Trial reportScandinavian journal of primary health care2009
General practitioners trained in motivational interviewing can positively affect the attitude to behaviour change in people with type 2 diabetes. One year follow-up of an RCT, ADDITION Denmark.
Trial report in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- The impact of training healthcare professionals' communication skills on the clinical care of diabetes and hypertension: a systematic review and meta-analysis.BMC family practice · 2021Pooled it
- Screening for type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2020Pooled it
- Does patient self-management education of primary care professionals improve patient outcomes: a systematic review.BMC family practice · 2018Pooled it
- Under COVID-19 Pandemic: A Quasi-Experimental Trial of Observation on Diabetes Patients' Health Behavior Affected by the Pandemic From a Coaching Intervention Program.Frontiers in public health · 2021Trial
- Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention.Journal of general internal medicine · 2016Trial
- Physical activity counseling intervention at a federally qualified health center: improves autonomy-supportiveness, but not patients' perceived competence.Patient education and counseling · 2013Trial
- Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial.BMC family practice · 2013Trial
- Trial
- Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial.BMC infectious diseases · 2011Trial
- Effect of "motivational interviewing" on quality of care measures in screen detected type 2 diabetes patients: a one-year follow-up of an RCT, ADDITION Denmark.Scandinavian journal of primary health care · 2011Trial
- Enhancing Type 2 Diabetes Management Involving Healthcare Professionals in Primary Care.Healthcare (Basel, Switzerland) · 2026Review
- Impact of Motivational Interviewing Education on General Practitioners' and Trainees' Learning and Diabetes Outcomes in Primary Care: Mixed Methods Study.JMIR medical education · 2025Article
- Effectiveness of a Motivational Interviewing-Based Intervention in Decreasing Risky Alcohol Use in Primary Care Patients in Spain: A Controlled Clinical Trial.Healthcare (Basel, Switzerland) · 2024Article
- Motivational interviewing for prevention in Swiss family medicine: Opportunities and challenges.Preventive medicine reports · 2023Article
- The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study.Journal of patient experience · 2023Article
- Training medical students in motivational interviewing using a blended learning approach: a proof-of-concept study.Frontiers in psychology · 2023Article
- 'I need someone to believe in me and walk the journey with me': A qualitative analysis of preferred approaches to weight management discussions in clinical care among adults with type 2 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2022Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether training GPs in motivational interviewing (MI) can improve type 2 diabetic patients' (1) understanding of diabetes, (2) beliefs regarding prevention and treatment, and (3) motivation for behaviour change.
methodsA randomized controlled trial including 65 GPs and 265 type 2 diabetic patients. The GPs were randomized in two groups, one with and one without MI training. Both groups received training in target-driven intensive treatment of type 2 diabetic patients. The intervention was a 1(1/2)-day residential course in MI with (1/2)-day follow-up twice during the first year. The patient data stemmed from previously validated questionnaires.
main outcome measuresThe Health Care Climates Questionnaire assesses the patient-doctor relationship and type of counselling. The Treatment Self-Regulation Questionnaire assesses the degree to which behaviour tends to be self-determined. The Diabetes Illness Representation Questionnaire assesses beliefs and understanding of type 2 diabetes. The Summary of Diabetes Self Care Activities assesses the extent of various self-care activities related to type 2 diabetes.
resultsThe response rate to our questionnaires was 87%. Patients in the intervention group were significantly more autonomous and motivated in their inclination to change behaviour after one year compared with the patients from the control group. Patients in the intervention group were also significantly more conscious of the importance of controlling their diabetes, and had a significantly better understanding of the possibility of preventing complications.
conclusionMI improved type 2 patients' understanding of diabetes, their beliefs regarding treatment aspects, their contemplation on and motivation for behaviour change. Whether our results can be sustained long term and are clinically relevant in terms of changes in risk profile advocates further research.
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