Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 31, 2019
Open Peer Review Period: Aug 1, 2019 - Sep 6, 2019
Date Accepted: Feb 3, 2020
(closed for review but you can still tweet)
Impact of Motivational Interviewing on the management of Type 2 diabetic patients in the community: a study protocol for a pilot randomised controlled trial
ABSTRACT
Background:
The non-pharmacological approach to diabetic control in patients with diabetes is based on the focus of a healthy diet, physical activity and self- management. Therefore, to help patients change their habits, it is essential to identify the most effective approach. Many efforts have been devoted to explain changes in or adherence to specific health behaviors. Such efforts have resulted in the development of theories that have been applied in prevention campaigns, and that include brief advice and counseling services. Within this context, Motivational Interviewing (MI) has proven to be effective in changing health behaviors in specific cases. However, stronger evidence is needed on the effectiveness of MI in treating chronic pathologies such as diabetes.
Objective:
The study will assess the effectiveness of a nurse-led MI intervention in improving glycaemic control, as well as clinical, psychosocial and self-care outcomes of individuals with type 2 diabetes mellitus compared with usual care, with the aim of improving diabetic control in patients with diabetes.
Methods:
An open, two-arm parallel, randomised controlled, pilot exploratory trial will be performed. Two Government Out-patient Clinics (GOPCs) in New Territories West Cluster of Hong Kong will be involved. 20-25 participants will be invited in each arm. Intervention participants receive face-to-face MI intervention in addition to usual care from their clinic. Control participants receive usual care only. Outcomes are assessed at baseline, 6 and 12 months. Primary outcome measure is glycated haemoglobin (HbA1c). Secondary outcomes include blood pressure (BP), body mass index (BMI), hip and waist circumference, fasting blood, psychosocial and self-care measures.
Results:
This trial is currently underway with funding support from the Hong Kong College of Family Physician (HKCFP) Research Seed Fund 2017.
Conclusions:
MI skills constitute the primary strategies primary care nurses deploy to care their patients. Having economical, simple, effective and applicable techniques is essential for primary care professionals to help their patients change their lifestyle and improve their health. This study will provide scientific evidence on the effectiveness of MI. It will be performed under strict control over the data collection, ensuring the maintenance of therapeutic integrity. Clinical Trial: Controlled Trial Number CUHK_CCRB00614 has been assigned by the Clinical Trial Registry Team from Centre for Clinical Research and Biostatistics (CCRB CTR) in the Chinese University of Hong Kong (CUHK).
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