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Motivational Interviewing (MI) can engage people in self\u2010care and modifying it by integrating imagery may further improve its outcomes. No previous studies have trained podiatrists in using MI to address DFD self\u2010care. This was the first study on training podiatrists to conduct imagery\u2010based motivational interviewing (MI) when treating people with DFD, and to examine impacts on MI related skills, job satisfaction and subjective experiences in a mixed\u2010methods pilot study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eleven recruited podiatrists (median age: 35\u2009years, 9 female and 2\u00a0male) received two 4\u2010h training sessions, and three received subsequent mentoring. MI and imagery skills were rated using validated tools during two clinical sessions per participant at baseline, and 2\u2010 and 12\u2010weeks post\u2010training. Job satisfaction was assessed at baseline and 12\u2009weeks. Semi\u2010structured interviews at 12\u2009weeks were analysed using the framework approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant improvements over time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.006\u2013.044) with substantial effect sizes (\u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.50\u2013.67) were found in three of four global MI related communication skills and two of four MI behaviours. However, effects on these indices were not sustained to 12\u2009weeks, and imagery was rarely used. Job satisfaction was high at baseline and unchanged at follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.34, \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.100). In qualitative interviews, MI training and skills were valued, but significant challenges in using MI when treating people with DFD were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Training podiatrists in MI may have potential but more training, observation and mentoring appear needed to obtain sustained communication changes in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13047-021-00451-1","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T02:37:45Z","timestamp":1613011065000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effects of training podiatrists to use imagery\u2010based motivational interviewing when treating people with diabetes\u2010related foot disease: a mixed\u2010methods pilot study"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9661-153X","authenticated-orcid":false,"given":"Tracey","family":"Kaczmarek","sequence":"first","affiliation":[{"name":"Institute of Health &amp; Biomedical Innovation Queensland University of Technology Brisbane Queensland Australia"},{"name":"School of Clinical Sciences Queensland University of Technology The Prince Charles Hospital Rhode Road 4032 Brisbane Queensland Australia"},{"name":"Department of Podiatry Metro North Hospital &amp; Health Service Queensland Health Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaap J.","family":"Van Netten","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences Queensland University of Technology The Prince Charles Hospital Rhode Road 4032 Brisbane Queensland Australia"},{"name":"Amsterdam UMC University of Amsterdam Department of Rehabilitation Amsterdam Movement Sciences Meibergdreef 9 Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A.","family":"Lazzarini","sequence":"additional","affiliation":[{"name":"Institute of Health &amp; Biomedical Innovation Queensland University of Technology Brisbane Queensland Australia"},{"name":"School of Public Health and Social Work Queensland University of Technology Brisbane Australia"},{"name":"Department of Podiatry Metro North Hospital &amp; Health Service Queensland Health Brisbane QLD Australia"},{"name":"Allied Health Research Collaborative Metro North Hospital &amp; Health Service Queensland Health Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Centre for Child Health Research and School of Psychology &amp; Counselling Queensland University of Technology Brisbane QLD Australia"},{"name":"Institute of Health &amp; Biomedical Innovation Queensland University of Technology Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.02.023"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20102\u20103"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13680"},{"key":"e_1_2_13_6_1","doi-asserted-by":"crossref","unstructured":"ZhangY McPhailSM NettenJJv ArmstrongDG PacellaRE LazzariniPA. 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