The Effectiveness of Motivational Interviewing Approach on Diabetes Management

Background: The Healthy Community Clinic (HCC) program utilizes a motivational interviewing (MI) approach to encourage behavioral change among diabetic patients, enabling them for a better glycemic control and weight management. The present study aimed to assess the effect of MI approach on glycemic control and weight management in type 2 diabetes mellitus (T2DM) patients.Methods: In a pre-post quasi-experimental design, 64 adult male and female diabetic patients who had completed the approach cycle were enrolled. The approach cycle was three MI sessions over three months. The effect of the intervention on glycemic control was tested by measuring the change in glycated hemoglobin (HbA1c) and fasting blood glucose (FBG) levels while the effect of the approach on weight management was tested by measuring the change in body weight (BW) and body mass index (BMI). Pre- and post-intervention data were collected from the patient’s medical records.Results: Glycemic indicators, including HbA1c and FBG levels, showed a significant decrease, with a mean difference of 0.69% and 35.47 mg/dL, respectively (p=0.013 and 0.018, respectively). Regarding weightrelated outcomes, BW and BMI dropped with a mean difference of 2.01 kg and 0.73 kg/m², respectively, but it was not statistically significant.Conclusion: This study demonstrated a promising impact of MI on glycemic control among people living with T2DM.