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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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Kirk, J. M. W., MacDonald, A., Lavender, P., Dean, J. M., & Rubin, G. (2017) · Biomedicine Hub · doi:10.1159/000480347 · Cited by 3,902
Motivational interviewing: a systematic review and meta-analysis.
Rubak, S., Sandbæk, A., Lauritzen, T., & Christensen, B. (2005) · Europe PMC (PubMed Central) · Cited by 1,841
The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials
Burke, B. L., Arkowitz, H., & Menchola, M. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.5.843 · Cited by 1,575
Supporting Autonomy to Motivate Patients With Diabetes for Glucose Control
Williams, G. C., Freedman, Z. R., & Deci, E. L. (1998) · Diabetes Care · doi:10.2337/diacare.21.10.1644 · Cited by 1,177
A Meta-Analysis of Motivational Interviewing: Twenty-Five Years of Empirical Studies
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010) · Research on Social Work Practice · doi:10.1177/1049731509347850 · Cited by 1,086
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
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