Training diabetes healthcare practitioners in motivational interviewing: a systematic review.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2022-09-01 Epub Date: 2021-05-24 DOI:10.1080/17437199.2021.1926308
Tracey Kaczmarek, David J Kavanagh, Peter A Lazzarini, Jason Warnock, Jaap J Van Netten
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引用次数: 6

Abstract

Diabetes presents significant self-care challenges that require sustained motivation. Motivational Interviewing (MI) has substantial support in enhancing motivation for behavioural change, but its effective application in routine healthcare requires practitioners to acquire and use related skills. The aim of this systematic review was to investigate the impact of MI training on MI-related skills of practitioners who provide diabetes healthcare. PubMed, EMBASE and PsycINFO were searched using the terms motivational interviewing, motivation enhancement, and diabetes. Two assessors independently screened titles, abstracts and full texts for papers reporting the impact of MI training on diabetes healthcare practitioners' outcomes. Of 625 abstracts screened, 22 papers from 17 unique studies were included. All 17 studies reported some improvement in MI skills, with 14 finding improvements in more than 50% and three less than 35%. However, the risk of bias and outcome measures varied widely between studies. All studies showed diabetes healthcare practitioners acquired and applied MI skills post-training, to varying levels. Findings suggest training should include education, role play, and ongoing supervision to maintain skills.

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培训糖尿病保健从业人员在动机性访谈:一个系统的回顾。
糖尿病对自我保健提出了重大挑战,需要持续的动力。动机性访谈(MI)在增强行为改变的动机方面有很大的支持,但它在常规医疗保健中的有效应用需要从业人员获得和使用相关技能。本系统综述的目的是调查心肌梗死培训对提供糖尿病保健的从业人员心肌梗死相关技能的影响。PubMed, EMBASE和PsycINFO使用术语动机访谈,动机增强和糖尿病进行搜索。两名评估员独立筛选了报道心肌梗死培训对糖尿病医护人员结果影响的论文的标题、摘要和全文。在筛选的625篇摘要中,包括来自17项独特研究的22篇论文。所有17项研究都报告了MI技能的一些改善,其中14项研究发现改善超过50%,3项研究发现改善不到35%。然而,不同研究的偏倚风险和结果测量差异很大。所有的研究都表明,糖尿病医护人员在培训后获得并应用了不同程度的心肌梗死技能。研究结果表明,培训应包括教育、角色扮演和持续监督,以保持技能。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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