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

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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. / Charles, Morten; Bruun, Niels Henrik; Simmons, Rebecca; Dalsgaard, Else-Marie; Witte, Daniel; Jorgensen, Marit; Christensen, Bo; Maindal, Helle Terkildsen; Rubak, Sune; Sandbaek, Annelli; Lauritzen, Torsten.

I: British Journal of General Practice Open , Bind 4, Nr. 1, 2020.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{54c492cc17d048b5a765dc9722389428,
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",
abstract = "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.",
author = "Morten Charles and Bruun, {Niels Henrik} and Rebecca Simmons and Else-Marie Dalsgaard and Daniel Witte and Marit Jorgensen and Bo Christensen and Maindal, {Helle Terkildsen} and Sune Rubak and Annelli Sandbaek and Torsten Lauritzen",
note = "Copyright {\textcopyright} 2020, The Authors.",
year = "2020",
doi = "10.3399/bjgpopen20X101012",
language = "English",
volume = "4",
journal = "British Journal of General Practice Open ",
issn = "1849-5435",
publisher = " The Royal College of General Practitioners",
number = "1",

}

RIS

TY - JOUR

T1 - 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

AU - Charles, Morten

AU - Bruun, Niels Henrik

AU - Simmons, Rebecca

AU - Dalsgaard, Else-Marie

AU - Witte, Daniel

AU - Jorgensen, Marit

AU - Christensen, Bo

AU - Maindal, Helle Terkildsen

AU - Rubak, Sune

AU - Sandbaek, Annelli

AU - Lauritzen, Torsten

N1 - Copyright © 2020, The Authors.

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

U2 - 10.3399/bjgpopen20X101012

DO - 10.3399/bjgpopen20X101012

M3 - Journal article

C2 - 32071038

VL - 4

JO - British Journal of General Practice Open

JF - British Journal of General Practice Open

SN - 1849-5435

IS - 1

ER -