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
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 ef...
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2020-02-01
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| Series: | BJGP Open |
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| Online Access: | https://bjgpopen.org/content/4/1/bjgpopen20X101012 |
| _version_ | 1818921902462205952 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Morten Charles |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T01:45:01Z |
| format | Article |
| id | doaj.art-7c953adc94d144fdbf17d532af5be8f3 |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-12-20T01:45:01Z |
| publishDate | 2020-02-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-7c953adc94d144fdbf17d532af5be8f32022-12-21T19:57:47ZengRoyal College of General PractitionersBJGP Open2398-37952020-02-014110.3399/bjgpopen20X101012The 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 trialMorten Charles0Niels Henrik Bruun1Rebecca Simmons2Else-Marie Dalsgaard3Daniel Witte4Marit Jorgensen5Bo Christensen6Helle Terkildsen Maindal7Sune Rubak8Annelli Sandbaek9Torsten Lauritzen10Senior Researcher, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkSenior Biostatistician, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkVisiting Senior Researcher, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkPost-doctoral Researcher, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkProfessor, Danish Diabetes Academy, Odense, DenmarkProfessor, Clinical Epidemiology, Steno Diabetes Center Copenhagen, Gentofte, DenmarkProfessor, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkProfessor, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkClinical Associate Professor, Center for Pediatric Pulmonology and Allergology, Department of Child and Youth, University Hospital of Aarhus, Aarhus, DenmarkHead of Unit for Cross-sectoral Collaboration and Integrated Patient Care, Steno Diabetes Center Aarhus, Aarhus, DenmarkProfessor, Department of Public Health, Research Group for General Practice, University of Aarhus, Aarhus, DenmarkBackground: 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.https://bjgpopen.org/content/4/1/bjgpopen20X101012diabetes mellituscardiovascular diseasesgeneral practicemotivational interviewingrandomised control trial |
| spellingShingle | 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 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 BJGP Open diabetes mellitus cardiovascular diseases general practice motivational interviewing randomised control trial |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | diabetes mellitus cardiovascular diseases general practice motivational interviewing randomised control trial |
| url | https://bjgpopen.org/content/4/1/bjgpopen20X101012 |
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