Motivational interviewing to improve adherence to a behavioral weight-control program for older obese women with NIDDM - A pilot study
Motivational interviewing to improve adherence to a behavioral weight-control program for older obese women with NIDDM - A pilot study
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DOI：
10.2337/diacare.20.1.52
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发表时间：
1997-01-01
期刊：
影响因子：
16.2
通讯作者：
Mason, DA
中科院分区：
文献类型：
--
作者：
Smith, DE;Heckemeyer, CM;Mason, DA
目的 - 这项随机试点研究的目的是检验在行为肥胖干预中添加动机性访谈策略是否可以增强患有 NIDDM 的老年肥胖女性的依从性和血糖控制。 研究设计和方法 - 22 名患有 NIDDM 的老年肥胖女性（41% 黑人）被随机分配到 1）一个标准的 16 周团体行为体重控制计划，该计划提供饮食、运动和行为矫正方面的指导，或 2）同一组行为计划增加了三个个性化的动机访谈会议。 结果 - 动机组比标准组参加的小组会议明显更多（13.3 天 vs. 8.9 天），完成的频率也明显更高（46.0 天 vs. 32.2 天）。此外，激励组的参与者在治疗后的血糖控制明显更好（9.8% vs. 10.8%）。虽然两组均表现出显着的体重减轻，但组间没有明显差异。 结论 - 这些结果表明，通过动机访谈成分增强肥胖 NIDDM 女性的标准行为治疗计划可能会显着提高对计划建议和血糖控制的依从性。初步数据值得进一步研究更大的样本和更长的随访时间。
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 behavior 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 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.