be obtained from the following forms as a pre-test for the participants in
      the initiative group:Patient Information Form [App. 1], Behavioral Change Stage Diagnosis
      Form in Patients with Type 2 Diabetes [App. 2], Diabetes Self-Efficacy Perception Scale [App.
      3], Chronic Disease Adjustment Scale [App. 4]. Metabolic parameters of patients before the
      motivational interview Metabolic Results It will be recorded in the Follow-up Form (HbA1c,
      FCC, HDL cholesterol, LDL cholesterol, Triglyceride, Total Cholesterol, Height, Weight, BMI)
      [App. 5].Diabetes education will be given to the intervention (experimental) group using the
      motivational interview method consisting of 6 sessions. The interviews will be completed at
      the end of 2 months, with a total of 6 sessions in the first month (4 sessions per month) and
      once every 15 days in the 2nd month (2 sessions per month). The participants in the
      intervention group will be given a Blood Glucose Follow-up Chart [App. 6] at the first
      meeting, and they will be asked to bring the Blood Glucose Follow-up Chart with them at each
      meeting (6 times in total), by writing the follow-up result. After explaining the positive
      effect of exercise on blood glucose to the participants in the intervention group, the
      Walking Program Implementation Chart will be given. Participants will be asked to record the
      total number of steps per day, together with the date they walked, the number of steps taken
      during walking, and any complaints experienced, and bring them together in each motivational
      interview session (6 times in total).In the first interview, the researcher will provide and
      give the individual the Walking Program Implementation Chart, along with the pedometer that
      they will use to track the number of steps in their daily activities. In each motivational
      interview session, the individual's daily step counts will be checked. At the end of the
      first session, the participants in the intervention group will be given the "Educational
      Guide for Individuals with Diabetes" booklet, which will be prepared by the researcher.
      Participants in the intervention group will be informed by the researcher via reminder phone
      messages (SMS) once a week (6 times in total) to exercise regularly.As a post-test for the
      participants in the intervention group; Patient Information Form [App 8], Behavior Change
      Stage Diagnosis Form in Patients with Type 2 Diabetes [App. 2], Diabetes Self-Efficacy
      Perception Scale [App. 3], Chronic Disease Adjustment Scale [App. 4]. Diabetes education of
      the participants in the intervention group using motivational interview method Blood glucose
      and lipid profile will be monitored as metabolic parameters and recorded in the Metabolic
      Results Follow-up Form [App. 5] at the 3rd month after completion. The height and weight
      follow-up of the participants in the intervention group will be done again in the 3rd month
      after the end of the motivational interview sessions and recorded in the Metabolic Results
      Follow-up Form [App. 5] by the researcher.As a pre-test before starting the general diabetes
      education among the participants in the control group; Patient Information Form [App. 1],
      Behavioral Change Stage Diagnosis Form in Patients with Type 2 Diabetes [App. 2], Diabetes
      Self-Efficacy Scale [App. 3], Chronic Disease Adjustment Scale [App. 4] will be
      used.Metabolic Results (HbA1c, FCC, HDL, LDL, Triglyceride, Total Cholesterol, Height, Weight
      and BMI) Follow-up Form [App. 6], Individual general diabetes education lasting 30-60 minutes
      on average will be given to the participants in the control group. At the 3rd month after
      general diabetes education, participants in the control group will be asked to complete the
      posttests again (App. 2,3,4,8). The metabolic parameters of the participants in the control
      group will be monitored in the 3rd month and recorded by the researcher.
    

Intervention name(s): diabetes education with motivational interview technique
Intervention type(s): Other
Intervention description(s): Techniques such as developing empathy, developing disengagement, turning with resistance, supporting self-efficacy, avoiding advice, a simple decision, importance-trust scale, open-ended questions, reflection and segmentation in motivational interviews.
Other intervention name(s): general method of diabetes education
Intervention model: Single Group Assignment
Intervention model description: Motivational Interviewing Technique
Masking: None (Open Label)
Primary purpose: Other
Keywords: Diabetes Mellitus; Self-efficacy; Adaptation to illness; Behavior change; Motivational interview