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.

摘要

糖尿病带来了重大的自我保健挑战，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具有实质性的支持，但其在常规医疗保健中的有效应用需要从业者获得和使用相关技能。本系统评价的目的是调查 MI 培训对提供糖尿病医疗保健的从业人员的 MI 相关技能的影响。PubMed、EMBASE 和 PsycINFO 使用动机访谈、动机增强和糖尿病等术语进行搜索。两名评估员独立筛选标题、摘要和全文，以获取报告 MI 培训对糖尿病医疗保健从业人员结果的影响的论文。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 技能的一些改进，其中 14 项发现改进超过 50%，3 项少于 35%。然而，研究之间的偏倚风险和结果测量差异很大。所有研究都表明糖尿病医疗保健从业者在培训后获得并应用了不同程度的 MI 技能。调查结果表明，培训应包括教育、角色扮演和持续监督以保持技能。