Trial reportBMC family practice2013
Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial.
Trial report in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Assessing Adherence, Competence and Differentiation in a Stepped-Wedge Randomised Clinical Trial of a Complex Behaviour Change Intervention.Nutrients · 2020Trial
- Assessing treatment fidelity and contamination in a cluster randomised controlled trial of motivational interviewing and cognitive behavioural therapy skills in type 2 diabetes.BMC family practice · 2018Trial
- Process evaluation of a tailored intervention programme of cardiovascular risk management in general practices.Implementation science : IS · 2016Trial
- Online Versus In-Person Screening, Brief Intervention, and Referral to Treatment Training in Pediatrics Residents.Journal of graduate medical education · 2015Trial
- Awareness is not enough: Developing competencies in behaviour change counselling for obesity management.Obesity pillars · 2024Article
- Effects of training podiatrists to use imagery-based motivational interviewing when treating people with diabetes-related foot disease: a mixed-methods pilot study.Journal of foot and ankle research · 2021Article
- Long-term training in diabetes-related knowledge, attitudes, and self-reported practice among diabetes liaison nurses.The Journal of international medical research · 2020Article
- Toward an Emerging Role for Motivational Interviewing in Primary Care.Current psychiatry reports · 2018Review
- Assessment of motivational interviewing: a qualitative study of response process validity, content validity and feasibility of the motivational interviewing target scheme (MITS) in general practice.BMC medical education · 2017Article
- Learning to practise the Guided Self-Determination approach in type 2 diabetes in primary care: A qualitative pilot study.Nursing open · 2017Article
- Motivational interviewing competencies among UK family nurse partnership nurses: a process evaluation component of the building blocks trial.BMC nursing · 2016Article
- Perceived determinants of cardiovascular risk management in primary care: disconnections between patient behaviours, practice organisation and healthcare system.BMC family practice · 2015Article
- Improving Patient Outcomes: Effectively Training Healthcare Staff in Psychological Practice Skills: A Mixed Systematic Literature Review.Europe's journal of psychology · 2015Review
- Response to the letter to the editor.Scandinavian journal of primary health care · 2013Article
- The authors' conclusion that their study brings into question "the impact of motivational interviewing in terms of its ability to improve routine diabetes care in practice" is deserving of significant inquiry.Scandinavian journal of primary health care · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effectiveness of nurse-led motivational interviewing (MI) in routine diabetes care in general practice is inconclusive. Knowledge about the extent to which nurses apply MI skills and the factors that affect the usage can help to understand the black box of this intervention. The current study compared MI skills of trained versus non-trained general practice nurses in diabetes consultations. The nurses participated in a cluster randomized trial in which a comprehensive program (including MI training) was tested on improving clinical parameters, lifestyle, patients' readiness to change lifestyle, and quality of life.
methodsFifty-eight general practices were randomly assigned to usual care (35 nurses) or the intervention (30 nurses). The ratings of applying 24 MI skills (primary outcome) were based on five consultation recordings per nurse at baseline and 14 months later. Two judges evaluated independently the MI skills and the consultation characteristics time, amount of nurse communication, amount of lifestyle discussion and patients' readiness to change. The effect of the training on the MI skills was analysed with a multilevel linear regression by comparing baseline and the one-year follow-up between the interventions with usual care group. The overall effect of the consultation characteristics on the MI skills was studied in a multilevel regression analyses.
resultsAt one year follow up, it was demonstrated that the nurses improved on 2 of the 24 MI skills, namely, "inviting the patient to talk about behaviour change" (mean difference=0.39, p=0.009), and "assessing patient's confidence in changing their lifestyle" (mean difference=0.28, p=0.037). Consultation time and the amount of lifestyle discussion as well as the patients' readiness to change health behaviour was associated positively with applying MI skills.
conclusionsThe maintenance of the MI skills one year after the training program was minimal. The question is whether the success of MI to change unhealthy behaviour must be doubted, whether the technique is less suitable for patients with a complex chronic disease, such as diabetes mellitus, or that nurses have problems with the acquisition and maintenance of MI skills in daily practice. Overall, performing MI skills during consultation increases, if there is more time, more lifestyle discussion, and the patients show more readiness to change.
trial registrationCurrent Controlled Trials ISRCTN68707773.
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