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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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“Furthermore, MI itself leads to decreased ambivalence, greater intention to change, and increased feelings of control (pathway C1) [113, 133–137], all of which are consistently associated with greater physical activity (pathway C2) [138–140].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [136]
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Frey, A. J., Lee, J., Small, J. W., et al. (2013) · Journal of Applied School Psychology · doi:10.1080/15377903.2013.778774 · Cited by 16
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BackgroundResultA parent motivational interviewing program for dental care in children of a rural population
Gonzalez-Del-Castillo-McGrath, M., Guizar-Mendoza, J., Orozco, C. M., Flores, L. A., & Amador‐Licona, N. (2014) · Journal of Clinical and Experimental Dentistry · doi:10.4317/jced.51662 · Cited by 19
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Bisonó, A. M., Manuel, J. K., & Forcehimes, A. A. (2006) · Sage eBooks · doi:10.4135/9781452225975.n5 · Cited by 15
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MethodMotivating the Unmotivated: A Treatment Model for Barebackers
Parsons, J. T. (2005) · Journal of Gay & Lesbian Psychotherapy · doi:10.1300/j236v09n03_08 · Cited by 15
“A recent study integrated MI techniques into a behavioral weight-control program (Smith et al., 1997).”
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“interviewing techniques [57-59], and targeting weight loss expectations[39].”
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“7,8 This approach is especially useful with ambivalent or resistant patients because it focuses on patients’ own life circumstances, interests, and values to create the conditions for meaningful change.”
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“Originally described by Miller and Rollnick (1991), the motivational interviewing style has recently been studied across a range of health and social service settings, including addictions (Marlatt, 1998), dual diagnosis (Martino, Carroll, & O’Malley, 2000; Daley & Zuckoff, 1998; Sciacca, 1997), HIV prevention (Rutled…”
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BackgroundWorking Within Boundaries: A Patient-Centered Approach to Lifestyle Change
Whittemore, R., Sullivan, A., & Bak, P. S. (2003) · The Science of Diabetes Self-Management and Care · doi:10.1177/014572170302900109 · Cited by 7
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“, 2014), and MI has been integrated well with other treatments (Ismail et al., 2010; Smith et al., 1997).”
BackgroundMethodMotivational interviewing to improve blood-glucose control in childhood diabetes
Gregory, J. W., & Channon, S. (2009) · Paediatrics and Child Health · doi:10.1016/j.paed.2009.03.013 · Cited by 7
Sekiguchi, A., Sugiura, M., Yokoyama, S., Sassa, Y., Horie, K., Sato, S., & Kawashima, R. (2013) · BMC Neuroscience · doi:10.1186/1471-2202-14-29 · Cited by 7
“This technique has been used alter smoking behavior [9], alcohol consumption [10], and drug addiction [8], as well as to promote diet/exercise therapy for patients with obesity [11] and/or diabetes [12].”
MethodChapter 10. Chronic Physical Illness
Szigethy, E., Thompson, R. D., Turner, S., Delaney, P., Beardslee, W. R., & Weisz, J. D. (2012) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615370955.es10 · Cited by 6
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“However, studies on the effectiveness of MI have not been able to offer unanimous conclusions on clinical [17-23] and psychosocial attributes [18,21,24-27] in patients with diabetes.”
Effect of Motivational Interviewing on Adherence to Treatment in Patients with Hypertension
Mirkarimi, K., Honarvar, M. R., Ariaie, M., Bordi, R., & Kamran, A. (2015) · Quarterly of Horizon of Medical Sciences · doi:10.18869/acadpub.hms.21.3.213 · Cited by 6
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“found to be beneficial in preliminary studies of weight loss in women.(10,11) Motivational interviewing is a specific approach to aid individuals in the recognition, acknowledgment, and change of existing or potential problems in their lives.”
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Metadata
- 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 › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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