, a bio/informatics shared resource is still "open for business" - Visit the CDS website

Preliminary efficacy of group medical nutrition therapy and motivational interviewing among obese African American women with type 2 diabetes: a pilot study.

Miller ST, Oates VJ, Brooks MA, Shintani A, Gebretsadik T, Jenkins DM
J Obes. 2014 2014: 345941

PMID: 25243082 · PMCID: PMC4163289 · DOI:10.1155/2014/345941

OBJECTIVE - To assess the efficacy and acceptability of a group medical nutritional therapy (MNT) intervention, using motivational interviewing (MI). RESEARCH DESIGN & METHOD: African American (AA) women with type 2 diabetes (T2D) participated in five, certified diabetes educator/dietitian-facilitated intervention sessions targeting carbohydrate, fat, and fruit/vegetable intake and management. Motivation-based activities centered on exploration of dietary ambivalence and the relationships between diet and personal strengths. Repeated pre- and post-intervention, psychosocial, dietary self-care, and clinical outcomes were collected and analyzed using generalized least squares regression. An acceptability assessment was administered after intervention.

RESULTS - Participants (n = 24) were mostly of middle age (mean age 50.8 ± 6.3) with an average BMI of 39 ± 6.5. Compared to a gradual pre-intervention loss of HbA1c control and confidence in choosing restaurant foods, a significant post-intervention improvement in HbA1c (P = 0.03) and a near significant (P = 0.06) increase in confidence in choosing restaurant foods were observed with both returning to pre-intervention levels. 100% reported that they would recommend the study to other AA women with type 2 diabetes.

CONCLUSION - The results support the potential efficacy of a group MNT/MI intervention in improving glycemic control and dietary self-care-related confidence in overweight/obese AA women with type 2 diabetes.

MeSH Terms (21)

African Americans Behavior Therapy Blood Glucose Choice Behavior Diabetes Mellitus, Type 2 Diet, Reducing Female Glycated Hemoglobin A Humans Middle Aged Motivational Interviewing Nutrition Therapy Obesity Patient Compliance Patient Education as Topic Personal Satisfaction Pilot Projects Self Efficacy Treatment Outcome United States Weight Loss

Connections (1)

This publication is referenced by other Labnodes entities: