TY - JOUR
T1 - How patients with type 2 diabetes mellitus respond to motivational interviewing
AU - Dellasega, Cheryl
AU - Añel-Tiangco, Raquel M.
AU - Gabbay, Robert A.
N1 - Funding Information:
Support was provided by the National Institute of Diabetes and Digestive and Kidney Diseases grant R18-DK067495 .
PY - 2012/1
Y1 - 2012/1
N2 - Aim: To determine how patients with type 2 DM feel about a motivational interviewing (MI) intervention designed to promote positive behavior change. Method: Qualitative study using focus groups conducted by the same facilitator. Setting: Family or general internal medicine practice clinics affiliated with an academic medical center and a community general hospital. One site consisted of primarily low income Hispanic patients. Participants: Four focus groups consisting of nineteen adult patients with type 2 diabetes mellitus solicited from a large NIH-funded randomized controlled trial on MI and diabetes. Results: Across and within group analysis was performed on transcripts of the taped interviews. Patient perceptions of standard care were largely negative, with several individuals describing paternalistic and demeaning attitudes. Five themes related to MI emerged: Nonjudgmental Accountability, Being Heard and Responded to as a Person, Encouragement and Empowerment, Collaborative Action Planning and Goal Setting, and Coaching rather than Critiquing. Conclusions: Some patients with type 2 diabetes are receptive to motivational interviewing which is a provider approach that is more patient-centered and empowering than traditional care.
AB - Aim: To determine how patients with type 2 DM feel about a motivational interviewing (MI) intervention designed to promote positive behavior change. Method: Qualitative study using focus groups conducted by the same facilitator. Setting: Family or general internal medicine practice clinics affiliated with an academic medical center and a community general hospital. One site consisted of primarily low income Hispanic patients. Participants: Four focus groups consisting of nineteen adult patients with type 2 diabetes mellitus solicited from a large NIH-funded randomized controlled trial on MI and diabetes. Results: Across and within group analysis was performed on transcripts of the taped interviews. Patient perceptions of standard care were largely negative, with several individuals describing paternalistic and demeaning attitudes. Five themes related to MI emerged: Nonjudgmental Accountability, Being Heard and Responded to as a Person, Encouragement and Empowerment, Collaborative Action Planning and Goal Setting, and Coaching rather than Critiquing. Conclusions: Some patients with type 2 diabetes are receptive to motivational interviewing which is a provider approach that is more patient-centered and empowering than traditional care.
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U2 - 10.1016/j.diabres.2011.08.011
DO - 10.1016/j.diabres.2011.08.011
M3 - Article
C2 - 21899911
AN - SCOPUS:84355166701
SN - 0168-8227
VL - 95
SP - 37
EP - 41
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 1
ER -