PMID- 32229475
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 9
IP  - 3
DP  - 2020 Mar 31
TI  - Impact of Motivational Interviewing on Self-Management in Patients With Type 2 
      Diabetes: Protocol for a Pilot Randomized Controlled Trial.
PG  - e15709
LID - 10.2196/15709 [doi]
LID - e15709
AB  - BACKGROUND: The nonpharmacological approach to diabetic control in patients with 
      diabetes focuses on 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 
      include brief advice and counseling services. Within this context, motivational 
      interviewing (MI) has proven to be effective in changing health behaviors for 
      specific cases. However, stronger evidence is needed on the effectiveness of MI 
      in treating chronic pathologies such as diabetes. OBJECTIVE: This study will 
      obtain preliminary data on the impact of a nurse-led MI intervention in improving 
      glycemic control, as well as clinical, psychosocial, and self-care outcomes for 
      individuals with type 2 diabetes mellitus when compared with usual care, with the 
      aim of improving diabetic control in patients with diabetes. METHODS: An open, 
      two-arm, parallel, randomized controlled, pilot exploratory trial will be 
      performed. Two government outpatient clinics in the New Territories West Cluster 
      in Hong Kong will be involved. In total, 20 to 25 participants will be invited in 
      each arm. Intervention participants will receive face-to-face MI interventions in 
      addition to their usual care from the clinic. Control participants will only 
      receive usual care. Outcomes are assessed at baseline, 6 months, and 12 months. 
      The primary outcome measure is glycated hemoglobin levels. Secondary outcomes 
      include blood pressure, BMI, hip and waist circumference, fasting blood, and 
      psychosocial and self-care measures. RESULTS: This study is currently underway 
      with funding support from the Hong Kong College of Family Physician Research Seed 
      Fund 2017. CONCLUSIONS: MI skills constitute the main strategies primary care 
      nurses use on 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 with strict 
      control over the data collection, ensuring the maintenance of therapeutic 
      integrity. TRIAL REGISTRATION: Centre for Clinical Research and Biostatistics 
      CUHK_CCRB00614; https://tinyurl.com/v9awzk6. INTERNATIONAL REGISTERED REPORT 
      IDENTIFIER (IRRID): DERR1-10.2196/15709.
CI  - (c)Man Kin Wong, Sai Yip Ronald Cheng, Tsun Kit Chu, Fung Yee Lam, Shiu Kee Lai, 
      Kai Chung Wong, Jun Liang. Originally published in JMIR Research Protocols 
      (http://www.researchprotocols.org), 31.03.2020.
FAU - Wong, Man Kin
AU  - Wong MK
AUID- ORCID: 0000-0001-9907-4533
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Cheng, Sai Yip Ronald
AU  - Cheng SYR
AUID- ORCID: 0000-0002-6832-2730
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Chu, Tsun Kit
AU  - Chu TK
AUID- ORCID: 0000-0003-4277-7494
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Lam, Fung Yee
AU  - Lam FY
AUID- ORCID: 0000-0001-8610-6196
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Lai, Shiu Kee
AU  - Lai SK
AUID- ORCID: 0000-0002-2587-0059
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Wong, Kai Chung
AU  - Wong KC
AUID- ORCID: 0000-0001-6691-0996
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
FAU - Liang, Jun
AU  - Liang J
AUID- ORCID: 0000-0003-3294-9221
AD  - Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, New 
      Territories West Cluster, New Territories, Hong Kong.
LA  - eng
PT  - Journal Article
DEP - 20200331
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC7157490
OTO - NOTNLM
OT  - diabetes
OT  - motivational interviewing
OT  - nurse
OT  - self-care
OT  - self-management
OT  - usual care
COIS- Conflicts of Interest: None declared.
EDAT- 2020/04/02 06:00
MHDA- 2020/04/02 06:01
PMCR- 2020/03/31
CRDT- 2020/04/02 06:00
PHST- 2019/07/31 00:00 [received]
PHST- 2020/02/03 00:00 [accepted]
PHST- 2019/10/28 00:00 [revised]
PHST- 2020/04/02 06:00 [entrez]
PHST- 2020/04/02 06:00 [pubmed]
PHST- 2020/04/02 06:01 [medline]
PHST- 2020/03/31 00:00 [pmc-release]
AID - v9i3e15709 [pii]
AID - 10.2196/15709 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2020 Mar 31;9(3):e15709. doi: 10.2196/15709.