Journal List > J Korean Acad Nurs > v.45(4) > 1003092

Kang and Gu: Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus

Abstract

Purpose

This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus.

Methods

A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0.

Results

For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group.

Conclusion

The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

Figures and Tables

Table 1

Motivational Interviewing Self-management Program for Elderly Patients with DM

jkan-45-533-i001

DM=Diabetes mellitus.

Table 2

Homogeneity Test of Characteristics between Experimental and Control Groups (N=42)

jkan-45-533-i002

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; DM=Diabetes mellitus.

Table 3

Homogeneity Test of Dependent Variables between Experimental and Control Group (N=42)

jkan-45-533-i003

Exp.=Experimental group; Cont.=Control group.

Table 4

Effects of Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus (N=42)

jkan-45-533-i004

Exp.=Experimental group (n=21); Cont.=Control group (n=21).

Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Gyeongsang National University.

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