Motivational interviewing to improve diabetes outcomes in African Americans adults with diabetes
Abstract
The purpose of this study was to determine the effect of a motivational interviewing intervention (MII) on regimen adherence and diabetes markers among African Americans with diabetes. Sixty-two participants were assigned to the usual care (UC; n = 36) or MII (n = 26) groups. UC participants received the usual clinic care. MII participants received a maximum of six motivational interviewing (MI) sessions over 3 months. Outcome variables were obtained at baseline and 3-month follow-up. Data were obtained using medical records, self-reports, and glucose monitor and accelerometer print-outs. MII significantly increased the odds of participants adhering to recommended physical activity level (66.7% vs. 38.8%, odds ratio = 2.92, 95% confidence interval = [1.6, 14.3], p = .018) and significantly decreased glucose levels (p = .043) and body mass index (p = .046) over time when compared with UC. Findings support using MI as an intervention for improving health outcomes and regimen adherence rates among the study population.
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Most interventions did not produce significant changes in systolic or diastolic values, particularly when baseline blood pressure was already within the normal range.
“Most interventions did not produce significant changes in systolic or diastolic values, particularly when baseline blood pressure was already within the normal range [23,26].”
A small but statistically significant reduction in BMI was reported in the motivational interviewing group compared to usual care.
“A small but statistically significant reduction in BMI was reported in the motivational interviewing group compared to usual care [26].”
The effectiveness of wearable devices appears to depend largely on how they are integrated into the overall intervention, particularly in relation to the level of structure, the consistency and nature of behavioural support, and the presence of clearly defined, measurable objectives.
“Their effectiveness appears to depend largely on how they are integrated into the overall intervention, particularly in relation to the level of structure, the consistency and nature of behavioural support, and the presence of clearly defined, measurable objectives [17,20,21,22,23,26,28].”
In unstructured or passively monitored cases, wearable devices functioned primarily as tools for awareness and data collection, rather than as drivers of behavioural change.
“In such cases, wearable devices functioned primarily as tools for awareness and data collection, rather than as drivers of behavioural change [9,13,23,26,33].”
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“These findings are consistent with previously reported research on the effectiveness of MI in improving diabetes treatment outcomes (Chen et al., 2012; Lundhall et al., 2013; West, DiLillo, Bursac, Gore, & Green, 2007).”
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- Authors
- Chlebowy, D. O., El-Mallakh, P., Myers, J., Kubiak, N., Cloud, R., & Wall, M. P.
- Affiliations
- University of Louisville (US)
- University of Kentucky (US)
- Seton Hall University (US)
- Venue
- Western Journal of Nursing Research
- Publisher
- SAGE Publications
- Published
- 2014-04-14
- Volume
- 37
- Issue
- 5
- Pages
- 566-580
- ISSN
- 0193-9459 (ISSN-L)
- 1552-8456
- OpenAlex
- W1972620925
- Cited by
- 44
- References
- 22
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 5
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Western Journal of Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- motivational interviewing, diabetes mellitus, African Americans, medication adherence, physical activity, blood glucose, body mass index, diabetes self-management, health behavior change
- MeSH terms
- Adult, Black or African American, Diabetes Mellitus, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Body Mass Index, Motivational Interviewing, Patient Outcome Assessment
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