The Impact of Motivational Interviews Conducted Through Tele-Nursing on Diabetes Management

Eskisehir Osmangazi University

Status: Invitation-only

Conditions: Type 1 Diabetes; Motivational Interviewing

Treatments: Other: Education and Motivational Interviews

Study type: Interventional

Funder types: Other

Identifiers

NCT06208618

YesimKorkusuz

Details and patient eligibility

About

The deterioration of glycemic control in adolescents with Type 1 diabetes (T1DM) is a genuine cause for concern. Possible reasons for worsening glycemic control in youth include lack of monitoring, inadequate self-care, psychosocial factors, lack of family support and parental supervision, non-adherence to treatment, pubertal increases in insulin resistance, and insufficient transition from pediatric to adult care. In adolescents with established T1DM who transition to adult-focused care, there is observed disengagement or complete detachment from care. Improving glycemic control during adolescence is a critical stage to enhance and reduce complications associated with T1DM. Adolescents with T1DM require appropriate daily insulin therapy, regular blood sugar monitoring, physical activity, healthy nutrition, education, and support to delay or prevent diabetes-related complications.This study aims to determine the impact of education and motivational interviews conducted through tele-nursing on the management of diabetes in adolescents with Type 1 diabetes.

Full description

The study will be conducted with a single-center, single-blind, parallel-group, randomized controlled design with a follow-up period of 6 months.The population of the study consists of 141 adolescents aged 13-18 diagnosed with Type 1 diabetes, who are being followed up at the Diabetes Education Unit of Evliya Çelebi Training and Research Hospital, affiliated with Kütahya Health Sciences University in the province of Kütahya, Türkiye. The sample of the study will consist of 96 adolescents, with 48 participants in each group, assuming a 1:1 randomization, based on the reference study. In their research, where motivational interviews were used for adolescents' diabetes management, the reported HbA1c levels for the study group (9.61±2.40) and the control group with routine follow-up (10.76±2.07) at the 6-month follow-up were considered, aiming for an 80% power and a 0.05 margin of error.

Enrollment: 96 estimated patients

Sex: All

Ages: 13 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with Type 1 diabetes at least 6 months ago
• Under follow-up at Kütahya Evliya Çelebi Health Sciences University Training and Research Hospital Diabetes Education Unit
• Having an HbA1c level above 7.5% in the most recent measurement
• Having a smartphone

Exclusion criteria

• Refusal of legal guardian or the adolescent themselves to participate in the research
• Difficulty in communication or answering questions
• Having hearing, speech, vision, or cognitive impairments
• Being in the honeymoon period of Type 1 diabetes
• Having a second autoimmune disease, such as celiac disease, besides Type 1 diabetes

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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96 participants in 2 patient groups

Motivational interviews

Experimental group

Description:

At the beginning of the study, individual face-to-face diabetes education will be provided for each adolescent in the study group on days corresponding to their routine medical appointments in the diabetes education room. The diabetes education will include the following topics: * What is Diabetes? * Treatment in Diabetes * Insulin Therapy * Nutritional Therapy * Physical Activity/Exercise * Acute Complications of Diabetes * Hypoglycemia * Hyperglycemia * Diabetic Ketoacidosis * Diabetes Management in IIlness The adolescents in the study group will undergo a total of 6 motivational interviews, conducted once a month. Three of these interviews will be face-to-face (at the beginning of the study, at the 3rd month, and at the 6th month), while the remaining three will be conducted remotely using the WhatsApp video call feature (in the 2nd, 4th, and 5th months).

Treatment:

Other: Education and Motivational Interviews

Routine follow-up

No Intervention group

Description:

The routine follow-up conducted by the diabetes education unit will continue for the study group, and no interventions will be made as part of the research. The study group will undergo a pre-test at the beginning of the study, a follow-up test at the 3rd month, and a post-test at the 6th month as part of the research.