Motivational Interviewing Support for a Behavioral Health Internet Intervention for Drivers with Type 1 Diabetes

Internet Interventions : the Application of Information Technology in Mental and Behavioural Health
Karen S IngersollDaniel J Cox

Abstract

While Internet interventions can improve health behaviors, their impact is limited by program adherence. Supporting program adherence through telephone counseling may be useful, but there have been few direct tests of the impact of support. We describe a Telephone Motivational Interviewing (MI) intervention targeting adherence to an Internet intervention for drivers with Type 1 Diabetes, DD.com, and compare completion of intervention benchmarks by those randomized to DD.com plus MI vs. DD.com only. The goal of the pre-intervention MI session was to increase the participant's motivation to complete the Internet intervention and all its assignments, while the goal of the post-treatment MI session was to plan for maintaining changes made during the intervention. Sessions were semi-structured and partially scripted to maximize consistency. MI Fidelity was coded using a standard coding system, the MITI. We examined the effects of MI support vs. no support on number of days from enrollment to program benchmarks. Results show that MI sessions were provided with good fidelity. Users who received MI support completed some program benchmarks such as Core 4 (t176 df= -2.25; p<.03) and 11 of 12 monthly driving diaries significantly sooner,...Continue Reading

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Citations

Jul 25, 2015·BMC Family Practice·Ann-Sofi ÖstlundBarbro Wadensten
Sep 10, 2015·Revista da Escola de Enfermagem da U S P·Léia Fortes Salles, Maria Júlia Paes da Silva
Apr 14, 2017·Diabetes Care·Daniel J CoxWilliam Clarke
Mar 30, 2021·Clinical Social Work Journal·Melinda HohmanSusan I Woodruff

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