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 - Article
C2 - 24525286
AN - SCOPUS:84901812784
SN - 1751-9918
VL - 8
SP - 91
EP - 100
JO - Primary Care Diabetes
JF - Primary Care Diabetes
IS - 2
ER -