The effects of a motivational interview program on knowledge, health promoting behaviors, and body mass index among adults with risk factors of type 2 diabetes
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Abstract
Background: Motivational interviewing is considered an effective strategy to promote health behaviors among persons with a risk of type 2 diabetes.
Objectives: The aim of this research was to investigate the effectiveness of a motivational interview program on knowledge, health promoting behaviors and body mass index among adults with risk factors of type 2 diabetes.
Methods: This quasi-experimental research involved selection of 30 participants having risk factors for type 2 diabetes and living in one area, Muang Chonburi. A motivational interview program was developed based on Miller & Rollnick’s framework. The program was administrated over a 1 to 2 hour session, with 5 sessions spreading over a period of 10 weeks. The data collection instruments were questionnaires used to obtain participants’ knowledge and their health promoting behaviors. The questionnaires reported reliabilities of .767 and .826, respectively. Data were analyzed using paired t-test comparisons.
Results: The finding reveals that, after participating in motivational interview program, participants reported a significantly higher level of knowledge and health promoting behavior, when compared to those before participation (p<.01). In contrast, participants’ body mass index was significantly lower than before participating the program (p<.01).
Conclusions: The findings reflect the effectiveness of the motivational interview program in terms of changing health behaviors, and can be adopted for persons with a risk of type 2 diabetes and other non-communicable diseases.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Turi KN, Buchner DM, Grigsby-Toussaint DS. Predicting Risk of Type 2 Diabetes by Using Data on Easy-to-Measure Risk Factors. Prev Chronic Dis. 2017;14:160-244.
Chia DB, Wong LY, Liu DYK, Toh MPHS. Predictive factors of developing type 2 diabetes mellitus, Acute Myocardial Infarction and stroke in a cohort with Impaired Fasting Glucose in Singapore. Diabetes Res Pract .2017;132:59-67.
Sompan A, Terathongkum S, Piaseu N, Sakunhongsophon S. Factors predicting diabetes preventive behavior in persons with pre-diabetes. Ramathibodi Nursing Journal. 2015;21(1):96-109. (in Thai).
Kaewsringam P, Nirattharadorn M, Wattana C. Factors predicting type II diabetes mellitus preventive behaviors among people at risk for diabetes. Journal of Nursing Science Chulalongkorn University. 2015;.27(2)119-31. (in Thai)
Chinsom J, Senaruk W. Type 2 diabetes risk in middle-aged Isaan women: a case study of urban community. Journal of Nurse Association of Thailand North-Eastern Division. 2011.29(1):31-40. (in Thai).
Wongthaicharoen P, Juthamas H, Suttithatip S. Effects of motivational interviewing group counseling in health behavior and level of cholesterol of hypertensive patients. Ratchaphruek Journal. 2015.13(3):91-102. (in Thai).
Miller W.R. & Rollnick S. What is motivational interviewing?: Behav Cogn Psychother. 1995;23:325-34.
Leelapattanapanit J, Phunopas A. The result of the motivational interviews and interpreting measurements of body mass to modify behavior in obese with waist circumference outsize. Udontani Hospital Medical Journal. 2017;25(2):113-19. (in Thai).
Sarakhwan W. Effect of counseling program applying motivational interview technique and health belief model on weight loss behavior of the employees of Quality Construction Product Co., ltd (Thailand. Journal of Preventive Medicine Association of Thailand. 2014;4(3):226-33. (in Thai)
Ban Suan Health Promoting Hospital. Annual Report for the year 2017. No. 12/2017; Thursday, 14 December 2017; At the meeting room. Ban Suan Health Promoting Hospital;2017. (in Thai).
Pittathano S. Effects of motivational interviewing based counseling on controlling body mass index of patients with type II Diabetes Mellitus. Research article presented at the national academic conference entitled "Integrated Methodology: Social Media and Management" organized by the Faculty of Management Science Silpakorn University in collaboration with the Center for Media and Communication Studies University of the Thai Chamber of Commerce at Novotel Hua Hin Cha-am Beach Resort and Spa. 22 March 2013. Available from http://www. Amsar thailand.utcc.ac.th /attachments/article/34/14%20Sudtanom%20thai.pdf. (in Thai).
Cohen J. Statistical power analysis for the behavioral science. (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
Pongprapapan P. and faculty. The development of a health promotion model of diabetic patients in Wat Puranawas community. Bangkok: Bangkok Thonburi University; 2010. (in Thai).
Miller WR, Rollnick S. Motivation interviewing: preparing people for change. New York: Guilford Press; 2002.
Kaewfong I, Wannapornsiri C, Naewbood S. Effective of motivational interviewing program on knowledge, attitude, behaviors and lipid levels among hypertensive patients. Boromarajonani College of Nursing Uttaradit Journal. 2018;10(2):57-71. (in Thai).
Waker C.L. Effects of Motivational Interviewing on Diabetes Self-Management Behaviors and Glycemic Control in Type 2 Diabetes: A Translational Study GraduateSchool of the University of Cincinnati in
partial fulfillment of the requirements for the degree of Doctor of Philosophy in the College of Nursing. [Internet]. 2012. [cited 2015 February 22]. Available from: http://www.proquestco.uk /en-UK.
Rosenbek LK, Wagner L, Lonvig EM, Hjelmborg J, Henriksen JE. The effect of motivational interviewing on glycemic control and perceived competence of diabetes self-management in patients with type 1 and type 2 diabetes mellitus after attending a group education programme: a randomized controlled trial, Diabetologia, [Internet]. 2011 [cited 2015 January 14]. Available from: http:// www. springer.com/ medicine/nternal/journal/125
Nokkaew J. The effect of nursing program for motivation in yoga practice on body mass index. and blood glucose levels in overweight type 2 diabetic patients. (Master of Nursing Thesis). Graduate School, Songkhla: Prince of Songkla University; 2015. (in Thai).
Wuttijureepan A, Moolsart S,
Tipkanjanaraykha K. The effectiveness an enhancing motivation program in weight reduction via electronic communication in obese nursing students. Journal of Health and Nursing Research. 2019;35(2):57-70.
(in Thai).