Jones Allan, Gladstone Beryl Primrose, Lübeck Marlene, Lindekilde Nanna, Upton Dominic, Vach Werner
Institute of Psychology, University of Southern Denmark, Denmark.
Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Germany.
Prim Care Diabetes. 2014 Jul;8(2):91-100. doi: 10.1016/j.pcd.2014.01.009. Epub 2014 Feb 10.
To review the diabetes literature in order to examine the effect of motivational interventions on treatment outcome as measured by changes in glycated haemoglobin.
Relevant databases were systematically searched for randomised controlled trials in which motivational interventions were examined in relation to treatment outcome in people with type 1 and type 2 diabetes mellitus.
The 13 studies identified for review included 1223 participants diagnosed with type 1 diabetes and 1895 participants diagnosed with type 2 diabetes. The analysis showed a 0.17% (95% CI: -0.09, 0.43%) improvement in glycemic control in people who received a motivational intervention compared to a control group, however, the effect was not statistically significant.
The impact of motivational interventions in the management of blood glucose levels appears to be limited. However, due to the small number of studies and issues of heterogeneity caution in interpreting the present findings is advised. Moreover, the unique contribution of motivational interventions may be better assessed by outcomes such as behaviour change and other intermediate outcomes. Further research examining the delivery and focus of motivational interventions in helping people manage their diabetes is recommended. The clinical implications of the present findings are therefore uncertain pending further research.
回顾糖尿病相关文献，以研究动机干预对糖化血红蛋白变化所衡量的治疗结果的影响。
系统检索相关数据库，查找关于1型和2型糖尿病患者治疗结果方面的动机干预随机对照试验。
纳入综述的13项研究包括1223名诊断为1型糖尿病的参与者和1895名诊断为2型糖尿病的参与者。分析显示，与对照组相比，接受动机干预的人群血糖控制改善了0.17%（95%置信区间：-0.09，0.43%），然而，该效果无统计学意义。
动机干预对血糖水平管理的影响似乎有限。然而，由于研究数量较少且存在异质性问题，建议在解释当前研究结果时谨慎。此外，动机干预的独特贡献可能通过行为改变等结果和其他中间结果得到更好的评估。建议进一步开展研究，探讨动机干预在帮助人们管理糖尿病方面的实施方式和重点。因此，在进一步研究之前，本研究结果的临床意义尚不确定。
