Motivational Interviewing Improves Weight Loss in Women With Type 2 Diabetes

West, Delia Smith; DiLillo, Vicki; Bursac, Zoran; Gore, Stacy A.; Greene, Paul G.

doi:10.2337/dc06-1966

Cited by 341 publications

(315 citation statements)

References 44 publications

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“…34 MI has been shown to improve patients' general health status or well-being, promote physical activity, help develop healthier nutritional habits, and manage chronic conditions such as mental illness, hypertension, hypercholesterolemia, obesity, and diabetes. [37][38][39][40][41] Randomized controlled trials have shown that brief MI training for clinicians is effective for improving patient medication adherence, especially if there is follow-up contact after an initial training, 42,43 and even at low doses (i.e., two or three sessions). MI is effective as a pretreatment adjunct and as an approach for less motivated or prepared patients, and may be applied for a wide range of medications across diverse populations.…”

Section: Motivational Interviewing and Counselingmentioning

confidence: 99%

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

et al. 2016

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Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decisionmaking for clinicians interested in providing patientcentered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of nonadherence to medications for chronic conditions. A dherence to medications is often suboptimal-up to 50 % of patients do not take their prescribed medication as recommended. 1-4 Medication non-adherence is associated with adverse health outcomes as well as negative social and economic consequences. [5][6][7] The problem of medication nonadherence is often multifaceted and multifactorial; in general, most conceptual models of medication non-adherence take an ecological perspective, and include patient factors (e.g., literacy, cognitive function), provider factors (e.g., complex regimens), social/community factors (e.g., access to providers and pharmacy), health care factors (e.g., interaction with healthcare system, trust, prior authorization, fragmentation), and policy implications (e.g., coverage of medication). 8-10 Thus, to be effective, interventions designed to improve appropriate medication use must adopt a comprehensive approach, often combining numerous proven strategies. Several evidence reviews have identified interventions with modest effects in promoting both overall and condition-specific medication adherence. [11][12][13][14][15][16] Given the complex, multifactorial cause of medication non-adherence, interventions can be similarly multifactorial and multi-level. In this paper we focus on the physician-patient level to furnish providers with a guide to applying adherence research in the clinical encounter.Evidence increasingly demonstrates that adopting a personcentered approach for medication use that incorporates patient beliefs, preferences, goals, and barriers to medication-taking (e.g., cost, technological ability, concerns about medication prescribing and use) leads to better clinical outcomes. 17,18 Clinicians are in a key position to elicit this information from patients and to incorporate it into medication-related decisions, thereby improving medication adherence rates. Person-centered care focuses on providing patients with greater choice, recognizing their roles as consumers of health care who know best their own beliefs and preferences. This care is meant to encourage value concordance-in this case, the match between the treatment that is selected and the treatment that i...

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Section: Motivational Interviewing and Counselingmentioning

confidence: 99%

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

et al. 2016

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“…However, subjects in the control condition also lost weight that it is not surprising because they were also provided by standard nutritional education. In the study by West et al, subjects in both control and MI groups lost weight significantly, while females in MI group had lost notably more weight than the control subjects and MI had resulted in more stable outcomes compared to the standard program (39). In the study by Saffari et al, using MI technique, presented more efficacy in MI group than the control on reduction of BMI, weight, total fat and increased consumption of fruits and vegetables (40).…”

Section: Effectiveness Of MI Compared To That Of Standard Education Imentioning

confidence: 95%

The Effect of Weight Loss Program on Overweight and Obese Females Based on Protection Motivation Theory: A Randomized Control Trial

Mostafavi

Ozouni-Davaji

Eshghinia

et al. 2016

Iran Red Crescent Med J

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“…Eighteen studies met the inclusion criteria out of thirty-five potential studies (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) . Seven of the studies recruited healthy obese participants, ten enrolled only participants with diabetes (18,19,21,23,26,30,31,(33)(34)(35) and one study recruited participants with hypertension (32) . Intervention duration ranged from 3?5 to 12 months (median of 6 months).…”

Section: Findings and Description Of Studiesmentioning

confidence: 99%

“…Incomplete outcome data were addressed in ten of eighteen trials. Six studies recruited only women participants (22,24,(26)(27)(28)(29) and the rest were of mixed gender. Most of the studies were clinic-or community-based, and only three were church-based (22)(23)(24) .…”

Section: Findings and Description Of Studiesmentioning

confidence: 99%

Dietary interventions for weight loss and cardiovascular risk reduction in people of African ancestry (blacks): a systematic review

Osei-Assibey

Boachie

2011

Public Health Nutr.

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Objective: To systematically review weight and cardiovascular risk reduction in blacks by diet and lifestyle changes. Design: Randomised and non-randomised controlled trials of diet with/without lifestyle changes with duration of intervention $3 months, and published between January 1990 and December 2009, were searched in electronic databases including MEDLINE, EMBASE, CINAHL and CCTR (Cochrane Controlled Trials Register). Studies were included if they reported weight/BMI changes with changes in at least one of the following: systolic and diastolic blood pressure, fasting plasma lipids and glucose, and glycated haemoglobin. Setting: Clinical, community and church-based interventions. Subjects: Study participants were of African ancestry (blacks).Results: Eighteen studies met the inclusion criteria. Average mean difference in weight loss was 22?66 kg, with improvements in all outcomes except total cholesterol. No significant difference was observed in outcome measures between all studies and studies that recruited only healthy participants or patients with type 2 diabetes. Conclusions: Diet and lifestyle changes result in weight loss with improvements in cardiovascular risk factors in blacks. However, more culturally tailored programmes have been suggested to motivate and encourage blacks to participate in intervention trials. Keywords Weight loss Cardiovascular risk reduction BlacksObesity poses a major public health problem worldwide, driving an epidemic of associated complications such as type 2 diabetes mellitus and CVD (1) . People of sub-Saharan African ancestry (blacks) in Western countries exhibit higher prevalences of obesity and obesity-related cardiovascular disease risk factors than people of European ancestry (whites). Surveys in the USA have indicated that the prevalence of obesity is 32?2 % in the general population, 30?6 % in whites and 45?0 % in blacks. Among men, the prevalence is similar in whites (31?1 %) and blacks (34?0 %). However, black women are more likely to be obese (53?9 %) than white women (30?2 %) (2) . In addition to higher obesity rates, blacks have higher prevalences of CVD risk factors, including higher prevalences of diabetes, hypertension and stroke (3)(4)(5)(6) , and higher mortality rates from CVD (7) compared with whites.

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Motivational Interviewing Improves Weight Loss in Women With Type 2 Diabetes

Cited by 341 publications

References 44 publications

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

The Effect of Weight Loss Program on Overweight and Obese Females Based on Protection Motivation Theory: A Randomized Control Trial

Dietary interventions for weight loss and cardiovascular risk reduction in people of African ancestry (blacks): a systematic review

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