Attitudes and experiences towards the application of motivational interviewing by podiatrists working with people with diabetes at high-risk of developing foot ulcers: a mixed-methods study.

Autor: Jongebloed-Westra M; Department of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands. m.jongebloed-westra@utwente.nl., Bode C; Department of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands., Bente BE; Department of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands., de Jonge JM; ACHIEVE, Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands., Ten Klooster PM; Department of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands., Koffijberg H; Department of Health Technology and Services Research, Tech Med Centre, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands., Exterkate SH; Voetencentrum Wender, Sabina Klinkhamerweg 10, 7555 SK, Hengelo, The Netherlands.; Voetmax Orthopedie, Sabina Klinkhamerweg 10, 7555 SK, Hengelo, The Netherlands., van Netten JJ; Department of Rehabilitation, Amsterdam UMC, Location Academic Medical Centre, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.; Diabetic Foot Unit, Department of Surgery, Hospital Group Twente, PO Box 7600, 7600 SZ, Almelo, The Netherlands., van Gemert-Pijnen JEWC; Department of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, PO Box 217, 7500 AE, Enschede, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of foot and ankle research [J Foot Ankle Res] 2022 Aug 19; Vol. 15 (1), pp. 62. Date of Electronic Publication: 2022 Aug 19.
DOI: 10.1186/s13047-022-00567-y
Abstrakt: Background: Podiatrists are key professionals in promoting adequate foot self-care for people with diabetes at high-risk of developing foot ulcers. However, merely informing patients about the advantages of foot self-care is insufficient to realise behavioural change. Motivational interviewing (MI) is a promising person-centred communication style that could help to create a working alliance between healthcare providers and patient to improve foot self-care. This study aims to observe and analyse the application of MI in consultations carried out by MI-trained and non-MI-trained podiatrists with their patients, and explore podiatrists' attitudes and experiences towards MI.
Methods: Eighteen podiatrists (median age: 28.5 years, 10 female and 8 male) followed a three-day basic training in MI and 4 podiatrists (median age: 38.5 years, 4 female) were not trained in MI. To observe and rate the MI-fidelity in daily clinical practice, audio recordings from the MI-trained and non-MI-trained podiatrists were scored with the Motivational Interviewing Treatment Integrity code. Individual, semi-structed, in-depth interviews were conducted with the MI-trained podiatrists to explore their attitudes towards and experiences with MI. These data sources were triangulated to describe the effect of training podiatrists in MI for their clinical practice.
Results: The MI-trained podiatrists scored significantly higher than the non-MI-trained podiatrists on two of four global MI-related communication skills (empathy, p = 0.008 and change talk, p = 0.008), on one of five core MI-adherent behaviours (affirmation, p = 0.041) and on one of the other behaviour counts (simple reflections, p = 0.008). The podiatrists mainly reported their attitudes and experiences regarding partnership and cultivating change talk, during the interviews. In addition, they also mentioned facilitators and barriers to using MI and indicated whether they experienced MI as having added value.
Conclusions: The MI-trained podiatrists used the principles of MI at a solid beginner proficiency level in their clinical practice in comparison to the non-MI-trained podiatrists, who did not reach this level. This achievement is in accordance with the basic MI-training they received. This multi-method study reveals that podiatrists can be effectively trained in applying MI in daily clinical practice.
Trial Registration: Netherlands Trial Register NL7710. Registered: 6 May 2019.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje