Mechanism of Changes within Motivational Interviewing in Relation to Dietary Behavior Outcome of Diabetics Patients in Thailand
Issued Date
2022-07-01
Resource Type
ISSN
01252208
Scopus ID
2-s2.0-85135235420
Journal Title
Journal of the Medical Association of Thailand
Volume
105
Issue
7
Start Page
623
End Page
630
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand Vol.105 No.7 (2022) , 623-630
Suggested Citation
Yoadsomsuay P., Phukao D., Pangma A. Mechanism of Changes within Motivational Interviewing in Relation to Dietary Behavior Outcome of Diabetics Patients in Thailand. Journal of the Medical Association of Thailand Vol.105 No.7 (2022) , 623-630. 630. doi:10.35755/jmedassocthai.2022.07.13346 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/85741
Title
Mechanism of Changes within Motivational Interviewing in Relation to Dietary Behavior Outcome of Diabetics Patients in Thailand
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Background: For diabetics, healthy eating or dietary management is essential. Motivational interviewing (MI) is found to be effective for facilitating Thai clients with diabetics to change their dietary behavior. At present, little is known about what therapeutic processes and mechanisms improvements occur within MI. Objective: To explain the mechanism within MI in relation to dietary behavior outcome. Materials and Methods: The present study was a qualitative study that explored mechanism of change within the MI program conducted in diabetic clients and use the self-determination theory (SDT) as a lens to explore the mechanism of change within MI. A qualitative approach was adopted in the present study. Results: The mechanisms that influenced the change in dietary control of the diabetic clients were the patient perception of competence, a sense of autonomy, and therapist-patient relationship. These three kinds of perceptions are found to be related to therapist's skills and techniques used in the MI program. Conclusion: The present study result reveals the most promising mechanisms of MI is the patient perception of competence, sense of autonomy, and therapist-patient relationship. There is a need to ensure that a relational ingredient of MI focused on empathy and the interpersonal spirit of MI will be employed by MI counselor consistently. MI self-supervision tool might be a good option to assist MI counselors adhere to MI spirit.