A Randomized Controlled Trial Comparing Motivational Interviewing in Education to Structured Diabetes Education in Teens With Type 1 Diabetes

作者：Wang Yu Chi^*; Stewart Sunita M; Mackenzie Marsha; Nakonezny Paul A; Edwards Deidre; White Perrin C

来源：Diabetes Care, 2010, 33(8): 1741-1743.

DOI：10.2337/dc10-0019

OBJECTIVE To compare motivational interviewing based education (MI) and structured diabetes education (SDE) for improving A1C and psychosocial measures in adolescents with type 1 diabetes.
RESEARCH DESIGN AND METHODS This study was a 9-month randomized controlled trial comparing MI (n = 21) to SDE (n = 23). Interventions were at baseline (TO) and 3 months (T1), with A1C and psychosocial measures obtained at 6 months (T2) and 9 months (T3).
RESULTS Over the 6 months of follow-up, the SDE group had lower adjusted mean AlC value (least squares mean 10.31, SE 0.32) than the MI group (least squares mean 11.35, SE 0.34) (P = 0.03, d = 0.66). There were no differences on any of the psychosocial measures.
CONCLUSIONS SDE is effective at improving metabolic control in adolescents with type 1 diabetes. Diabetes educators were proficient in learning

• 出版日期2010-8