The Impact of Motivational Interviewing Guided by Watson’s Theory of Human Caring on Adherence, Self-Efficacy, and Satisfaction in Patients with Diabetic Foot Ulcers: A Randomized Controlled Trial Protocol.

Background: Diabetic foot ulcers (DFUs) are serious complications that diminish quality of life and increase healthcare costs. Effective management requires holistic, evidence-based approaches. Watson’s Theory of Human Caring (THC) and motivational interviewing (MI) address both the physical and psy...

Full description

Bibliographic Details
Published in:Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi Vol. 23; no. 2; pp. 123 - 128
Main Authors: Efetürk, Nida, Çevirme, Ayşe
Format: research tables/charts randomized controlled trial Journal Article
Published: Hemsirelikte Egitim ve Arastirma Dergisi Jun2026
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194016862&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 194016862
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13050397
        EUDO
      jtl: Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi
      issn: 13050397
      maglogo: N
    pubinfo:
      dt: Jun2026
      vid: 23
      iid: 2
      pid: 13719
      pub: Hemsirelikte Egitim ve Arastirma Dergisi
    artinfo:
      ui:
        194016862
        194016862
        194016862
        10.14744/jern.2026.34448
        194016862
      ppf: 123
      ppct: 5
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: The Impact of Motivational Interviewing Guided by Watson’s Theory of Human Caring on Adherence, Self-Efficacy, and Satisfaction in Patients with Diabetic Foot Ulcers: A Randomized Controlled Trial Protocol.
      aug:
        au:
          Efetürk, Nida
          Çevirme, Ayşe
        affil: Kocaeli Health and Technology University, Faculty of Health Sciences, Kocaeli, Türkiye.
      sug:
        subj:
          Diabetic Foot Therapy
          Motivational Interviewing
          Watson's Theory of Caring
          Treatment Outcomes Evaluation
          Medication Compliance Evaluation
          Self-Efficacy Evaluation
          Patient Satisfaction Evaluation
          Human
          Randomized Controlled Trials
          Random Assignment
          Single-Blind Studies
          Diabetic Foot Prevention and Control
          Glycated Hemoglobin Blood
          Descriptive Statistics
          Data Analysis Software
          Paired T-Tests
          Repeated Measures
          Analysis of Variance
          Post Hoc Analysis
          Mann-Whitney U Test
          Wilcoxon Signed Rank Test
          Chi Square Test
          Scales
      ab: Background: Diabetic foot ulcers (DFUs) are serious complications that diminish quality of life and increase healthcare costs. Effective management requires holistic, evidence-based approaches. Watson’s Theory of Human Caring (THC) and motivational interviewing (MI) address both the physical and psychological dimensions of care. Aim: This study examines the effects of motivational interviewing, guided by Watson’s Theory of Human Caring, on treatment adherence, self-efficacy, and patient satisfaction among individuals with diabetic foot ulcers. Methods: This single-blind randomized controlled trial included 76 participants with Wagner grade 1 DFUs. Participants were randomly assigned to either an experimental group receiving an eight-week motivational interviewing intervention based on Watson’s THC or a control group receiving standard care. Data was collected at weeks 1, 8, and 12 using validated instruments: the Diabetic Foot Care Self-Efficacy Scale, the Medication Adherence Reporting Scale, and the Watson Caritas Patient Score. Data was analyzed using independent-samples t-tests, repeated-measures analyses, and chi-square tests. Results: This study is expected to provide preliminary evidence regarding the effectiveness of motivational interviewing guided by Watson’s Theory of Human Caring in individuals with diabetic foot ulcers. It is anticipated that participants in the intervention group may demonstrate improvements in treatment adherence, diabetic foot care self-efficacy, and patient satisfaction compared with those receiving standard care. Potential improvements in secondary clinical outcomes, including wound size and HbA1c levels, are also expected to be explored. Conclusion: The study is expected to provide evidence supporting the integration of motivational interviewing and Watson’s THC in DFU management. The findings may inform future research and clinical practice, supporting the delivery of more holistic care and improved outcomes for patients with DFUs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N