Motivational Interviewing to Improve Adherence to a Behavioral Weight-Control Program for Older Obese Women With NIDDM: A pilot study

Abstract

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.

The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

“…As regards dropout rate, evidence (Goldberg & Kiernan, 2005;Smith et al, 1997; as well as theoretical articles (DiLillo et al, 2003) suggest that MI might have its greatest impact in the area of treatment retention. The dropout rate was larger in the GSH group (42.1%) than in GSH/MI (25%); however, this difference did not reach statistical significance in a logistic regression, perhaps due to the small sample size and small number of dropouts (5 in GSH/MI, 8 in GSH).…”

“…In both trials (Smith et al, 1997;, women receiving MI reported greater treatment adherence (e.g., session attendance, number food diaries submitted) than did women receiving no treatment or a health education control. In addition, in the larger trial, MI participants lost significantly more weight at 6, 12, and 18 months than did women in the control.…”

“…Because there was a relatively small number of sessions in the current study, it was considered appropriate to include only one midtreatment MI session. The MI intervention was based on the models of Goldberg and Kiernan (2005) and West and colleagues (Smith et al, 1997;, and is consistent with the principles highlighted in Miller and Rollnick's (2002) As in the traditional GSH intervention, the first motivational session began with a description of the LEARN manual and how treatment would progress. Therapists next engaged participants in a discussion of their past attempts at weight loss, prompting participants to focus on how the current attempt might differ from those past attempts.…”

“…West and colleagues have designed two studies to evaluate the addition of MI to BWL groups for diabetic women: a smaller pilot study with 22 participants (Smith, Heckemeyer, Kratt, & Mason, 1997), and a larger trial with 217 participants (West, DiLillo, Bursac, Gore, & Greene, 2007). In the pilot study, participants received either 16 weeks of group BWL alone or 16 weeks of group treatment plus three sessions of MI with a psychologist.…”

Diabetes and behavioral medicine: The second decade.

“…Programs integrating behavioral and pharmacological interventions may also be useful, although there is a need for much more research in this area (Hollander et al, 1998) and into the critical role of exercise in maintenance of weight loss. There is continued interest in interventions that incorporate additional psychological strategies into behavioral programs; for example, studies have investigated a technique called motivational interviewing, which includes multiple sessions to set personal goals and problem solve (Smith, Heckemeyer, Kratt, & Mason, 1997). However, although the addition of motivational interviewing appears to enhance both compliance and BG control compared with a behavioral intervention, it does not necessarily lead to more weight loss.…”