Motivational Interview Method Based on Transtheoretical Model of Health Behaviour Change in Type 2 Diabetes Mellitus

Yıl 2016, Cilt: 8 Sayı: 1, 32 - 41, 23.01.2016

Alime Tosun Handan Zincir

Öz

Precautions taken in early stages of diabetes mellitus are more beneficial in terms of quality of life. The risk of Type 2 diabetes mellitus has been shown to be reduced at rates up to 58% or its emergence may be delayed with healthy lifestyle changes in different studies. Transtheoretical model and motivational interview method are especially used to increase the adaptation of individuals to disease management and to change behaviours about diabetes mellitus for decreasing or preventing the harmful effects of diabetes mellitus in studies conducted with individuals with Type 2 diabetes mellitus. Interventions using motivational interview method based on transtheoretical model demonstrated that a general improvement in glycaemic control and in physical activity level can be achieved and significant progress has been made during the stage of change. Motivational interview method based on trans-theoretical model is an easy and efficient counselling method to reach behavioural change.

Anahtar Kelimeler

-

Tip 2 Diabetes Mellitus’ta Sağlık Davranış Değişiminde Transteoretik Model Temelli Motivasyonel Görüşme Tekniği

Öz

Diabetes mellitus’un erken döneminde alınan önlemler yaşam kalitesini olumlu yönde etkiler. Yapılan çalışmalarda sağlıklı yaşam tarzı değişiklikleri ile Tip 2 diabetes mellitus riskinin %58’e varan oranlarda önlenebileceği veya ortaya çıkışının geciktirilebileceği gösterilmiştir. Tip 2 diabetes mellitusu olan bireylerle yapılan çalışmalarda diyabetin zararlı etkilerini azaltmada ya da önlemede bireylerin hastalık yönetimine uyumunu artırmak ve sağlıkla ilgili davranışlarını değiştirmede özellikle transteoretik model ve motivasyonel görüşme tekniği kullanılmaktadır. Transteoretik model temelli motivasyonel görüşme kullanılarak yapılan müdahaleler ile glisemik kontrolde ve fiziksel aktivite düzeylerinde genel bir iyileşme sağlandığı, değişim aşamaları boyunca anlamlı ilerlemeler kaydedildiği gösterilmiştir. Transteoretik model temelli motivasyonel görüşme davranış değişimine ulaşmak için kolay ve etkili bir danışmanlık tekniğidir.

Anahtar Kelimeler

Tip 2 diabetes mellitus, transteoretik model, motivasyonel görüşme

Kaynakça

• ADA (American Diabetes Association) (2013) Standards of medical care in diabetes. Diabetes Care, 36:11-63.
• Bandura A (1982) Self-efficacy mechanism in human agency. Am Psychol, 37: 122-147.
• Burbank PM, Reibe D, Padula C, Nigg C (2002) Exercise and older adults: changing behavior with the transtheoretical model. Orthop Nurs, 21: 51-61.
• Clobes T (2012) Patient compliance with type 2 diabetes using visual reminders and the transtheoretical model (Doctorate thesis). New Jersey,, University of Medicine and Dentistry of New Jersey
• Chen SM, Creedy D, Lin HS, Wollin J (2012) Effects of motivational interviewing intervention on self-manegement, psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial. Int J Nurs Stud, 49:637-644.
• Connolly KK (2013) The digital divide and health outcomes: a teleretinal imaging study (Doctorate thesis). Manoa, University of Hawaii.
• Davies CA, Mummery WK, Steele RM (2010) The relationship between personality, theory of planned behaviour and physical activity in individuals with type II diabetes. Br J Sports Med, 44:979-984.
• Dray J, Wade TD (2012) Is the transtheoretical model and motivational interviewing approach applicaple to the tereatment of eating disorders? a review. Clin Psychol Rev, 32: 558-565.
• Erci B (2009) Halk Sağlığı Hemşireliği. Ankara, Göktuğ Yayıncılık.
• Eriksson K ve Lindgrade F (1991) Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercises. Diabetologia, 34: 891-898.
• Erol S, Erdoğan S (2007) Sağlık davranışlarını geliştirmek ve değiştirmek için transteoretik modelin kullanılması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 10:86-94.
• Glanz K, Rimer B, Viswanath K (2008) Theory, research, and practice in health behavior and health education. In Health Behavior and Health Education Theory Reserach and Practice, 4th Edition (Eds KGlanz, BK Rimer, K Viswanath):23-40. San Francisco, Jossey-Bass.
• ICN (International Council of Nurses) (2010) Delivering Quality, Servering Communities: Nurses Leading Chronic Care. Geneva, International Council of Nurses.
• IDF (International Diabetes Federation) (2013) IDF Diabetes Atlas, 6th edition, Brussels, International Diabetes Federation.
• Jackson R, Asimakopoulou K, Scammell A (2007) Assessment of the transtheoretical model as used by dietitians in promoting physical activity in people with type 2 diabetes.J Hum Nutr Diet, 20:27-36.
• Johonson SS, Paiva AL, Cummins CO, Johonson JL, Dyment SJ, Wright JA et al. (2008) Transtheoretical model based multiple behavior intervention for weight management: effectiveness on a population basis. Prev Med, 46:238-246.
• Jones H, Edwards L, Vallis TM, Ruggiero L, Rossi SR, Rossi JS et al. (2003) Changes in diabetes self-care behaviors make a difference in glycemic control. Diabetes Care, 26:732-737.
• Kirk AF, Higgins LA, Hughes AR, Fisher BM, Mutrie N, Hillis S (2001) A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with type 2 diabetes: a pilot study. Diabet Med, 18:877-882.
• Kirk AF, Mutrie N, MacIntyre PD, Fisher MB (2004) Promoting and maintaining physical activity in people with type 2 diabetes. Am J Prev Med, 27:289-296.
• Koyun A, Eroğlu K (2013) Değişim Aşamaları Modeli (transteoretik model) ve Aşamalara Göre Hazırlanmış Sigarayı Bırakma Rehberi. Ankara, Palme Yayıncılık.
• Levensky ER, Forcehimes A, O’Donohue WT, Beitz K (2007) Motivational interviewing. Am J Nurs, 107:50-58.
• Li ZT, Yang SS, Zhang XX, Fisher EB, Tian BC, Sun XY (2015) Complex relation among Health Belief Model components in TB prevention and care complex relation among Health Belief Model components in TB prevention and care. Public Health, 25:1- 9.
• Lindström J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemiö K et al. (2006) Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: the follow-up results of the Finnish Diabetes Prevention Study. Lancet, 368:1673- 1679.
• Nathan DM, Davidson MB, DeFronzo RA, Heine RJ, Henry RR, Pratley R et al. (2007) Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care, 30:753-759.
• Marshall SJ, Biddle SJH (2001) The transtheoretical model of behavior change: a meta-analysis of applications to physical activity and exercise. Ann Behav Med, 23: 229-246.
• Mcdonald PE, Tilley BC, Havstad SL (1999) Nursing perception: issues that arise in caring for patients with Diabetes. J Adv Nurs, 30:425-430.
• Miller WR, Rollnick S (2002) Motivasyonel Görüşme İnsanları Değişime Hazırlama (Çev Ed. F Karadağ, K Ögel, AE Tezcan). Ankara, Hekimler Yayın Birliği.
• Olgun N, Aslan FE, Çoşansu G, Çelik S (2011) Diyabetes mellitus. In Dahili ve Cerrahi Hastalıklarda Bakım, 2. Baskı. (Ed. A Karadakovan, FE Aslan):817-856. Adana, Nobel Kitabevi.
• Ögel K (2009) Motivasyonel görüşme tekniği. Türkiye Klinikleri Psychiatry Special Topics, 2:41-4.
• Plotnikoff RC, Costigan SA, Karunamuni N, Lubans DR (2013) Social cognitive theories used to explain physical activity behavior in adolescents: a systematic review and meta-analysis. Prev Med, 56:245-253.
• Prochaska JO, Diclemente CC (1983) Stages and pocesses of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol, 51:390-395.
• Prochaska JO, DiClemente CC, Norcross JC (1992) In search of how people change, applications to addictive behaviours. Am Psychol, 47:1102-1114.
• Prochaska JO, Velicer WF (1997) The transtheoretical model of health behavior change. Am J Health Promot, 12: 38-48.
• Prochaska JO, Redding CA, Evers KE (2008) The Transtheoretical Model and stages of change. In Health Behavior and Health Education: Theory, Research and Practice, 4th Edition (Eds K Glanz, BK Rimer, K Viswanath):97-121. San Francisco, Jossey-Bass.
• Rubak S, Sandback A, Lauritzen T, Christensen B (2005) Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract, 55: 305-312.
• Satman İ, İmamoğlu Ş, Yılmaz C, Akalın S, Değirmenci C (2011) Diyabet ve Sağlıklı Beslenme. Ankara, Türkiye Endokrinoloji ve Metabolizma Derneği Diabetes Mellitus Çalışma ve Eğitim Grubu.
• Satman İ, Ömer B, Tütüncü Y, Kalaca S, Gedik S, Dinççağ N et al. (2013) Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol, 28:169-180.
• Searight R (2009) Realistic approaches to counselling in the Office setting. Am Fam Physician, 79:277–284.
• Shinitzky HE, Kub J (2001) The art of motivating behavior change: the use of motivational interviewing to promote health. Public Health Nurs 18:178-175.
• Van Nes M, Sawatzky JA (2010) Improving cardiovascular health with motivational interviewing: a nurse practioner perspective. J Am Acad Nurse Pract, 22:654-660.
• Vallis M, Ruggiero L, Greene G, Jones H, Zinman B, Rossi S et al. (2003) Stages of change for healthy eating in diabetes. Diabetes Care, 26: 1468-1474.
• Vail-Gandolo NJ (2008) The Effects of a motivational program on glycemic control, physical activity, and weight loss in ındividuals with type 2 diabetes Mellitus (Doctorate thesis). New York, Hempstead, Hofstra University.
• Velicer WF, Prochaska JO, Fava JL, Rossi JS, Redding CA, Laforge RG et al. (2000) Using the transtheoretical model for population- based approaches to health promotion and disease prevention. Homeostasis in Health and Disease, 40:174-195.
• WHO (World Health Organization) (2010) Global Status Report on Noncommunicable Diseases. Geneva, World Health Organization.
• WHO (World Health Organization) (1999). Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Geneva, World Health Organization.
• Webb TL, Sniehotta FF, Miche S (2010) Using theories of behaviour change to inform interventions for addictive behaviours. Addiction, 105:1879-1892.
• Yıldız E (2008) Diyabet ve Beslenme. Ankara, T.C. Sağlık Bakanlığı. Alime Selçuk Tosun, Arş.Gör., Erciyes Üniversitesi, Kayseri; Handan Zincir, Doç.Dr., Erciyes Üniversitesi, Kayseri.