Motivational Interviewing (MI) to Change Type 2DM Self Care Behaviors: A Nursing Intervention

J Diabetes Nurs. 2010;14(3):112-118.

Abstract

Aims: This paper evaluates a novel nursing intervention designed to improve physical and psychological outcomes for adult patients with Type 2 DM.

Background: Self care behaviors are an important component of diabetes treatment, yet for many reasons, patients do not adhere to suggested plans. Motivational Interviewing (MI) is a patient centered strategy that helps overcome ambivalence to change. Nurses, who frequently educate patients with diabetes about self care, can use MI as a way to improve health behaviors.

Methods: As a component of a large RCT, focus groups were used to evaluate the impact of an MI nursing intervention. Nineteen patients (8% of treatment group) participated in four different groups. IPA was used to explore patient response to the intervention.

Results/findings: Patients were able to reflect on and identify responses to sessions with the study nurses that differed from "typical" health care provider visits. Many of their descriptions captured the essence of MI practice.

Conclusion: MI is a viable and useful technique for nurses to use in educating and caring for persons with Type 2 DM.

Keywords: behavior change; diabetes; motivation; nursing.