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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

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