School of Nursing


Doctor of Nursing Practice (DNP)


Debbie Maddox


type 2 diabetes self-efficacy, diabetes self-care, motivational interviewing




When improperly managed, type 2 diabetes mellitus is a serious and chronic health condition with far-reaching repercussions for individuals, families, and societies. In the United States, 34.2 million individuals live with diabetes, and 90%-95% have type 2 diabetes. While the United States healthcare system faces the monumental task of improving diabetic care outcomes and associated costs, publications have established that motivational interviewing (MI) can improve self-efficacy and associated self-care behaviors of type 2 diabetics, resulting in improved hemoglobin A1c values. Thus, this scholarly project’s intent was to track participant hemoglobin A1c values over three months, measure participant self-efficacy and self-care tendencies via validated questionnaires, provide participants with MI, and evaluate participant hemoglobin A1c, self-efficacy, and self-care progress through follow-up appointments three months after the intervention’s introduction. Practice changes included utilizing an evidence-based communication model to improve diabetes care, instead of antiquated physician-centric models. This scholarly project’s measurable outcomes were found to be statistically insignificant. Implications for practice included highlighting the need for personalized care delivery models in diabetes management and providing further insight into the fluidity of self-efficacy in those living with chronic disease such as type 2 diabetes mellitus.

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