Motivational interventions in the management of HbA1c levels

A systematic review and meta-analysis

Allan Jones, Beryl Primrose Gladstone, Marlene Lübeck, Nanna Lindekilde, Dominic Upton, Werner Vach

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Aims To review the diabetes literature in order to examine the effect of motivational interventions on treatment outcome as measured by changes in glycated haemoglobin. Methods Relevant databases were systematically searched for randomised controlled trials in which motivational interventions were examined in relation to treatment outcome in people with type 1 and type 2 diabetes mellitus. Results The 13 studies identified for review included 1223 participants diagnosed with type 1 diabetes and 1895 participants diagnosed with type 2 diabetes. The analysis showed a 0.17% (95% CI: -0.09, 0.43%) improvement in glycemic control in people who received a motivational intervention compared to a control group, however, the effect was not statistically significant. Conclusions The impact of motivational interventions in the management of blood glucose levels appears to be limited. However, due to the small number of studies and issues of heterogeneity caution in interpreting the present findings is advised. Moreover, the unique contribution of motivational interventions may be better assessed by outcomes such as behaviour change and other intermediate outcomes. Further research examining the delivery and focus of motivational interventions in helping people manage their diabetes is recommended. The clinical implications of the present findings are therefore uncertain pending further research.

Original languageEnglish
Pages (from-to)91-100
Number of pages10
JournalPrimary Care Diabetes
Volume8
Issue number2
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Meta-Analysis
Glycosylated Hemoglobin A
Research
Blood Glucose
Randomized Controlled Trials
Databases
Control Groups

Cite this

Jones, Allan ; Gladstone, Beryl Primrose ; Lübeck, Marlene ; Lindekilde, Nanna ; Upton, Dominic ; Vach, Werner. / Motivational interventions in the management of HbA1c levels : A systematic review and meta-analysis. In: Primary Care Diabetes. 2014 ; Vol. 8, No. 2. pp. 91-100.
@article{da227a376a3640bbb122942a26e34a6c,
title = "Motivational interventions in the management of HbA1c levels: A systematic review and meta-analysis",
abstract = "Aims To review the diabetes literature in order to examine the effect of motivational interventions on treatment outcome as measured by changes in glycated haemoglobin. Methods Relevant databases were systematically searched for randomised controlled trials in which motivational interventions were examined in relation to treatment outcome in people with type 1 and type 2 diabetes mellitus. Results The 13 studies identified for review included 1223 participants diagnosed with type 1 diabetes and 1895 participants diagnosed with type 2 diabetes. The analysis showed a 0.17{\%} (95{\%} CI: -0.09, 0.43{\%}) improvement in glycemic control in people who received a motivational intervention compared to a control group, however, the effect was not statistically significant. Conclusions The impact of motivational interventions in the management of blood glucose levels appears to be limited. However, due to the small number of studies and issues of heterogeneity caution in interpreting the present findings is advised. Moreover, the unique contribution of motivational interventions may be better assessed by outcomes such as behaviour change and other intermediate outcomes. Further research examining the delivery and focus of motivational interventions in helping people manage their diabetes is recommended. The clinical implications of the present findings are therefore uncertain pending further research.",
keywords = "Diabetes management, Glycemic control, Motivational interventions",
author = "Allan Jones and Gladstone, {Beryl Primrose} and Marlene L{\"u}beck and Nanna Lindekilde and Dominic Upton and Werner Vach",
year = "2014",
doi = "10.1016/j.pcd.2014.01.009",
language = "English",
volume = "8",
pages = "91--100",
journal = "Primary Care Diabetes",
issn = "1751-9918",
publisher = "Elsevier BV",
number = "2",

}

Jones, A, Gladstone, BP, Lübeck, M, Lindekilde, N, Upton, D & Vach, W 2014, 'Motivational interventions in the management of HbA1c levels: A systematic review and meta-analysis', Primary Care Diabetes, vol. 8, no. 2, pp. 91-100. https://doi.org/10.1016/j.pcd.2014.01.009

Motivational interventions in the management of HbA1c levels : A systematic review and meta-analysis. / Jones, Allan; Gladstone, Beryl Primrose; Lübeck, Marlene; Lindekilde, Nanna; Upton, Dominic; Vach, Werner.

In: Primary Care Diabetes, Vol. 8, No. 2, 2014, p. 91-100.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Motivational interventions in the management of HbA1c levels

T2 - A systematic review and meta-analysis

AU - Jones, Allan

AU - Gladstone, Beryl Primrose

AU - Lübeck, Marlene

AU - Lindekilde, Nanna

AU - Upton, Dominic

AU - Vach, Werner

PY - 2014

Y1 - 2014

N2 - Aims To review the diabetes literature in order to examine the effect of motivational interventions on treatment outcome as measured by changes in glycated haemoglobin. Methods Relevant databases were systematically searched for randomised controlled trials in which motivational interventions were examined in relation to treatment outcome in people with type 1 and type 2 diabetes mellitus. Results The 13 studies identified for review included 1223 participants diagnosed with type 1 diabetes and 1895 participants diagnosed with type 2 diabetes. The analysis showed a 0.17% (95% CI: -0.09, 0.43%) improvement in glycemic control in people who received a motivational intervention compared to a control group, however, the effect was not statistically significant. Conclusions The impact of motivational interventions in the management of blood glucose levels appears to be limited. However, due to the small number of studies and issues of heterogeneity caution in interpreting the present findings is advised. Moreover, the unique contribution of motivational interventions may be better assessed by outcomes such as behaviour change and other intermediate outcomes. Further research examining the delivery and focus of motivational interventions in helping people manage their diabetes is recommended. The clinical implications of the present findings are therefore uncertain pending further research.

AB - Aims To review the diabetes literature in order to examine the effect of motivational interventions on treatment outcome as measured by changes in glycated haemoglobin. Methods Relevant databases were systematically searched for randomised controlled trials in which motivational interventions were examined in relation to treatment outcome in people with type 1 and type 2 diabetes mellitus. Results The 13 studies identified for review included 1223 participants diagnosed with type 1 diabetes and 1895 participants diagnosed with type 2 diabetes. The analysis showed a 0.17% (95% CI: -0.09, 0.43%) improvement in glycemic control in people who received a motivational intervention compared to a control group, however, the effect was not statistically significant. Conclusions The impact of motivational interventions in the management of blood glucose levels appears to be limited. However, due to the small number of studies and issues of heterogeneity caution in interpreting the present findings is advised. Moreover, the unique contribution of motivational interventions may be better assessed by outcomes such as behaviour change and other intermediate outcomes. Further research examining the delivery and focus of motivational interventions in helping people manage their diabetes is recommended. The clinical implications of the present findings are therefore uncertain pending further research.

KW - Diabetes management

KW - Glycemic control

KW - Motivational interventions

UR - http://www.scopus.com/inward/record.url?scp=84901812784&partnerID=8YFLogxK

U2 - 10.1016/j.pcd.2014.01.009

DO - 10.1016/j.pcd.2014.01.009

M3 - Review article

VL - 8

SP - 91

EP - 100

JO - Primary Care Diabetes

JF - Primary Care Diabetes

SN - 1751-9918

IS - 2

ER -