Motivational interviewing fails to improve outcomes of a behavioral weight loss program for obese African American women: a pilot randomized trial
Abstract
Compared to other racial/ethnic groups, African American (AA) women are more likely to be obese but less likely to participate in weight loss interventions or to successfully lose weight. Sustained motivation for weight loss may be especially difficult for AA women due to socioeconomic and cultural factors. The purpose of this study was to examine whether the addition of motivational interviewing (MI) to a culturally-targeted behavioral weight loss program for AA women improved adherence to the program, diet and physical activity behaviors, and weight loss outcomes. Forty-four obese (mean BMI = 39.4, SD = 7.1) AA women were randomized to receive a 16-week behavioral weight loss program plus four MI sessions, or the same behavioral weight loss program plus four health education (HE; attention control) sessions. Results showed that participants in both MI and HE conditions lost a significant amount of weight, reduced their energy intake and percent calories from fat, and increased their fruit and vegetable consumption (ps < .05). However, adherence to the behavioral weight loss program and changes in diet, physical activity, and weight did not differ across MI and HE conditions. Future research is warranted to determine the subpopulations with which MI is most effective.
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MI is not effective for all patients; MI studies have been mixed, with some studies finding no greater effect of MI compared to control conditions.
“Furthermore, MI is not effective for all patients. MI studies have been mixed, with some studies finding no greater effect of MI compared to control conditions [116, 117].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [116]
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- Authors
- Befort, C. A., Nollen, N., Ellerbeck, E. F., Sullivan, D. K., Thomas, J. L., & Ahluwalia, J. S.
- Affiliations
- University of Kansas Medical Center (US)
- University of Minnesota (US)
- Corresponding author
- Befort, Christie A.
- ORCID
- Venue
- Journal of Behavioral Medicine
- Published
- 2008-06-28
- Volume
- 31
- Issue
- 5
- Pages
- 367-377
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1977440878
- Cited by
- 113
- References
- 64
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 7 · 2018: 1 · 2017: 10 · 2016: 11 · 2015: 11 · 2014: 10 · 2013: 11 · 2012: 8
- FWCI
- 22.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- motivational interviewing, obesity, African American women, behavioral weight loss program, culturally targeted interventions, health education, weight loss outcomes, dietary adherence, physical activity, fruit and vegetable intake, energy intake, dietary fat intake
- MeSH terms
- Adult, Behavior Therapy, Black or African American, Counseling, Diet, Reducing, Female, Humans, Life Style, Middle Aged, Motivation, Motor Activity, Obesity, Patient Compliance, Patient Education as Topic, Personal Satisfaction, Pilot Projects, Psychotherapy, Group, Women, Weight Loss, Cognitive Behavioral Therapy, Body Mass Index, Treatment Outcome, Self Efficacy
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