J Korean Acad Nurs.  2015 Aug;45(4):533-543. 10.4040/jkan.2015.45.4.533.

Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus

Affiliations
  • 1Department of Nursing, Daedong College, Busan, Korea.
  • 2College of Nursing, Gyeongsang National University, Jinju, Korea. mogu@gnu.ac.kr
  • 3Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Abstract

PURPOSE
This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus.
METHODS
A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0.
RESULTS
For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group.
CONCLUSION
The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

Keyword

Aged; Diabetes mellitus; Motivational interviewing; Self care

MeSH Terms

Aged
Blood Glucose/analysis
Diabetes Mellitus, Type 2/*psychology
Female
Humans
Male
*Motivational Interviewing
Patient Education as Topic
*Program Development
*Program Evaluation
Quality of Life
Self Care
Self Efficacy
Surveys and Questionnaires
Blood Glucose

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