Effect of motivational interviewing health education on the self-efficacy of diabetes patients

Abstract

Objective To evaluate the effect of health education through motivational interviewing on the self-efficacy of diabetes patients. Methods From January to June in 2013, 120 patients with type 2 diabetes who were extracted conveniently from our hospital were randomly divided into the experimental group(n=60) and control group (n=60). Diabetes specialist nurses who had been trained in motivational interview were the interviewers. After the baseline evaluations for patients, motivational interview, the traditional health education and the telephone follow-up were used for the patients in the experimental group, but only traditional education and telephone follow-up for those in the control group. The self-efficacy and the Diabetes Management Self-Efficacy Scale was evaluated before intervention, after 3 months and 6 months intervention respectively. Results Before the intervention, the score of self-efficacy was not significantly different between the two groups (P>0.05). After 3 and 6 months intervention, the total scores of self-efficacy in the experimental group were (20.13±3.78) and (24.93±4.38), which were significantly higher than those before the intervention (t=4.397, 11.716, respectively; P<0.05). Compared with the scores before the intervention, the scores of the self-efficacy were significantly different after 3 and 6 months intervention (F=81.850, P<0.05). Conclusions Health education through motivational interviewing can improve the self-efficacy of patients with type 2 diabetes. Key words: Diabetes mellitus, type 2; Health education; Motivational interviewing; Self-efficacy