Cited by 361Diabetes Management and EducationBehavioral Health and InterventionsObesity and Health Practices

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Motivational Interviewing to Improve Adherence to a Behavioral Weight-Control Program for Older Obese Women With NIDDM: A pilot study

Smith, Delia E, Heckemeyer, Christine M, Kratt, Polly P, Mason, Dehryl A·1997·Diabetes Care

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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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BackgroundInfluential
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BackgroundMethodResultInfluential
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“[13-15] CHWs use motivational interviewing techniques, a client-centered style of counseling that helps individuals explore and resolve their ambivalence about making behavioral changes, while the provider focuses on increasing readiness to change.[16, 17] The CHWs mobilize social support for participants, as social s…”
Method
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“A growing literature supports the efficacy of brief interventions in facilitating behavior change in smoking cessation (Bruvold, 1993), cardiovascular risk-reduction (Scales, 1998), weight loss and diabetes management (Mullen, Mains, & Velez, 1992; Smith, Heckemeyer, Kratt, & Mason, 1997 ), adherence to mental health…”
Background

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
DOI: 10.2337/diacare.20.1.52
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 › Medicine › Public Health, Environmental and Occupational Health › 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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Motivational Interviewing to Improve Adherence to a Behavioral Weight-Control Program for Older Obese Women With NIDDM: A pilot study

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