Motivational Interviewing to Improve Adherence to a Behavioral Weight-Control Program for Older Obese Women With NIDDM: A pilot study
Abstract
OBJECTIVE: The aim of this randomized pilot study was to examine whether the addition of motivational interviewing strategies to a behavioral obesity intervention enhances adherence and glucose control in older obese women with NIDDM. RESEARCH DESIGN AND METHODS: Twenty-two older obese women (41% black) with NIDDM were randomly assigned to 1) a standard 16-week group behavioral weight-control program that provided instruction in diet, exercise, and behavioral modification or 2) the same group behavioral program with three individualized motivational interviewing sessions added. RESULTS: The motivational group attended significantly more group meetings (13.3 vs. 8.9), completed significantly more food diaries (15.2 vs. 10.1), and recorded blood glucose significantly more often (46.0 vs. 32.2 days) than the standard group. Further, participants in the motivational group had significantly better glucose control post-treatment (9.8 vs. 10.8%). Although both groups demonstrated significant weight loss, no differences were apparent between groups. CONCLUSIONS: These results suggest that augmenting a standard behavioral treatment program for obese women with NIDDM with a motivational interviewing component may significantly enhance adherence to program recommendations and glycemic control. Preliminary data warrant further investigation with larger samples and a longer follow-up.
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MI leads to decreased ambivalence, greater intention to change, and increased feelings of control, all of which are consistently associated with greater physical activity.
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“Ten studies reported on HbA1c levels [19,32–34,36,38–42]; three of these studies [32,36,39] indicated positive effects.”
BackgroundInfluentialEmbracing Street Culture: Fitting Health Care into the Lives of Street Youth
Barry, P. J., Ensign, J., & Lippek, S. (2002) · Journal of Transcultural Nursing · doi:10.1177/104365960201300208 · Cited by 82 · see citing works
“We follow harm reduction and motivational interviewing techniques (Carey, 1996; Grandinetti, 1998; Maher, 1998; Marsh, 1999; Single, 1996; Smith, 1997; Stimson, 1998; Wodack, 1999).”
Ogedegbe, G. G., Schoenthaler, A., Richardson, T., Lewis, L. M., BeLue, R., Espinosa, E., Spencer, J. K., Allegrante, J. P., & Charlson, M. E. (2006) · Contemporary Clinical Trials · doi:10.1016/j.cct.2006.04.002 · Cited by 77 · see citing works
“It is only in the recent past that motivational interviewing is beginning to be utilized in improving treatment adherence and outcomes in other areas of health behavior change like obesity [27], diabetes, HIVrisk factormodification [28–32], dietary adherence [33,34], fruit and vegetable intake [35], mammography screen…”
BackgroundAre biomarkers useful treatment aids for promoting health behavior change? An empirical review.
McClure, J. B. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00425-1 · Cited by 75 · see citing works
Ceriello, A., Barkai, L., Christiansen, J. S., Czupryniak, L., Gomis, R., Harno, K., Kulzer, B., Ludvigsson, J., Némethyová, Z., Owens, D. R., et al. (2012) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2012.07.005 · Cited by 75 · see citing works
Rosenbek Minet, L. K., Wagner, L., Lønvig, E. M., Hjelmborg, J., & Henriksen, J. E. (2011) · Diabetologia · doi:10.1007/s00125-011-2120-x · Cited by 71 · see citing works
“Research has not yet been able to establish full consensus on the effect of MI on clinical [14–19] and psychosocial aspects [15, 18, 20–22] in diabetes.”
Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care
Heinrich, E., Candel, M. J. J. M., Schaper, N. C., & de Vries, N. K. (2010) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2010.09.012 · Cited by 72 · see citing works
“In two studies where MI-sessions given by a MI-trained psychologist were added to a weight loss intervention for female DM2 patients, effects of MI were found on glucose control [39,40], on blood glucose monitoring [39] and on weight [40].”
BackgroundChu, I. J. H., Lim, A. Y., & Ng, C. L. W. (2018) · Obesity Reviews · doi:10.1111/obr.12726 · Cited by 71 · see citing works
“Motivational interviewing (44,45) and technology-based interventions (46,47) such as phone applications are some promising strategies.”
BackgroundCognitive and Behavioral Approaches in the Treatment of Obesity
Dorsten, B. V., & Lindley, E. M. (2011) · Medical Clinics of North America · doi:10.1016/j.mcna.2011.06.008 · Cited by 72 · see citing works
Free will and the obesity epidemic
Levitsky, D. A., & Pacanowski, C. R. (2011) · Public Health Nutrition · doi:10.1017/s1368980011002187 · Cited by 71 · see citing works
- Authors
- Smith, D. E., Heckemeyer, C. M., Kratt, P. P., & Mason, D. A.
- Affiliations
- University of Alabama at Birmingham (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1997-01-01
- Volume
- 20
- Issue
- 1
- Pages
- 52-54
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W1992966219
- Cited by
- 359
- References
- 0
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 10 · 2017: 14 · 2016: 10 · 2015: 19 · 2014: 20 · 2013: 23 · 2012: 24
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- LifeScan
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- motivational interviewing, type 2 diabetes, obesity, older women, medication adherence, glycemic control, blood glucose monitoring, food diary, weight loss, group intervention
- MeSH terms
- Behavior Therapy, Blood Glucose, Diabetes Mellitus, Type 2, Female, Humans, Middle Aged, Motivation, Patient Compliance, Patient Participation, Pilot Projects, Weight Loss
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