Motivational Interviewing Improves Weight Loss in Women With Type 2 Diabetes

作者: D. S. West , V. DiLillo , Z. Bursac , S. A. Gore , P. G. Greene

DOI: 10.2337/DC06-1966

关键词:

摘要: OBJECTIVE —We sought to determine whether adding motivational interviewing a behavioral weight control program improves loss outcomes and glycemic for overweight women with type 2 diabetes. RESEARCH DESIGN AND METHODS conducted randomized, controlled, clinical trial in which participants all received an 18-month, group-based obesity treatment were randomized individual sessions of or attention (total five sessions) as adjunct the program. Overweight diabetes treated by oral medications who could walk exercise eligible. Primary A1C, assessed at 0, 6, 12, 18 months. RESULTS —A total 217 (38% African American) (93% retention rate). Women lost significantly more 6 months ( P = 0.01) 0.04). Increased losses mediated enhanced adherence African-American less than white overall appeared have diminished benefit from addition interviewing. Significantly greater A1C reductions observed those undergoing 0.02) but not CONCLUSIONS —Motivational can be beneficial diabetes, although benefits may sustained among women.

参考文章(40)
William R. Miller, Stephen Rollnick, Motivational interviewing: preparing people for change. Guilford Press. ,(2002)
V.J. Stevens, K.J. Streit, N.H. Stevens, J. Rossner, Food records: a predictor and modifier of weight change in a long-term weight loss program. Journal of The American Dietetic Association. ,vol. 91, pp. 213- 216 ,(1991)
Kolawole S. Okuyemi, Aimee S. James, Matthew S. Mayo, Nicole Nollen, Delwyn Catley, Won S. Choi, Jasjit S. Ahluwalia, Pathways to Health: A Cluster Randomized Trial of Nicotine Gum and Motivational Interviewing for Smoking Cessation in Low-Income Housing Health Education & Behavior. ,vol. 34, pp. 43- 54 ,(2007) , 10.1177/1090198106288046
Reuben M. Baron, David A. Kenny, The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. ,vol. 51, pp. 1173- 1182 ,(1986) , 10.1037/0022-3514.51.6.1173
J. Woollard, L. Beilin, T. Lord, I. Puddey, D. MacAdam, I. Rouse, A CONTROLLED TRIAL OF NURSE COUNSELLING ON LIFESTYLE CHANGE FOR HYPERTENSIVES TREATED IN GENERAL PRACTICE: PRELIMINARY RESULTS Clinical and Experimental Pharmacology and Physiology. ,vol. 22, pp. 466- 468 ,(1995) , 10.1111/J.1440-1681.1995.TB02046.X
J. Scott Tonigan, Project Match Treatment Participation and Outcome by Self-Reported Ethnicity Alcoholism: Clinical & Experimental Research. ,vol. 27, pp. 1340- 1344 ,(2003) , 10.1097/01.ALC.0000080673.83739.F3