The Effect of Training GPs in Motivational Interviewing on Incident Cardiovascular Disease and Mortality in People with Screen-detected Diabetes. Results from the ADDITION-Denmark Randomised Trial

Overview

Journal BJGP Open

Specialty Public Health

Date 2020 Feb 20

PMID 32071038

Citations 1

Authors

Morten Charles

Niels Henrik Bruun

Rebecca Simmons

Else-Marie Dalsgaard

Daniel Witte

Marit Jorgensen

Bo Christensen

Helle Terkildsen Maindal

Sune Rubak

Annelli Sandbaek

Torsten Lauritzen

Affiliations

Soon will be listed here.

Abstract

Background: There is no long-term evidence on the effectiveness of training for motivational interviewing in diabetes treatment.

Aim: Within a trial of intensive treatment of people with screen-detected diabetes, which included training in motivational interviewing for GPs, the study examined the effect of the intervention on incident cardiovascular disease (CVD) and all-cause mortality.

Design & Setting: In the ADDITION-Denmark trial, 181 general practices were cluster randomised in a 2:1:1 ratio to: (i) to screening plus routine care of individuals with screen-detected diabetes (control group); (ii) screening plus training and support in intensive multifactorial treatment of individuals with screen-detected diabetes (intensive treatment group); or (iii) screening plus training and support in intensive multifactorial treatment and motivational interviewing for individuals with screen-detected diabetes (intensive treatment plus motivational interviewing group). The study took place from 2001-2009.

Method: After around 8 years follow-up, rates of first fatal and non-fatal CVD events and all-cause mortality were compared between screen-detected individuals in the three treatment groups.

Results: Compared with the routine care group, the risk of CVD was similar in the intensive treatment group (hazard ratio [HR] 1.11, 95% confidence interval [CI] = 0.82 to 1.50) and the intensive treatment plus motivational interviewing group (HR 1.26, 95% CI = 0.96 to 1.64). The incidence of death was similar in all three treatment groups.

Conclusion: Training of GPs in intensive multifactorial treatment, with or without motivational interviewing, was not associated with a reduction in mortality or CVD among those with screen-detected diabetes.

Citing Articles

The MIPAM trial: a 12-week intervention with motivational interviewing and physical activity monitoring to enhance the daily amount of physical activity in community-dwelling older adults - a study protocol for a randomized controlled trial.

Larsen R, Korfitsen C, Juhl C, Andersen H, Christensen J, Langberg H BMC Geriatr. 2020; 20(1):412.

PMID: 33081715 PMC: 7576698. DOI: 10.1186/s12877-020-01815-1.

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