The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: systematic review and meta-analysis
Abstract
Objective The current study aimed to analyze the effects of motivational interviewing (MI) on metabolic and psychosocial variables among individuals with diabetes.Methods Four databases were searched between 2000 and 2021 years. Randomized controlled studies were included. The standardized mean differences were determined. The heterogeneity was analyzed using the I 2 test. The methodological quality was evaluated independently by three researchers.Results This meta-analysis included 16 studies. Glycated hemoglobin, postprandial plasma glucose (PG), systolic blood pressure (BP) significantly decreased after MI. There are no significant effects of MI on fasting PG, body mass index, diastolic BP, total cholesterol, high-density lipoprotein, low-density lipoprotein and triglyceride. MI had an overall significant impact on depression, emotional distress, and self-efficacy. Only four studies had 7 points based on the Modified Jadad Scale. The Egger's test showed no evidence of publication bias.Conclusion MI effectively reduced glycated hemoglobin, postprandial plasma glucose, systolic blood pressure, depressive symptoms, emotional distress, and increased self-efficacy.Practice implications This meta-analysis showed that MI was effective at improving metabolic control and psychosocial variables. MI should be considered a complementary treatment for people diagnosed with diabetes. Future studies should be structured as long-term studies with higher methodological quality.
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Digital wearable devices may influence exercise self-management in T2DM through pathways including enhanced self-efficacy, motivational activation, improved self-regulation, and support for sustained behavior.
“This suggests that such devices may influence exercise self-management in T2DM through pathways including enhanced self-efficacy, motivational activation, improved self-regulation, and support for sustained behavior (10, 11).”
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- Authors
- Bilgin, A., Muz, G., & Yuce, G. E.
- Affiliations
- Hacettepe University (TR)
- Nevşehir Hacı Bektaş Veli University (TR)
- Corresponding author
- Muz, Gamze
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2022-09
- Volume
- 105
- Issue
- 9
- Pages
- 2806-2823
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W4223899635
- Cited by
- 50
- References
- 41
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 12 · 2023: 16 · 2022: 2
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- motivational interviewing, diabetes mellitus, HbA1c, glycemic control, postprandial blood glucose, blood pressure, depression, emotional distress, self-efficacy, psychosocial outcomes, complementary therapy
- MeSH terms
- Blood Glucose, Blood Pressure, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Motivational Interviewing
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