Open AccessA Randomized Controlled Trial of a Motivational Interviewing Intervention to Improve Whole-Person Lifestyle
Author(s) -
Amanda T Sawyer,
Jo Wheeler,
Pamela J. Jennelle,
Julie Pepe,
Patricia Robinson
Publication year - 2020
Publication title -
journal of primary care and community health
Language(s) - English
Resource type - Journals
eISSN - 2150-1327
pISSN - 2150-1319
DOI - 10.1177/2150132720922714
Subject(s) - motivational interviewing , medicine , body mass index , waist , physical therapy , randomized controlled trial , intervention (counseling) , type 2 diabetes , diabetes mellitus , psychiatry , endocrinology
The purpose of this randomized controlled trial was to examine the effects of a motivational interviewing intervention to improve whole-person lifestyle and reduce cardiovascular disease risk profile. A sample of 111 adults with type 2 diabetes and/or hypertension was recruited from a primary care physician practice. The intervention was facilitated by a program specialist trained in motivational interviewing. Outcomes included body mass index, cholesterol, hemoglobin A1c, blood pressure, waist circumference, wellness scores, and substance use. Differences in the changes in body mass index and waist circumference existed between the intervention and control groups after 6 months. In the intervention group, the proportion of high wellness scores increased after the program. A whole-person lifestyle intervention with motivational interviewing for patients with metabolic syndrome can improve one’s health in terms of components in the cardiovascular disease risk profile, as well as overall wellness. Efforts to improve the health of these patients may incorporate motivational interviewing to guide goal setting and address mental and spiritual health in addition to physical health.