Motivational interviewing by podiatric physicians: A method for improving patient self-care of the diabetic foot

Robert A. Gabbay, Shailja Kaul, Jan Ulbrecht, Neil M. Scheffler, David G. Armstrong

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Foot ulceration and lower-extremity amputation are devastating end-stage complications of diabetes. Despite agreement that diabetic foot self-care is a key factor in prevention of ulcers and amputation, there has only been limited success in influencing these behaviors among patients with diabetes. While most efforts have focused on increasing patient knowledge, knowledge and behavior are poorly correlated. Knowledge is necessary but rarely sufficient for behavior change. A key determinant to adherence to self-care behavior is clinician counseling style. Podiatrists are the ideal providers to engage in a brief behavioral intervention with a patient. Motivational interviewing is a well-accepted, evidence-based teachable approach that enhances self-efficacy and increases intrinsic motivation for change and adherence to treatment. This article summarizes some key strategies that can be employed by podiatrists to improve foot self-care.

Original languageEnglish (US)
Pages (from-to)78-84
Number of pages7
JournalJournal of the American Podiatric Medical Association
Volume101
Issue number1
DOIs
StatePublished - 2011

ASJC Scopus subject areas

  • Podiatry
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Motivational interviewing by podiatric physicians: A method for improving patient self-care of the diabetic foot'. Together they form a unique fingerprint.

Cite this