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A Randomized Controlled Trial Comparing Motivational Interviewing in Education to Structured Diabetes Education in Teens With Type 1 Diabetes

By Yu-chi Wang, Sunita M. Stewart, Marsha Mackenzie, Paul A. Nakonezny, Deidre Edwards and Perrin C. White


OBJECTIVE — To compare motivational interviewing–based education (MI) and structured diabetes education (SDE) for improving A1C and psychosocial measures in adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS — This study was a 9-month randomized controlled trial comparing MI (n � 21) to SDE (n � 23). Interventions were at baseline (T0) and 3 months (T1), with A1C and psychosocial measures obtained at 6 months (T2) and 9 months (T3). RESULTS — Over the 6 months of follow-up, the SDE group had lower adjusted mean A1C value (least squares mean 10.31, SE 0.32) than the MI group (least squares mean 11.35, SE 0.34) (P � 0.03, d ��0.66). There were no differences on any of the psychosocial measures. CONCLUSIONS — SDE is effective at improving metabolic control in adolescents with type 1 diabetes. Diabetes educators were proficient in learning MI. Adolescents with poorly controlled type 1 diabetes represent a challenge. They report adequate knowledge of diabetes, yet have poor compliance with self-care activities (1). They are difficult to engage and often demonstrate poor self-awareness regarding the need for change (2)

Year: 2013
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