The Effectiveness of a Motivational Interview Based Discharge Planning for Patients with Diabetic Foot Ulcers: Randomized Control Trial

  • Chin, Yen-Fan (PI)
  • Hsu, Brend Ray-Sea (CoPI)
  • Huang, Tzu-Ting (CoPI)
  • Yeh, Jiun Ting (CoPI)

Project: National Science and Technology CouncilNational Science and Technology Council Academic Grants

Project Details


Diabetic foot ulcer is the major preceding factor of lower limb amputation, and its recurrence is common, especially among patients who need to be hospitalized for treatment. Since the outcome of diabetic foot ulcers can be improved by appropriate diabetes self-management of patients, it is important that healthcare personnel promote the diabetic foot ulcers self-management behaviors of patients. Though previous studies revealed that the post-discharge diabetic foot ulcers self-management behaviors of patients needed to be improved, to our knowledge, there was no discharge planning for patients with diabetic foot ulcers. Motivational interviewing can motivate patients to establish their healthy behaviors and appropriate diabetes self-management behaviors, thus improve their glycemic control. But the effectiveness of motivational interviewing on the prevention and treatment of diabetic foot ulcers has not been evaluated. Therefore, the purpose of this study is to evaluate the effectiveness of a discharge planning using the strategy of motivational interviewing among patients with diabetic foot ulcers.The innovation of this two-year study are as follows:our intervention is (1) providing comprehensive patient education regarding the prevention and treatment of diabetic foot ulcers;(2)the first discharge planning for diabetic foot ulcer patients using the motivational interviewing strategy in the world.A randomized controlled trial design will be used. One hundred and thirty-two patients hospitalized for diabetic foot ulcers will be recruited. They will be randomly assigned to either the experimental or the comparison group in the first year, and then they will be followed by one year. The control group will receive routine care; the experimental group will receive a discharge planning before their discharge, and will be continued after their discharge. The generalized estimating equation (GEE) will be used to evaluate the effect of the intervention on the diabetic foot ulcer self-care behaviors and self-efficacy, foot skin conditions, and the effect on glycated hemoglobin value reduction. The log-rank test will be used to compare the infection rate of foot, and the readmission rate between two groups.

Project IDs

Project ID:PC10907-0893
External Project ID:MOST109-2314-B182-053
Effective start/end date01/08/2031/07/21


  • foot ulcer
  • diabetes mellitus
  • motivational interviewing
  • discharge planning


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