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Miller ST, Akohoue SA. Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women. Patient Relat Outcome Meas. 2017;8:57-61doi: 10.2147/PROM.S125884.
Miller, S. T., & Akohoue, S. A. (2017). Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women. Patient related outcome measures, 857-61. https://doi.org/10.2147/PROM.S125884
Miller, Stephania T, and Akohoue, Sylvie A. "Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women." Patient related outcome measures vol. 8 (2017): 57-61. doi: https://doi.org/10.2147/PROM.S125884
Miller ST, Akohoue SA. Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women. Patient Relat Outcome Meas. 2017 Apr 15;8:57-61. doi: 10.2147/PROM.S125884. eCollection 2017. PMID: 28450793; PMCID: PMC5399984.
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Patient Relat Outcome Meas. 2017 Apr 15;8:57-61. doi: 10.2147/PROM.S125884. eCollection 2017.

Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women.

Patient related outcome measures

Stephania T Miller, Sylvie A Akohoue

Affiliations

  1. Department of Surgery.
  2. Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA.

PMID: 28450793 PMCID: PMC5399984 DOI: 10.2147/PROM.S125884

Abstract

OBJECTIVES: To assess the 2-year efficacy of a combined medical nutrition therapy and motivational interviewing (MI) pilot study intervention and factors that influenced long-term dietary self-care.

RESEARCH DESIGN AND METHODS: Pilot study participants, African American women with type 2 diabetes, completed a 2-year follow-up study visit, including clinical assessments and completion of a dietary self-care questionnaire and a semi-structured interview. Wilcoxon signed-rank tests were used to evaluate differences between baseline and 2-year follow-up clinical and dietary self-care outcomes. Hierarchical coding was used to analyze semi-structured interviews and categorize facilitator and barrier themes into subthemes. Subthemes were quantified based on the number of subtheme-related comments.

RESULTS: Among the 12 participants (mean age 57.1±5.7 years), improvements were observed for HbA1c (baseline: 10.25%; interquartile range [IQR]: 8.10, 11.72 and follow-up: 8.8%; IQR: 7.48,10.22), systolic blood pressure (baseline: 142 mm Hg; IQR: 134.25, 157.25 and follow-up: 127 mm Hg; IQR: 113.5, 143.25), frequency of eating high-fat foods (baseline: 3.5 days; IQR: 2.75, 4.25 and follow-up: 3 days; IQR: 2.5, 4.5), and of spacing carbohydrates throughout the day (baseline: 3 days; IQR: 3.0, 4.0 and follow-up: 4 days; IQR: 1.5, 4.5). There was a statistically significant decrease (

CONCLUSION: Overall, diabetes-related clinical and dietary self-care outcomes were improved following a combined medical nutritional therapy/MI intervention, and motivation played an important role in dietary self-care engagement. Future research is needed to assess the added benefit of MI in improving clinical and dietary self-care outcomes and to identify best strategies to support post-intervention dietary self-care engagement.

Keywords: African American women; dietary self-care; motivation interviewing; type 2 diabetes

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

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