The effect of a transtheoretical model-based motivational interview on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial

Int J Nurs Pract. 2019 Aug;25(4):e12742. doi: 10.1111/ijn.12742. Epub 2019 May 14.

Abstract

Aim: This study aimed to determine the effect of a transtheoretical model-based motivational interview method on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus.

Methods: A randomized controlled study design was used. The study was conducted with 50 individuals with type 2 diabetes mellitus, divided into an intervention group and a control group. The researcher held motivational interviews with the patients in the intervention group. Both groups were observed at the beginning of the study and 6 months after the baseline interview. The study data were collected between January 8 and November 18, 2014.

Results: Comparing the intervention and the control groups, the differences in the level of self-efficacy and participants' metabolic values were significant (P < .05). The number of participants in the action stage of the intervention group for nutrition, exercise, and medication use significantly increased compared with the control group (P < .05).

Conclusion: The transtheoretical model-based motivational interview method increased the self-efficacy level of participants with type 2 diabetes mellitus, which helped them improve their metabolic control and health behaviour stages over this 6-month period.

Keywords: metabolic control; motivational interview; nursing; self-efficacy; type 2 diabetes mellitus.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / therapy*
  • Exercise
  • Female
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical*
  • Motivational Interviewing
  • Self Efficacy*