Group Motivational Interviewing technique result to Hemoglobin A1c and Glomerular filtration rate in Diabetic patients
Keywords:
Group Motivational Interviewing technique, Diabetes mellitus, Hemoglobin A1c, Glomerular filtration rateAbstract
Background and Objectives: Motivational Interviewing technique emphasis on encouraging patients to be motivated to change behavior and seek appropriate practices on their own, which can be applied to solving the increasing number of diabetic patients nowadays. Our objective had to evaluate effect of Group Motivational Interviewing technique, comparing with Conventional technique to improve Hemoglobin A1c level and Glomerular filtration rate in patients with Diabetes mellitus.
Methods: A non-randomized clustered controlled community intervention in diabetic patients treated in NCD clinic of Nakornping hospital network, in fiscal year 2018. We allocated 194 diabetic participants that aged 30-74 years, then divided into an intervention group of 100 people to performed Group Motivational Interviewing, and a control group of 94 people to performed Conventional technique. We analyzed Hemoglobin A1c, Glomerular filtration rate and cardiovascular disease risk at 0 and 6 months.
Results: In six months, Fasting Plasma Glucose and Hemoglobin A1c level from intervention group had significantly decreased (P=0.002 and P<0.001) comparing with control group that significantly increased (P=0.002 and P=0.019). Systolic Blood Pressure, Triglyceride and LDL-cholesterol level from intervention group had significantly decreased (P=0.031, P=0.002 and P=0.047 respectively) comparing with control group that didn’t change (P=0.485, P=0.445 and P=0.120 respectively). Glomerular filtration rate had significantly increased (P<0.001) comparing with control group that didn’t change (P=0.062). Cardiovascular disease risk didn’t change (P=0.325) comparing with control group that significantly increased (P<0.001).
Conclusions: Group Motivational Interviewing technique could effectively controlled Hemoglobin A1c, increased Glomerular filtration rate and slowed down cardiovascular disease risk progression comparing with Conventional technique.
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