Channon S, Smith V J, Gregory J W
Department of Child Psychology, University Hospital of Wales, UK.
Arch Dis Child. 2003 Aug;88(8):680-3. doi: 10.1136/adc.88.8.680.
To obtain preliminary data on the impact of motivational interviewing, a counselling approach to behaviour change, on glycaemic control, wellbeing, and self-care of adolescents with diabetes.
Twenty two patients aged 14-18 years participated in motivational interviewing sessions during a six month intervention. The effects of the intervention on HbA1c and a range of psychological factors were assessed.
Mean HbA1c decreased from 10.8% to 9.7% during the study and remained significantly lower after the end of the study. Fear of hypoglycaemia was reduced and diabetes was perceived as easier to live with. There were no other significant changes in the psychological measures. By contrast no reduction in HbA1c values was observed in a comparison group who did not receive the motivational interviewing intervention.
The findings of this pilot study indicate that motivational interviewing may be a useful intervention in helping adolescents improve their glycaemic control. A larger, longer term randomised controlled study is indicated to clarify the mechanisms and extent of these benefits.
获取关于动机性访谈（一种行为改变的咨询方法）对糖尿病青少年的血糖控制、健康状况和自我护理影响的初步数据。
22名年龄在14 - 18岁的患者在为期六个月的干预期间参加了动机性访谈课程。评估了干预对糖化血红蛋白（HbA1c）和一系列心理因素的影响。
在研究期间，平均糖化血红蛋白从10.8%降至9.7%，并且在研究结束后仍显著降低。低血糖恐惧减少，且认为糖尿病更易于应对。心理测量指标没有其他显著变化。相比之下，未接受动机性访谈干预的对照组中糖化血红蛋白值没有降低。
这项初步研究的结果表明，动机性访谈可能是帮助青少年改善血糖控制的一种有用干预措施。需要进行更大规模、更长期的随机对照研究以阐明这些益处的机制和程度。
