The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: Systematic review and meta-analysis


Bilgin A., MUZ G., Yuce G. E.

PATIENT EDUCATION AND COUNSELING, vol.105, no.9, pp.2806-2823, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 105 Issue: 9
  • Publication Date: 2022
  • Doi Number: 10.1016/j.pec.2022.04.008
  • Journal Name: PATIENT EDUCATION AND COUNSELING
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, Abstracts in Social Gerontology, ATLA Religion Database, CINAHL, Communication & Mass Media Index, EBSCO Education Source, Educational research abstracts (ERA), EMBASE, Gender Studies Database, MEDLINE, Psycinfo, Public Affairs Index
  • Page Numbers: pp.2806-2823
  • Keywords: Diabetes, Meta-analysis, Motivational interviewing, Psychological variables, Metabolic variables, SELF-MANAGEMENT, GLYCEMIC CONTROL, MELLITUS, OUTCOMES, ADULTS, INTERVENTION, THERAPY
  • Hacettepe University Affiliated: Yes

Abstract

Objective: The current study aimed to analyze the effects of motivational interviewing (MI) on metabolic and psychosocial variables among individuals with diabetes. Methods: Four databases were searched between 2000 and 2021 years. Randomized controlled studies were included. The standardized mean differences were determined. The heterogeneity was analyzed using the I-2 test. The methodological quality was evaluated independently by three researchers. Results: This meta-analysis included 16 studies. Glycated hemoglobin, postprandial plasma glucose (PG), systolic blood pressure (BP) significantly decreased after MI. There are no significant effects of MI on fasting PG, body mass index, diastolic BP, total cholesterol, high-density lipoprotein, low-density lipoprotein and triglyceride. MI had an overall significant impact on depression, emotional distress, and self-efficacy. Only four studies had 7 points based on the Modified Jadad Scale. The Egger's test showed no evidence of publication bias. Conclusion: MI effectively reduced glycated hemoglobin, postprandial plasma glucose, systolic blood pressure, depressive symptoms, emotional distress, and increased self-efficacy. Practice implications: This meta-analysis showed that MI was effective at improving metabolic control and psychosocial variables. MI should be considered a complementary treatment for people diagnosed with diabetes. Future studies should be structured as long-term studies with higher methodological quality.