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Experiences of Motivational Interviewing in Virtual Health-care Visits for Adults With Type 2 Diabetes Mellitus: A Qualitative Analysis.
Lau, Kimberley; Escudero, Carlos; Lee, Irene; Yu, Catherine.
Afiliación
  • Lau K; Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Escudero C; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
  • Lee I; Division of Endocrinology and Metabolism, St. Michael's Hospital, Toronto, Ontario, Canada.
  • Yu C; Division of Endocrinology and Metabolism, St. Michael's Hospital, Toronto, Ontario, Canada. Electronic address: catherine.yu@unityhealth.to.
Can J Diabetes ; 48(6): 355-363.e1, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38641003
ABSTRACT

OBJECTIVES:

The purpose of this qualitative study is to identify barriers minimizing the effectiveness of motivational interviewing during virtual clinic encounters for individuals with type 2 diabetes based on the capability, opportunity, motivation, and behaviour (COM-B) model.

METHODS:

One-on-one semistructured interviews were conducted from March to June 2023, with 17 adults with type 2 diabetes (64.7% female; median age 69 years [range 47 to 83 years]) followed at St. Michael's Hospital (Toronto, Canada). Themes from transcribed interviews were identified through descriptive analysis using a grounded theory approach.

RESULTS:

The following main themes were identified 1) face-to-face appointments strengthen provider-patient rapport and collaboration; 2) virtual encounters reduce patient accountability and hinder health-seeking behaviour; and 3) individuals with physical disabilities and/or low technological proficiency experience decreased provider accessibility. Protective factors that can mitigate these negative impacts include establishing rapport during in-person appointments before transitioning to virtual appointments and incorporating a video component during virtual encounters.

CONCLUSIONS:

Several barriers of virtual appointments currently limit the effectiveness of motivational interviewing for individuals with type 2 diabetes and make it difficult to provide person-centred care, especially by phone. However, there are protective factors that help to maintain healthy lifestyle behaviours, even after transitioning to virtual settings, and are areas for optimization moving forward.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Diabetes Mellitus Tipo 2 / Entrevista Motivacional Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Can J Diabetes Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Canadá
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Diabetes Mellitus Tipo 2 / Entrevista Motivacional Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Can J Diabetes Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Canadá