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  • Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration

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    Woodburn459685-Accepted.pdf (570.3Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Binning, J
    Woodburn, J
    Bus, SA
    Barn, R
    Griffith University Author(s)
    Woodburn, Jim
    Year published
    2019
    Metadata
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    Abstract
    Diabetic foot ulceration is a major complication associated with high morbidity. Little evidence exists on which interventions are effective at preventing ulceration. Participants who are adherent to self-care behaviours have significantly better outcomes. Motivational interviewing is an intervention that has been used successfully for conditions where adherence is important, such as reduction of obesity and HbA1c levels. A systematic review was conducted to determine whether motivational interviewing is effective at improving adherence for the prevention of Diabetic Foot Ulceration. Electronic searches were run without date ...
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    Diabetic foot ulceration is a major complication associated with high morbidity. Little evidence exists on which interventions are effective at preventing ulceration. Participants who are adherent to self-care behaviours have significantly better outcomes. Motivational interviewing is an intervention that has been used successfully for conditions where adherence is important, such as reduction of obesity and HbA1c levels. A systematic review was conducted to determine whether motivational interviewing is effective at improving adherence for the prevention of Diabetic Foot Ulceration. Electronic searches were run without date or language restrictions in MEDLINE (viaEBSCOhost), CINAHL (viaEBSCOhost), ProQuest (Health and Medical Collection, Nursing and Allied Health Database, PsycINFO, Psychology, PsychArticles), AMED, EMBASE, Cochrane Central Register of Controlled Trials, ScienceDirect, and Web of Science Core Collections. Papers were included if participants had or were at risk of diabetic foot ulceration. Studies required motivational interviewing or a motivational approach as the sole intervention or as a component. Randomised controlled trials and quasi-experimental studies were included if ulceration and/or at least one behavioural outcome was measured before and after the intervention. Five studies met the inclusion criteria. Heterogeneity prevented the pooling of data. One study used motivational interviewing as the sole intervention. This study found a short-term positive effect on footwear adherence. The remaining four studies had a motivational component within their interventions. Two of these studies showed the intervention to be effective but both were at a high risk of bias. This review demonstrates an evidence gap. More research is needed.
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    Journal Title
    Diabetes/Metabolism Research and Reviews
    Volume
    35
    Issue
    2
    DOI
    https://doi.org/10.1002/dmrr.3105
    Copyright Statement
    © 2018 John Wiley & Sons, Ltd.. This is the peer reviewed version of the following article: Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration, Diabetes/Metabolism Research and Reviews, 2019, 35 (2), pp. e3105, which has been published in final form at https://doi.org/10.1002/dmrr.3105. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Clinical sciences
    adherence
    behaviour
    diabetes
    diabetic foot
    motivational interviewing
    Publication URI
    http://hdl.handle.net/10072/401903
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    • Journal articles

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