The effectiveness of motivational interviewing based on acceptance and commitment on increasing treatment adherence in patients with type 2 diabetes

Abstract

Background and Aim: diabetes is one of the chronic medical diseases with the greatest dependence on the psychological state of the affected people; In the treatments used for diabetic patients, it is often neglected to address the psychological problems of this group, especially people; Therefore, the purpose of the present study was to determine the effect of motivational interviewing based on acceptance and commitment on increasing the treatment adherence of patients with type 2 diabetes. Methods: The current study is a quasi-experimental study of pre-test-post-test type with random sampling method, which was carried out on 30 patients with type 2 diabetes, members of Tehran Diabetes Research Institute, who were eligible to participate in the study, in 2018.. The data were collected by using the chronic disease treatment compliance questionnaire that was designed and psychometrically evaluated in Madanlo's thesis in 2012 and by interviewing and taking blood samples. Each member of the intervention group underwent 8 sessions of 90 minutes motivational interview. Data were analyzed using descriptive and inferential statistics tests. Results: The results showed that the results of the analysis of variance test with repeated measurements showed that motivational interviewing based on commitment and acceptance is effective in improving people's treatment adherence (P<0.05). Also, the results of the follow-up test show that the motivational interview course based on commitment and acceptance on the group was effective and consistent. Conclusion: motivational interview intervention based on acceptance and commitment showed a positive effect on treatment compliance in type 2 diabetes patients; Therefore, it is suggested that this intervention be done in more time and sessions.