This study carried out to examine the effect of tele-nursing based motivational interviewing on diabetes self-efficacy, diabetes self-management and metabolic control parameters (Body mass index, waist circumference, HbA1c%,fasting blood glucose, LDL cholesterol, HDL cholesterol, total cholesterol, triglyceride) in individuals with type 2 diabetes.
The first researcher of the article who applied Motivational Interviewing Techniques has a "Motivational Interviewing Techniques Training" certificate. A motivational interview (MI) program based on the telenursing approach was prepared by the researchers based on the literature for the individuals in the experimental group. In this study, the MI procedure includes eight sessions in total, with four sessions of motivational interviews by phone in the first month of the intervention and four sessions of motivational interviews by phone in the next two months for each individual. Pre-tests were collected in the first month. Afterwards, MI intervention was applied for three months. This intervention was applied to the experimental group in addition to the routine care provided by the hospital. MI application took an average of 45-60 minutes via phone call.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
70
A motivational interview (MI) program based on the telenursing approach was applied to the individuals in the experimental group. In this study, the MI procedure includes eight sessions in total, with four sessions of motivational interviews by phone in the first month of the intervention and four sessions of motivational interviews by phone in the next two months for each individual. Pre-tests were collected in the first month. Afterwards, MI intervention was applied for three months. This intervention was applied to the experimental group in addition to the routine care provided by the hospital. MI application took an average of 45-60 minutes via phone call.
Eda Kılınç İşleyen
Pamukkale, Denizli, Turkey (Türkiye)
İrem Nur ÖZDEMİR
Istanbul, Turkey (Türkiye)
Şengül AYDIN YOLDEMİR
Istanbul, Turkey (Türkiye)
Diabetes Self-Efficacy Scale
The change in diabetes self efficacy of individuals with Type 2 diabetes at 3rd month and 6 rd month with the Diabetes Self-Efficacy Scale.
Time frame: Change from Baseline diabetes self-efficacy at 6 months
Diabetes Self-Management Scale
This scale was used to measure the behavioral component of individuals in the IMB model. The validity and reliability study of the Turkish Diabetes Self-Management Perception Scale was conducted by Eroğlu and Sabuncu (2018). The scale consists of 16 items and 4 sub-dimensions and is a 4-point Likert type. Glucose Management sub-dimension: Items 4, 6, 10, 12 (items 4 and 12 are about drug use, items 1, 6 and 10 are about blood glucose monitoring). Diet Control sub-dimension: Items 2, 5, 9, 13. Physical Activity sub-dimension: Items 8, 11, 15. Use of Health Services sub-dimension: It consists of 3, 7, 14, and 16 items. The DMS scale consists of 16 items, 7 of which are straight and 9 of which are reversed. The scores of the items numbered "5, 7, 10, 11, 12, 13, 14, 15 and 16" in the scale are calculated by reversing them. Diabetes self-management increases as the score gets closer to 10.
Time frame: Change from Baseline diabetes self-management at 6 months
HbA1c%
Hemoglobin A1C
Time frame: Change from Baseline HbA1c% at 6 months
BMI
Body Mass Index
Time frame: Change from Baseline Body Mass Index at 6 months
FBG
Fasting blood glucose
Time frame: Change from Baseline Fasting glucose at 6 months
LDL
Low-density lipoprotein
Time frame: Change from Baseline LDL at 6 months
HDL
High-density lipoprotein
Time frame: Change from Baseline HDL at 6 months
waist circumference
waist circumference
Time frame: Change from Baseline waist circumference at 6 months
Total cholesterol
Total cholesterol
Time frame: Change from Baseline total cholesterol at 6 months
Triglyceride
triglyceride
Time frame: Change from Baseline total triglyceride at 6 months
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