Cited by 161Diabetes Management and EducationMindfulness and Compassion InterventionsNutrition, Health and Food Behavior

Comparison of a Mindful Eating Intervention to a Diabetes Self-Management Intervention Among Adults With Type 2 Diabetes: A Randomized Controlled Trial

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Miller, Carla K., Kristeller, Jean L., Headings, Amy, Nagaraja, Haikady·2014·Health Education & Behavior

Abstract

Mindful eating may be an effective intervention for increasing awareness of hunger and satiety cues, improving eating regulation and dietary patterns, reducing symptoms of depression and anxiety, and promoting weight loss. Diabetes self-management education (DSME), which addresses knowledge, self-efficacy, and outcome expectations for improving food choices, also may be an effective intervention for diabetes self-care. Yet few studies have compared the impact of mindful eating to a DSME-based treatment approach on patient outcomes. Adults 35 to 65 years old with type 2 diabetes for ≥1 year not requiring insulin therapy were recruited from the community and randomly assigned to treatment group. The impact of a group-based 3-month mindful eating intervention (MB-EAT-D; n = 27) to a group-based 3-month DSME “Smart Choices” (SC) intervention ( n = 25) postintervention and at 3-month follow-up was evaluated. Repeated-measures ANOVA with contrast analysis compared change in outcomes across time. There was no significant difference between groups in weight change. Significant improvement in depressive symptoms, outcome expectations, nutrition and eating-related self-efficacy, and cognitive control and disinhibition of control regarding eating behaviors occurred for both groups (all p < .0125) at 3-month follow-up. The SC group had greater increase in nutrition knowledge and self-efficacy than the MB-EAT-D group (all p < .05) at 3-month follow-up. MB-EAT-D had significant increase in mindfulness, whereas the SC group had significant increase in fruit and vegetable consumption at study end (all p < .0125). Both SC and MB-EAT-D were effective treatments for diabetes self-management. The availability of mindful eating and DSME-based approaches offers patients greater choices in meeting their self-care needs.

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  • Findings on weight loss after mindfulness are mixed, with some studies but not all reporting weight improvements.

    “Findings on weight loss after mindfulness have been mixed, with some31–37 but not all38,39 studies reporting improvements in weight.”
  • The included articles comprised four positive psychology, 18 mindfulness-based, six ACT, four resilience-based, and one each on emotional intelligence and positive self-concept.

    “These consisted of four PP articles [41–44], 18 mindfulness-based articles [45–62], six ACT articles [38, 63–67], four resilience-based articles [68–71], and single studies targeting emotional intelligence [72] and positive self-concept [73]”
  • Of three mindfulness studies examining weight, only one found a significant post-intervention reduction.

    “Of the three studies that examined weight, only one found a significant reduction post-intervention [48].”
  • In mindfulness-based studies, significant improvements occurred in self-efficacy, self-compassion, well-being, mental health-related quality of life, and positive affect.

    “Of the well-being outcomes, significant changes were seen in self-efficacy [48], self-compassion [51], well-being [45, 56], mental health-related quality of life [58], and positive affect [59].”
  • Of 12 mindfulness studies measuring depression, 11 found significant symptom reductions, and 10 of these were controlled.

    “Similarly, of the 12 studies measuring changes in depression, 11 found significant symptom reductions [48–51, 53, 54, 56–58, 60, 62], 10 of which were controlled studies.”

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Authors
Miller, C. K., Kristeller, J. L., Headings, A., & Nagaraja, H.
Affiliations
  • The Ohio State University (US)
  • Indiana State University (US)
Venue
Health Education & Behavior
Published
2013-07-12
Volume
41
Issue
2
Pages
145-154
ISSN
  • 1090-1981 (ISSN-L)
  • 1552-6127
OpenAlex
W2105834280
Cited by
161
References
54
Citations by year
2026: 11 · 2025: 15 · 2024: 15 · 2023: 9 · 2022: 11 · 2021: 17 · 2020: 18 · 2019: 11 · 2018: 10 · 2017: 12 · 2016: 12 · 2015: 18 · 2014: 1
FWCI
8.14
Type
journal article
Language
en
Open access
Locations
  • Health Education & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R21DK084330)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
mindful eating, diabetes self-management education, type 2 diabetes, dietary habits, self-efficacy, nutrition knowledge, outcome expectations, depressive symptoms, cognitive control, disinhibition, fruit and vegetable intake, weight change, mindfulness
MeSH terms
Adult, Aged, Choice Behavior, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Humans, Male, Middle Aged, Self Care, Weight Loss, Self Efficacy, Nutritional Sciences, Mindfulness

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