Effect of Motivational Counselling on Diabetes Care in Patients Visiting Hospitals of Sialkot City; A Qusai Experimental Study

Abstract

Background: Diabetes mellitus has occurred as a significant and increasingly prevalent concern in recent decades. DM poses as a major risk factor for the development of cardiovascular disease (CVD), which ultimately results as the most common cause of death in those with DM Objectives: The primary objective of study was to determine the effectiveness of motivational interviewing in diabetic care in patients visiting healthcare facilities in Sialkot city. The secondary objective was to find out association between sociodemographic variables and diet choices and life style modification factors. Methodology: A Qusai experimental study was conducted from September 2023-February 2024 using a structured and validated tool. It was carried out at public and private hospitals of Sialkot city. A total of 42 participants were included in the current study. Independent sample t-test and One-way ANOVA were used for determining associations between socio demographics and dependent variables; effectiveness of intervention was determined by finding out the mean difference pre and post intervention of blood pressure, HbA1c, diet choices and life style modification factors, for this purpose Paired T test was used. Results: A significant difference was seen between the mean scores of study population pre and post intervention. The mean scores for diet choices (24.56±3.213 to 26.18±0.739), life style v modification factors (36.13 ± 1.96 to 37.62±2.136) were increased while blood pressure (150.56±2.520 to 134.56±1.947) and HbA1c (222.2±3.95 to 187.58±2.18) had significantly decreased post intervention. Variables significantly associated with diet choices were gender (p value = 0.045), age (p value=0.022), residence (p value=0.030) and education (p value=0.025). While factors associated with life style modification were occupation (p value=0.001) and education level (p value=0.039). Conclusion: It was found that diet choices and increased life style modification improved after intervention. It was also noted that mean values of blood pressure and HbA1c were significantly reduced while diet choices and life style modifications were significantly increased after the intervention. Certain socio demographic factors were found to be associated with diet choices and life style modification of respondents which included gender, age, residence, education and occupation status. Keywords: Counselling, Diabetes, Healthcare, Interview, Motivation, Sialkot.