Evidence map›Paper›PMID 35986419›Full record

ArticleJournal of foot and ankle research2022

Attitudes and experiences towards the application of motivational interviewing by podiatrists working with people with diabetes at high-risk of developing foot ulcers: a mixed-methods study.

M Jongebloed-Westra, C Bode, B E Bente, J M de Jonge, P M Ten Klooster, H Koffijberg, S H Exterkate, J J van Netten, J E W C van Gemert-Pijnen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of foot and ankle research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  6. The Role of Communication in Managing Chronic Lower Limb Wounds.Journal of multidisciplinary healthcare · 2025
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  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

M Jongebloed-WestraDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands. m.jongebloed-westra@utwente.nl.ORCID http://orcid.org/0000-0002-1753-5226
C BodeDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
B E BenteDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
J M de JongeACHIEVE, Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
P M Ten KloosterDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
H KoffijbergDepartment of Health Technology and Services Research, Tech Med Centre, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
S H ExterkateVoetencentrum Wender, Sabina Klinkhamerweg 10, 7555 SK, Hengelo, The Netherlands.
J J van NettenDepartment of Rehabilitation, Amsterdam UMC, Location Academic Medical Centre, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
J E W C van Gemert-PijnenDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
University of Twente · NLAmsterdam University of Applied Sciences · NLThales (Netherlands) · NLZiekenhuis Groep Twente · NL

Funding

ZonMw 853001101
6 · The paper itself

Abstract

backgroundPodiatrists are key professionals in promoting adequate foot self-care for people with diabetes at high-risk of developing foot ulcers. However, merely informing patients about the advantages of foot self-care is insufficient to realise behavioural change. Motivational interviewing (MI) is a promising person-centred communication style that could help to create a working alliance between healthcare providers and patient to improve foot self-care. This study aims to observe and analyse the application of MI in consultations carried out by MI-trained and non-MI-trained podiatrists with their patients, and explore podiatrists' attitudes and experiences towards MI.

methodsEighteen podiatrists (median age: 28.5 years, 10 female and 8 male) followed a three-day basic training in MI and 4 podiatrists (median age: 38.5 years, 4 female) were not trained in MI. To observe and rate the MI-fidelity in daily clinical practice, audio recordings from the MI-trained and non-MI-trained podiatrists were scored with the Motivational Interviewing Treatment Integrity code. Individual, semi-structed, in-depth interviews were conducted with the MI-trained podiatrists to explore their attitudes towards and experiences with MI. These data sources were triangulated to describe the effect of training podiatrists in MI for their clinical practice.

resultsThe MI-trained podiatrists scored significantly higher than the non-MI-trained podiatrists on two of four global MI-related communication skills (empathy, p = 0.008 and change talk, p = 0.008), on one of five core MI-adherent behaviours (affirmation, p = 0.041) and on one of the other behaviour counts (simple reflections, p = 0.008). The podiatrists mainly reported their attitudes and experiences regarding partnership and cultivating change talk, during the interviews. In addition, they also mentioned facilitators and barriers to using MI and indicated whether they experienced MI as having added value.

conclusionsThe MI-trained podiatrists used the principles of MI at a solid beginner proficiency level in their clinical practice in comparison to the non-MI-trained podiatrists, who did not reach this level. This achievement is in accordance with the basic MI-training they received. This multi-method study reveals that podiatrists can be effectively trained in applying MI in daily clinical practice.

trial registrationNetherlands Trial Register NL7710. Registered: 6 May 2019.

Indexed as

Diabetes MellitusDiabetic FootMotivational InterviewingAdultAllied Health PersonnelCommunicationFemaleHumansMaleReferral and ConsultationAdherenceBehavioural changeCommunicationDiabetes mellitusDiabetic footMotivational interviewingPodiatryTraining

Identifiers

PMID35986419
PMCPMC9388362
OpenAlexW4293105068

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.