title: Motivational interviewing to improve diabetes outcomes in African Americans adults with diabetes.
abstract: The purpose of this study was to determine the effect of a motivational interviewing intervention (MII) on regimen adherence and diabetes markers among African Americans with diabetes. Sixty-two participants were assigned to the usual care (UC; n = 36) or MII (n = 26) groups. UC participants received the usual clinic care. MII participants received a maximum of six motivational interviewing (MI) sessions over 3 months. Outcome variables were obtained at baseline and 3-month follow-up. Data were obtained using medical records, self-reports, and glucose monitor and accelerometer print-outs. MII significantly increased the odds of participants adhering to recommended physical activity level (66.7% vs. 38.8%, odds ratio = 2.92, 95% confidence interval = [1.6, 14.3], p = .018) and significantly decreased glucose levels (p = .043) and body mass index (p = .046) over time when compared with UC. Findings support using MI as an intervention for improving health outcomes and regimen adherence rates among the study population.
authors.affiliation: University of Louisville, KY, USA dochle01@louisville.edu.
authors.forename: Diane Orr
authors.initials: DO
authors.lastname: Chlebowy
authors.affiliation: University of Kentucky, Lexington, USA.
authors.forename: Peggy
authors.initials: P
authors.lastname: El-Mallakh
authors.affiliation: University of Louisville, KY, USA.
authors.forename: John
authors.initials: J
authors.lastname: Myers
authors.affiliation: University of Louisville, KY, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Kubiak
authors.affiliation: University of Louisville, KY, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Cloud
authors.affiliation: Seton Hall University, South Orange, NJ, USA.
authors.forename: Mary Patricia
authors.initials: MP
authors.lastname: Wall
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D015992:Body Mass Index; D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000706:statistics & numerical data*; D063868:Patient Outcome Assessment
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: African American adults; diabetes outcomes; motivational interviewing; type 2 diabetes