Review Article

The Effects of Self-Efficacy and Physical Activity Improving Methods on the Quality of Life in Patients with Diabetes: A Systematic Review

Table 1

Characteristics of studies using motivational interviewing in both patients and nurses.

Author, referenceStudy design/subjectsInterventionInstruments/measurementsOutcomes/findingQuality rating

Swoboda et al. [14]Randomized pretest-posttest controlled study; adults with ype 2 diabetes ()One in-person motivational interviewing and decision support session followed by 7 biweekly telephone coaching calls (16 weeks)The 8-item diabetes self-efficacy scale measures at baseline and upon completion of the 16-week intervention↑ In diet quality, diabetes self-efficacy, and diabetes empowerment, and a ↓ in diabetes distress and depressive symptomsWeak
Galle et al. [16]Pilot quasiexperiment; 81 overweight type 2 diabetic patientsNine-month multidisciplinary community-based educational (motivational, nutritional, and exercise) programSatisfaction, worry, and embarrassment regarding their condition, together with disease-related behaviors and propensity towards physical activity↑ Self-management and patient glycemic control, especially women and individuals with a higher educational levelModerate
Soderlund et al. [17]Latinas () at risk/diagnosed with type 2 diabetes mellitusTwo one-to-one MI and PA sessions were conducted over 2 monthsPA, PA stage of change↑ Adherence to PA in type 2 diabetic womenWeak
Pinidiyapathirage et al. [18]Quasiexperiment; women with gestational diabetes mellitus ()Participate in a survey 6–36 months postdeliveryPostal and telephone surveys that collected socio-cognitive and physical activity dataIdentified predictors of physical activity among women with previous GDMModerate
Locke et al. [15]Pilot study, type 2 diabetes (T2D) randomized to HIIT () or MICT ()Two-week 10 exercise sessions accompanied by a brief 10-minute counselling interventionSelf-efficacy and moderate to vigorous physical activity (MVPA) were measured at baseline. Postintervention and 24 weeks following a brief counselling intervention combined with either HIIT or MICTBoth groups increased in their self-regulatory and task self-efficacy postintervention, but both groups demonstrated similar decline at 24 weeksWeak
Gillison et al. [19]Pilot quasicontrol trial study; people at high risk of diabetes or heart disease ()Eight-month group-based sessions designed to promote motivation, social support, self-regulation, and understanding of the behavior change processBehavioral and physical activity changes were assessed by questionnaire at baseline, 4 and 12 months↑ Self-efficacy and motivational factors related to dietary behaviors, it did not change the physical activityWeak
Heinrich et al. [20]Randomized controlled study; thirty-three nurses and 584 patients participatedNurses training for motivational interviewing (MI) of diabetic patients aimed to develop behavioralSelf-administered, written questionnaire with mainly validated scales on self-management behaviors at baseline, after 12 months and after 24 monthsMI had no significant effect on lifestyle behavior such as healthy diet, physical activity, and self-efficacy in patientsModerate