Chlebowy Diane Orr, El-Mallakh Peggy, Myers John, Kubiak Nancy, Cloud Richard, Wall Mary Patricia
University of Louisville, KY, USA
University of Kentucky, Lexington, USA.
West J Nurs Res. 2015 May;37(5):566-80. doi: 10.1177/0193945914530522. Epub 2014 Apr 14.
The purpose of this study was to determine the effect of a motivational interviewing intervention (MII) on regimen adherence and diabetes markers among African Americans with diabetes. Sixty-two participants were assigned to the usual care (UC; n = 36) or MII (n = 26) groups. UC participants received the usual clinic care. MII participants received a maximum of six motivational interviewing (MI) sessions over 3 months. Outcome variables were obtained at baseline and 3-month follow-up. Data were obtained using medical records, self-reports, and glucose monitor and accelerometer print-outs. MII significantly increased the odds of participants adhering to recommended physical activity level (66.7% vs. 38.8%, odds ratio = 2.92, 95% confidence interval = [1.6, 14.3], p = .018) and significantly decreased glucose levels (p = .043) and body mass index (p = .046) over time when compared with UC. Findings support using MI as an intervention for improving health outcomes and regimen adherence rates among the study population.
本研究的目的是确定动机性访谈干预（MII）对非裔美国糖尿病患者的治疗方案依从性和糖尿病指标的影响。62名参与者被分配到常规护理（UC；n = 36）或MII（n = 26）组。UC组参与者接受常规门诊护理。MII组参与者在3个月内最多接受6次动机性访谈（MI）。在基线和3个月随访时获取结果变量。数据通过医疗记录、自我报告以及血糖仪和加速度计打印输出获得。与UC组相比，MII组显著提高了参与者坚持推荐身体活动水平的几率（66.7%对38.8%，优势比 = 2.92，95%置信区间 = [1.6, 14.3]，p = 0.018），并且随着时间的推移显著降低了血糖水平（p = 0.043）和体重指数（p = 0.046）。研究结果支持将MI作为一种干预措施，用于改善研究人群的健康结局和治疗方案依从率。
