Following the principles of MI, the interventionist introduced the concept of personal risk
for diabetes-related complications. A personal feedback report was created for each patient
that contained critical data gathered at baseline (e.g., current diabetes self-care behaviors,
diabetes-related symptoms, weight, and HbA1c). The interventionist reviewed this report
during the intervention, highlighting the patient’s risk factors for diabetes-related complications.
This critical, personal feedback, delivered in the context of a supportive relationship
and positioned in the context of strategies to support adherence to diabetes self-care recommendations,
was intended to enhance the patient’s motivation to change.