.: ORİJİNAL ARAŞTIRMA
Effects of the Telephone-Based Motivational Interviewing in Adults with Type 2 Diabetes: A Systematic Review of Randomized Controlled Trials
Tip 2 Diyabetli Erişkinlerde Telefona Dayalı Motivasyonel Görüşmenin Etkileri: Randomize Kontrollü Çalışmaların Sistematik Derlemesi
Turkiye Klinikleri J Nurs Sci. 2022;14(2):372-86
doi: 10.5336/nurses.2021-84110
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The aim of this systematic review is to evaluate the effect of the telephone-based MI intervention in adults with Type 2 diabetes with randomized controlled trials. Material and Methods: This research was created in line with the recommendations of the PRISMA systematic review guide. Literature was searched using Web of Science, ScienceDirect, EBSCO CINAHL Complete, PubMed, Cochrane Central Register of Controlled Trials as databases. Keywords consisted of 'Diabetes mellitus' and 'Motivational interview' and 'telephone' and 'randomized controlled trial' from 2010 to 2020. Inclusion criteria in the systematic review were determined according to the PICOS components. Results: The electronic search yielded 907 studies and 7 articles were included in the systematic review. Blood pressure control in 2 of 4 studies, body mass index (BMI) in one of two studies, weight loss in one of three studies, waist circumference loss in two of three studies, high density lipoprotein (HDL) in one of three studies, and low density lipoprotein (LDL) in one of four studies reached clinical targets. Two of three studies were healthy eating/diet, and one of two studies exercise/physical activity reached behavioral goals. There was no difference in clinical outcomes (HbA1c, total cholesterol, triglyceride, fasting plasma glucose, hip circumference loss), and self-care behaviors (diabetes self-efficacy, medication adherence, blood glucose monitoring, foot care). Conclusion: As a result of telephone-based MI interventions, some studies have found improvements in the clinical (blood pressure, BMI, weight loss, HDL, LDL) and behavioral outcomes (healthy eating/diet, exercise/physical activity) of patients with T2DM.
Keywords: Diabetes mellitus; Type 2; motivational interviewing; telephone; systematic review
Objective: The aim of this systematic review is to evaluate the effect of the telephone-based MI intervention in adults with Type 2 diabetes with randomized controlled trials. Material and Methods: This research was created in line with the recommendations of the PRISMA systematic review guide. Literature was searched using Web of Science, ScienceDirect, EBSCO CINAHL Complete, PubMed, Cochrane Central Register of Controlled Trials as databases. Keywords consisted of 'Diabetes mellitus' and 'Motivational interview' and 'telephone' and 'randomized controlled trial' from 2010 to 2020. Inclusion criteria in the systematic review were determined according to the PICOS components. Results: The electronic search yielded 907 studies and 7 articles were included in the systematic review. Blood pressure control in 2 of 4 studies, body mass index (BMI) in one of two studies, weight loss in one of three studies, waist circumference loss in two of three studies, high density lipoprotein (HDL) in one of three studies, and low density lipoprotein (LDL) in one of four studies reached clinical targets. Two of three studies were healthy eating/diet, and one of two studies exercise/physical activity reached behavioral goals. There was no difference in clinical outcomes (HbA1c, total cholesterol, triglyceride, fasting plasma glucose, hip circumference loss), and self-care behaviors (diabetes self-efficacy, medication adherence, blood glucose monitoring, foot care). Conclusion: As a result of telephone-based MI interventions, some studies have found improvements in the clinical (blood pressure, BMI, weight loss, HDL, LDL) and behavioral outcomes (healthy eating/diet, exercise/physical activity) of patients with T2DM.
Keywords: Diabetes mellitus; Type 2; motivational interviewing; telephone; systematic review
ÖZET
Amaç: Bu sistematik derlemenin amacı, Tip 2 diyabetli erişkinlerde telefona dayalı MG müdahalesinin etkisini, randomize kontrollü çalışmalarla değerlendirmektir. Gereç ve Yöntemler: Bu araştırma, PRISMA sistematik inceleme kılavuzunun önerileri doğrultusunda oluşturulmuştur. Literatür, 'Web of Science', 'ScienceDirect', 'EBSCO CINAHL Complete', 'PubMed', 'Cochrane Central Register of Controlled Trials' veri tabanları kullanılarak taranmıştır. Anahtar kelimeler, 2010-2020 yıllarını kapsayacak şekilde 'Diabetes mellitus' ve 'Motivasyonel görüşme' ve 'telefon' ve 'randomize kontrollü çalışmalar'dır. Sistematik derlemeye dâhil edilme kriterleri PICOS bileşenlerine göre belirlenmiştir. Bulgular: Elektronik arama sonucunda ulaşılan 907 çalışmadan 7 makale sistematik derlemeye dâhil edilmiştir. Dört çalışmadan 2'sinde kan basıncı kontrolü, 2 çalışmadan 1'inde beden kitle indeksi (BKİ), 3 çalışmadan 1'inde kilo kaybı, 3 çalışmadan 2'sinde bel çevresinde azalma, 3 çalışmadan 1'inde yüksek yoğunluklu lipoprotein [high density lipoprotein (HDL)] ve 4 çalışmadan 1'inde düşük yoğunluklu lipoprotein [low density lipoprotein (LDL)] değerlerinde azalma klinik çıktıları bulunmuştur. Üç çalışmadan 2'si sağlıklı beslenme/diyet ve 2 çalışmadan 1'i egzersiz/ fiziksel aktivite davranışsal çıktılarına ulaşmıştır. HbA1c, açlık plazma glukozu, kalça çevresinde azalma, toplam kolesterol, trigliserid gibi klinik sonuçlarda ve ilaç uyumu, diyabet öz-etkililik, kan şekeri izleme, ayak bakımı gibi öz bakım davranışlarında fark bulunmamıştır. Sonuç: Telefona dayalı MG müdahaleleri sonucunda bazı araştırmalarda, T2DM'li hastaların klinik (kan basıncı, BKİ, kilo kaybı, HDL, LDL) ve davranışsal (sağlıklı beslenme/diyet, egzersiz/fiziksel aktivite) sonuçlarında iyileşmeler saptanmıştır.
Anahtar Kelimeler: Diabetes mellitus; Tip 2; motivasyonel görüşme; telefon; sistematik derleme
Amaç: Bu sistematik derlemenin amacı, Tip 2 diyabetli erişkinlerde telefona dayalı MG müdahalesinin etkisini, randomize kontrollü çalışmalarla değerlendirmektir. Gereç ve Yöntemler: Bu araştırma, PRISMA sistematik inceleme kılavuzunun önerileri doğrultusunda oluşturulmuştur. Literatür, 'Web of Science', 'ScienceDirect', 'EBSCO CINAHL Complete', 'PubMed', 'Cochrane Central Register of Controlled Trials' veri tabanları kullanılarak taranmıştır. Anahtar kelimeler, 2010-2020 yıllarını kapsayacak şekilde 'Diabetes mellitus' ve 'Motivasyonel görüşme' ve 'telefon' ve 'randomize kontrollü çalışmalar'dır. Sistematik derlemeye dâhil edilme kriterleri PICOS bileşenlerine göre belirlenmiştir. Bulgular: Elektronik arama sonucunda ulaşılan 907 çalışmadan 7 makale sistematik derlemeye dâhil edilmiştir. Dört çalışmadan 2'sinde kan basıncı kontrolü, 2 çalışmadan 1'inde beden kitle indeksi (BKİ), 3 çalışmadan 1'inde kilo kaybı, 3 çalışmadan 2'sinde bel çevresinde azalma, 3 çalışmadan 1'inde yüksek yoğunluklu lipoprotein [high density lipoprotein (HDL)] ve 4 çalışmadan 1'inde düşük yoğunluklu lipoprotein [low density lipoprotein (LDL)] değerlerinde azalma klinik çıktıları bulunmuştur. Üç çalışmadan 2'si sağlıklı beslenme/diyet ve 2 çalışmadan 1'i egzersiz/ fiziksel aktivite davranışsal çıktılarına ulaşmıştır. HbA1c, açlık plazma glukozu, kalça çevresinde azalma, toplam kolesterol, trigliserid gibi klinik sonuçlarda ve ilaç uyumu, diyabet öz-etkililik, kan şekeri izleme, ayak bakımı gibi öz bakım davranışlarında fark bulunmamıştır. Sonuç: Telefona dayalı MG müdahaleleri sonucunda bazı araştırmalarda, T2DM'li hastaların klinik (kan basıncı, BKİ, kilo kaybı, HDL, LDL) ve davranışsal (sağlıklı beslenme/diyet, egzersiz/fiziksel aktivite) sonuçlarında iyileşmeler saptanmıştır.
Anahtar Kelimeler: Diabetes mellitus; Tip 2; motivasyonel görüşme; telefon; sistematik derleme
REFERANSLAR:
- International Diabetes Federation. IDF Diabetes Atlas. 9th ed. India: International Diabetes Federation; 2019. Cited: 18 Aug 2020. Available from: [Link]
- Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, et al; 2017 Standards Revision Task Force. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ. 2017; 43(5):449-64. Erratum in: Diabetes Educ. 2017;43(6):650. [Crossref] [PubMed]
- Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care. 2002;25(7):1159-71. [Crossref] [PubMed]
- Cochran J, Conn VS. Meta-analysis of quality of life outcomes following diabetes self-management training. Diabetes Educ. 2008;34(5): 815-23. [Crossref] [PubMed] [PMC]
- Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015; 115(8):1323-34. [Crossref] [PubMed]
- Berhe KK, Gebru HB, Kahsay HB. Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). PLoS One. 2020;15(10): e0240839. [Crossref] [PubMed] [PMC]
- Ekong G, Kavookjian J. Motivational interviewing and outcomes in adults with type 2 diabetes: A systematic review. Patient Educ Couns. 2016;99(6):944-52. [Crossref] [PubMed]
- Song D, Xu TZ, Sun QH. Effect of motivational interviewing on self-management in patients with type 2 diabetes mellitus: A meta-analysis. Int J Nurs Sci. 2014;1(3):291-7. [Crossref]
- Chen SM, Creedy D, Lin HS, Wollin J. Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial. Int J Nurs Stud. 2012; 49(6): 637-44. [Crossref] [PubMed]
- Miller WR, Rollnick S. Ten things that motivational interviewing is not. Behav Cogn Psychother. 2009;37(2):129-40. [Crossref] [PubMed]
- Miller WR, Rollnick S. Motivational Interviewing: Helping People Change 3rd ed. New York: Guilford Press; 2012.
- Fisher WA, Fisher JD, Harman J. The information-motivation-behavioraI skills model: A general social psychological approach to understanding and promoting health behavior. In: Suls J, Wallston KA, eds. Social Psychological Foundations of Health and Illness. 1st ed. Blackwell Series in Health Psychology and Behavioral Medicine. Malden: Blackwell Publishing; 2003. p.82-106. [Crossref] [PubMed]
- Winkley K, Upsher R, Stahl D, Pollard D, Kasera A, Brennan A, et al. Psychological interventions to improve self-management of type 1 and type 2 diabetes: a systematic review. Health Technol Assess. 2020;24(28):1-232. [Crossref] [PubMed] [PMC]
- Lee JY, Chan CKY, Chua SS, Paraidathathu T, Lee KK, Tan CSS, et al. Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients' perspectives. BMJ Open. 2019;9(10):e026575. [Crossref] [PubMed] [PMC]
- Shea S, Weinstock RS, Teresi JA, Palmas W, Starren J, Cimino JJ, et al; IDEATel Consortium. A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus: 5 year results of the IDEATel study. J Am Med Inform Assoc. 2009;16(4):446-56. [Crossref] [PubMed] [PMC]
- Nundy S, Dick JJ, Solomon MC, Peek ME. Developing a behavioral model for mobile phone-based diabetes interventions. Patient Educ Couns. 2013;90(1):125-32. [Crossref] [PubMed] [PMC]
- Krishna S, Boren SA, Balas EA. Healthcare via cell phones: a systematic review. Telemed J E Health. 2009;15(3):231-40. [Crossref] [PubMed]
- Davis RM, Hitch AD, Salaam MM, Herman WH, Zimmer-Galler IE, Mayer-Davis EJ. TeleHealth improves diabetes self-management in an underserved community: diabetes TeleCare. Diabetes Care. 2010;33(8):1712-7. [Crossref] [PubMed] [PMC]
- Swoboda CM, Miller CK, Wills CE. Impact of a goal setting and decision support telephone coaching intervention on diet, psychosocial, and decision outcomes among people with type 2 diabetes. Patient Educ Couns. 2017;100(7):1367-73. [Crossref] [PubMed]
- Özdemir H, Taşcı S. Motivasyonel görüşme tekniği ve hemşirelikte kullanımı [Motivational interviewing technique and use of nursing]. ERÜ Journal of Health Science Faculty. 2013;1(1):41-7. [Link]
- Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7): e1000097. [Crossref] [PubMed] [PMC]
- Lauffenburger JC, Ghazinouri R, Jan S, Makanji S, Ferro CA, Lewey J, et al. Impact of a novel pharmacist-delivered behavioral intervention for patients with poorly-controlled diabetes: The ENhancing outcomes through Goal Assessment and Generating Engagement in Diabetes Mellitus (ENGAGE-DM) pragmatic randomized trial. PLoS One. 2019;14(4): e0214754. [Crossref] [PubMed] [PMC]
- Egede LE, Williams JS, Voronca DC, Gebregziabher M, Lynch CP. Telephone-delivered behavioral skills intervention for African American adults with type 2 diabetes: a randomized controlled trial. J Gen Intern Med. 2017;32(7):775-82. [Crossref] [PubMed] [PMC]
- Browning C, Chapman A, Yang H, Liu S, Zhang T, Enticott JC, et al. Management of type 2 diabetes in China: the Happy Life Club, a pragmatic cluster randomised controlled trial using health coaches. BMJ Open. 2016;6(3): e009319. [Crossref] [PubMed] [PMC]
- Blackberry ID, Furler JS, Best JD, Chondros P, Vale M, Walker C, et al. Effectiveness of general practice based, practice nurse led telephone coaching on glycaemic control of type 2 diabetes: the Patient Engagement and Coaching for Health (PEACH) pragmatic cluster randomised controlled trial. BMJ. 2013; 347:f5272. [Crossref] [PubMed] [PMC]
- Fischer HH, Eisert SL, Everhart RM, Durfee MJ, Moore SL, Soria S, et al. Nurse-run, telephone-based outreach to improve lipids in people with diabetes. Am J Manag Care. 2012;18(2):77-84. [PubMed]
- Eakin EG, Winkler EA, Dunstan DW, Healy GN, Owen N, Marshall AM, et al. Living well with diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control. Diabetes Care. 2014; 37(8):2177-85. [Crossref] [PubMed]
- Higgins JP, Savović J, Page MJ, Elbers RG, Sterne JA. Chapter 8: Assessing risk of bias in a randomized trial. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al; eds. Cochrane Handbook for Systematic Reviews of Interventions version 6.1 (updated September 2020). 2nd ed. Cochrane: 2020. Available from: [Link]
.: İşlem Listesi