Motivational Interviewing by Podiatric Physicians

2011 ◽  
Vol 101 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Robert A. Gabbay ◽  
Shailja Kaul ◽  
Jan Ulbrecht ◽  
Neil M. Scheffler ◽  
David G. Armstrong
Keyword(s):  
Motivational Interviewing ◽  
Self Care ◽  
Patients With Diabetes ◽  
Key Factor ◽  
Motivation For Change ◽  
Counseling Style ◽  
End Stage ◽  
And Behavior ◽  
Brief Behavioral Intervention ◽  
Care Behavior

Foot ulceration and lower-extremity amputation are devastating end-stage complications of diabetes. Despite agreement that diabetic foot self-care is a key factor in prevention of ulcers and amputation, there has only been limited success in influencing these behaviors among patients with diabetes. While most efforts have focused on increasing patient knowledge, knowledge and behavior are poorly correlated. Knowledge is necessary but rarely sufficient for behavior change. A key determinant to adherence to self-care behavior is clinician counseling style. Podiatrists are the ideal providers to engage in a brief behavioral intervention with a patient. Motivational interviewing is a well-accepted, evidence-based teachable approach that enhances self-efficacy and increases intrinsic motivation for change and adherence to treatment. This article summarizes some key strategies that can be employed by podiatrists to improve foot self-care. (J Am Podiatr Med Assoc 101(1): 78–84, 2011)

scholarly journals Insights into self-care behavior of patients with diabetes: Support using a computerized self-evaluation system

2016 ◽  
Vol 6 (10) ◽  
Author(s):  
Sachiko Waki ◽  
Yasuko Shimizu ◽  
Natsuko Seto ◽  
Mayumi Sugahara ◽  
Yoshiko Yoshida
Keyword(s):  
Evaluation System ◽  
Self Care ◽  
Self Evaluation ◽  
Patients With Diabetes ◽  
Care Behavior

scholarly journals Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Patients With Diabetes ◽  
Main Determinants ◽  
And Gender ◽  
Care Behavior

 AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial  untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.                                                                                                     Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki  AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria  were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

scholarly journals Self-Care Behavior Profiles With Arteriovenous Fistula in Hemodialysis Patients

2018 ◽  
Vol 29 (6) ◽  
pp. 363-367 ◽  
Author(s):  
Clemente Neves Sousa ◽  
Patrícia Marujo ◽  
Paulo Teles ◽  
Marta Nunes Lira ◽  
Vanessa Filipa Ferreira Dias ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Self Care ◽  
Dialysis Unit ◽  
Dialysis Vintage ◽  
Gender Education ◽  
Male Patients ◽  
Stage Renal Disease ◽  
End Stage ◽  
Behavior Profiles ◽  
Care Behavior

Patients with end-stage renal disease should be educated and trained to take care of their own arteriovenous fistula (AVF) with the purpose of developing self-care behaviors concerning vascular access. This was a prospective and observational study. We designed this research to identify clinically meaningful self-care behavior profiles in hemodialysis (HD) patients, and it was carried out in a private dialysis unit in the Lisbon region, Portugal, involving 101 patients. The proportion of male patients was 66.3%, the mean age was 60.9 years, and the frequency of self-care behaviors was 71%. Cluster analysis based on the subscale scores grouped patients in two clusters named “moderate self-care” and “high self-care.” Those profiles exhibit significant differences concerning gender, education, employment, dialysis vintage, AVF duration, and information on care with the AVF. Identification of self-care-behavior profiles in HD patients with AVF enables one to adjust education programs to the patients’ characteristics.

scholarly journals Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia

2020 ◽  
Vol Volume 13 ◽  
pp. 3277-3288
Author(s):  
Adugna Oluma ◽  
Getu Mosisa ◽  
Muktar Abadiga ◽  
Reta Tsegaye ◽  
Ashenafi Habte ◽  
...  
Keyword(s):  
Self Care ◽  
Public Hospitals ◽  
Patients With Diabetes ◽  
Predictors Of Adherence ◽  
Care Behavior

Depression and Self-care Behavior in Patients with Diabetes Mellitus

2009 ◽  
Vol 33 (5) ◽  
pp. 432 ◽  
Author(s):  
Su Yoen Kim ◽  
Jae Ho Lee ◽  
Ha Neul Kim ◽  
Dong Kyu Kim ◽  
Young Na ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Patients With Diabetes ◽  
Care Behavior

scholarly journals The relationship between social support and self-care behavior in patients with diabetes mellitus

2021 ◽  
Vol 23 (2) ◽  
pp. 227-231
Author(s):  
Davood Sarpooshi ◽  
Mehrsadat Mahdizadeh ◽  
Alireza Jaferi ◽  
Hamid Robatsarpooshi ◽  
Mohammad Haddadi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Self Care ◽  
Patients With Diabetes ◽  
The Relationship ◽  
Care Behavior

scholarly journals Effect of Foot Self-Care Behavior According to Severity of Diabetic Neuropathy in Japanese Patients with Diabetes

Health ◽  
2018 ◽  
Vol 10 (09) ◽  
pp. 1192-1199
Author(s):  
Masuko Sumikawa ◽  
Yumi Kuwamura ◽  
Yasuyuki Sumikawa ◽  
Toshiko Fujiwara ◽  
Chizuru Kamiya
Keyword(s):  
Diabetic Neuropathy ◽  
Self Care ◽  
Japanese Patients ◽  
Patients With Diabetes ◽  
Care Behavior

scholarly journals Brief Alcohol Intervention among At-Risk Drinkers with Diabetes

2010 ◽  
Vol 4 ◽  
pp. SART.S4071 ◽  
Author(s):  
Susan E. Ramsey ◽  
Patricia A. Engler ◽  
Magdalena Harrington ◽  
Robert J. Smith ◽  
Mark J. Fagan ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Heavy Drinking ◽  
Self Care ◽  
Alcohol Intervention ◽  
Treatment Conditions ◽  
Brief Alcohol Intervention ◽  
Patients With Diabetes ◽  
Care Behavior

Twenty-eight patients with diabetes who screened positive for at-risk drinking were assigned to brief alcohol intervention (BAI) (n = 14) or standard care (SC) (n = 14) treatment conditions. All participants completed a baseline interview and one-, three, and six-month follow-up interviews. Across the six-month follow-up period, there was a significantly greater reduction in quantity of alcohol consumed in the BAI group. At the six-month follow-up, the BAI group had a greater reduction in quantity of alcohol consumed, percentage of heavy drinking days, and frequency of drinking. Reductions in alcohol use were associated with improved adherence in certain components of diabetes self-care behavior. The results of this study suggest that brief alcohol interventions are efficacious in reducing alcohol use among at-risk drinkers with diabetes and that reductions in alcohol use may result in some improvements in adherence to diabetes self-care behavior.

scholarly journals Transtheoretical model on the self-care behavior of hypertension patients: a systematic review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hasriani ◽  
Elly Lilianty Sjattar ◽  
Rosyidah Arafat
Keyword(s):  
Transtheoretical Model ◽  
Literature Search ◽  
Grey Literature ◽  
Self Care ◽  
Educational Interventions ◽  
Behavioral Changes ◽  
The Self ◽  
Content Type ◽  
And Behavior ◽  
Care Behavior

PurposeThis review aims to describe the effectiveness of education with the transtheoretical model (TTM)-based on the self-care behavior of hypertension patients.Design/methodology/approachA systematic literature search was carried out on four databases: PubMed, Science Direct, Cochrane and Grey literature to identify studies reported in English which were published in the last ten years. The literature search was conducted from November 13 to December 10, 2020.FindingsBased on the six studies that have been analyzed, TTM is effective in changing the stage of change and behavior of hypertension patients. These behavioral changes have an impact on the patient's controlled blood pressure. Various types of TTM-based educational interventions can be used, but the tailored behavior intervention is the most appropriate one with a minimum intervention duration of six months. Educational intervention is carried out through combine counseling and education using electronic media.Originality/valueThis review presents the effectiveness of transtheoretical-based health education in changing the self-care behavior of hypertension patients accompanied by evidence-based on its implementation. There is a high and unclear risk of bias on several items influence this systematic outcome. Nevertheless, this review can still provide an overview of the effectiveness of education based on the TTM in hypertension patients about the quality results of the reviewed studies.

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