Wang YC, Stewart SM, Mackenzie M, Nakonezny PA, Edwards D, White PC.
1. Div of Pediatric Endocrinology, UT Southwestern Medical Ctr. Dallas, TX.
AbstractObjective - Compare motivational interviewing-based education (MI) and structured diabetes education (SDE) at improving hemoglobin A1c (HbA1c) and psychosocial measures in adolescents with type 1 diabetes. Research Design and Methods - A 9-month randomized controlled trial comparing MI (n=21) to SDE (n=23). Interventions were at baseline (T0) and 3 months (T1) with HbA1c 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 HbA1c value (least squares mean=10.31, SE=0.32) than the MI group (least squares mean=11.35, SE=0.34), p = .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 MI.
PMID: 20484127
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