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Motivation communication training programme for healthcare professionals to support adherence in patients with diabetic foot ulcers: proof of concept study

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posted on 2024-02-19, 12:16 authored by Jennie HancoxJennie Hancox, Wendy Chaplin, Charlotte Hilton, Noemi Vadaszy, Katie Gray, Fran Game, Kavita Vedhara

Patients with diabetic foot ulcers have poor adherence to treatment recommendations. However, the most effective way to support adherence in this population is unknown. This study aimed to assess the preliminary effectiveness of a motivation communication training programme for healthcare professionals working with these patients, using theory and evidence-based strategies. A proof-of-concept study using a non-randomised, controlled before-and-after design. Six podiatrists took part in the motivation communication training programme. Pre-training, observation was undertaken to examine the communication style currently used by podiatrists in routine consultations. Patients’ (n=25) perceptions of podiatrist autonomy support, self-determination for limiting weight-bearing activity and average daily step count were also assessed. Post training, observations and patient measures were repeated with a different group of patients (n=24). Observations indicated that podiatrists exhibited a more need-supportive communication style (e.g., taking time to understand patients’ perspectives) after undergoing the training programme. Patients in the post-training group reported higher levels of autonomy support, while self-determination to limit weight-bearing activity remained unchanged. Although the post-training group had a lower average daily step count, the difference was not statistically significant. This is the first study to investigate implementation of motivation communication strategies in routine consultations with patients with diabetic foot ulcers. Results suggest that training can enhance healthcare professionals’ motivation communication skills with potential for addressing adherence issues, however, a larger cluster randomised controlled trial is necessary to confirm this.

Funding

National Institute for Health Research (NIHR) School for Primary Care Research (https://www.spcr.nihr.ac.uk/), project reference 399

History

School

  • Sport, Exercise and Health Sciences

Published in

PLoS One

Volume

19

Issue

2

Publisher

Public Library of Science (PLoS)

Version

  • VoR (Version of Record)

Rights holder

© Hancox et al.

Publisher statement

This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Acceptance date

2023-11-16

Publication date

2024-02-08

Copyright date

2024

eISSN

1932-6203

Language

  • en

Depositor

Dr Jennie Hancox. Deposit date: 6 February 2024

Article number

e0295180

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