Effectiveness of Motivational Interviewing-based telephone Follow-up in Diabetes Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/623556
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Outcomes Research
Research Approach:
Quantitative Research
Title:
Effectiveness of Motivational Interviewing-based telephone Follow-up in Diabetes Management
Author(s):
Veliyathumalil, Jasseena
Additional Author Information:
Jasseena Veliyathumalil, RN, CDE, MS, NP-C, DNP
Advisors:
Matheson, Linda; Manty, JoAnn; Fung, Sharon
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

Diabetes mellitus is a chronic complex disease requiring persistent self-management by patients and ongoing support from the providers. The outpatient diabetes clinic of a teaching hospital in the Midwest has 78.3% patients with uncontrolled diabetes. The purpose of the project was to assess the effectiveness of telephone follow up using motivational interviewing techniques in improving glycosylated hemoglobin (HbA1c), glycemic control, and self-efficacy of patients with uncontrolled type 2 diabetes. The project involved 30 participants with uncontrolled type 2 diabetes who had a HbA1c 8% or above. The intervention included delivery of five motivational interviewing-based phone calls to the participants over 10 weeks. Patients had to attend diabetes self-management education group classes prior to the project. The diabetes empowerment scale-short form surveys conducted assessed the self-efficacy. Statistically significant improvements were noted in HbA1c levels, with a baseline HbA1c of 10.408% ± 1.71 and the post intervention HbA1c of 9.484% ± 1.62 (p = .008). The fasting blood glucose decreased significantly by 28.4%, pre-lunch blood glucose decreased by 29%, and the pre-dinner blood glucose decreased by 29% by the end of the study (p = .00). The body mass index improved slightly from 31.4 ± 6.1 to 30.37 ± 8.0 kg/m² (p = .26). Medication adherence improved significantly. The diabetes related self-efficacy also improved with the interventions. The motivational interviewing-based low-cost telephone follow-ups are effective approaches for improving HbA1c, glycemic control, and diabetes related self-efficacy of patients with uncontrolled type 2 diabetes mellitus.

Keywords:
Uncontrolled diabetes mellitus; Telehealth; Interviewing; Diabetes self-management
CINAHL Headings:
Diabetes Mellitus; Self Care; Telemedicine; Telenursing; Motivational Interviewing
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-11-27T20:21:27Z
Date of Publication:
2017-11-27

Full metadata record

DC FieldValue Language
dc.contributor.advisorMatheson, Lindaen
dc.contributor.advisorManty, JoAnnen
dc.contributor.advisorFung, Sharonen
dc.contributor.authorVeliyathumalil, Jasseenaen
dc.date.accessioned2017-11-27T20:21:27Z-
dc.date.available2017-11-27T20:21:27Z-
dc.date.issued2017-11-27-
dc.identifier.urihttp://hdl.handle.net/10755/623556-
dc.description.abstract<p>Diabetes mellitus is a chronic complex disease requiring persistent self-management by patients and ongoing support from the providers. The outpatient diabetes clinic of a teaching hospital in the Midwest has 78.3% patients with uncontrolled diabetes. The purpose of the project was to assess the effectiveness of telephone follow up using motivational interviewing techniques in improving glycosylated hemoglobin (HbA1c), glycemic control, and self-efficacy of patients with uncontrolled type 2 diabetes. The project involved 30 participants with uncontrolled type 2 diabetes who had a HbA1c 8% or above. The intervention included delivery of five motivational interviewing-based phone calls to the participants over 10 weeks. Patients had to attend diabetes self-management education group classes prior to the project. The diabetes empowerment scale-short form surveys conducted assessed the self-efficacy. Statistically significant improvements were noted in HbA1c levels, with a baseline HbA1c of 10.408% ± 1.71 and the post intervention HbA1c of 9.484% ± 1.62 (<em>p </em>= .008). The fasting blood glucose decreased significantly by 28.4%, pre-lunch blood glucose decreased by 29%, and the pre-dinner blood glucose decreased by 29% by the end of the study (<em>p</em> = .00). The body mass index improved slightly from 31.4 ± 6.1 to 30.37 ± 8.0 kg/m² (<em>p </em>= .26). Medication adherence improved significantly. The diabetes related self-efficacy also improved with the interventions. The motivational interviewing-based low-cost telephone follow-ups are effective approaches for improving HbA1c, glycemic control, and diabetes related self-efficacy of patients with uncontrolled type 2 diabetes mellitus.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectUncontrolled diabetes mellitusen
dc.subjectTelehealthen
dc.subjectInterviewingen
dc.subjectDiabetes self-managementen
dc.titleEffectiveness of Motivational Interviewing-based telephone Follow-up in Diabetes Managementen
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsJasseena Veliyathumalil, RN, CDE, MS, NP-C, DNPen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOutcomes Researchen
dc.research.approachQuantitative Researchen
dc.subject.cinahlDiabetes Mellitusen
dc.subject.cinahlSelf Careen
dc.subject.cinahlTelemedicineen
dc.subject.cinahlTelenursingen
dc.subject.cinahlMotivational Interviewingen
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