Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study

Miller, Stephania T.; Oates, Veronica; Brooks, Malinda A.; Shintani, Ayumi; Gebretsadik, Tebeb; Jenkins, Darlene

doi:10.1155/2014/345941

Cited by 20 publications

(17 citation statements)

References 22 publications

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“…Experimental studies find that changes in choice architecture can successfully promote certain behaviors within areas such as eating, but that individuals tend to deny being influenced by choice architecture while suggesting that other people are affected [4, 37]. This way of dissociating between oneself and others might also be related to a tendency to assess own health status and behavior in a favorable light [38, 39]. These findings are in agreement with our findings of the modest intervention awareness and the great belief in how the checkout intervention could be helpful to other consumers not least to those with children nagging for confectionery.…”

Section: Discussionmentioning

confidence: 99%

Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket intervention

et al. 2016

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BackgroundThe widespread use of in-store marketing strategies to induce unhealthy impulsive purchases has implications for shopping experience, food choice and possibly adverse health outcomes. The aim of this study was to examine consumer attitudes and evaluate sales effects of a healthy checkout supermarket intervention. The study was part of Project Sundhed & Lokalsamfund (Project SoL); a Danish participatory community-based health promotion intervention.MethodsConsumer attitudes towards unhealthy snack exposure in supermarkets were examined in a qualitative pre-intervention study (29 short in-store interviews, 11 semi-structured interviews and three focus group interviews). Findings were presented to food retailers and informed the decision to test a healthy checkout intervention. Sugar confectionery at one checkout counter was substituted with fruit and healthy snacking items in four stores for 4 weeks. The intervention was evaluated by 48 short exit interviews on consumer perceptions of the intervention and by linear mixed model analyses of supermarket sales data from the intervention area and a matched control area.ResultsThe qualitative pre-intervention study identified consumer concern and annoyance with placement and promotion of unhealthy snacks in local stores. Store managers were willing to respond to local consumer concern and a healthy checkout intervention was therefore implemented. Exit interviews found positive attitudes towards the intervention, while intervention awareness was modest. Most participants believed that the intervention could help other consumers make healthier choices, while fewer expected to be influenced by the intervention themselves. Statistical analyses suggested an intervention effect on sales of carrot snack packs when compared with sales before the intervention in Bornholm control stores (P < 0.05). No significant intervention effect on sales of other intervention items or sugar confectionery was found.ConclusionsThe present study finds that the healthy checkout intervention was positively evaluated by consumers and provided a ‘responsible’ branding opportunity for supermarkets, thus representing a win-win strategy for store managers and consumers in the short term. However, the intervention was too modest to draw conclusions on long-term sales and health implications of this initiative. More research is needed to assess whether retailer-researcher collaborations on health promotion can be a winning strategy for public health.

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Section: Discussionmentioning

confidence: 99%

Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket intervention

et al. 2016

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“…The potential public health consequences of the misperception of BMI and the inability to recognise obesity in oneself have also been the subject of much discussion [23–27]. In particular, Duncan et al [23] have shown that the misperception of BMI among overweight and obese adults was associated with less likelihood of interest in, or attempts at, weight loss, and less physical activity.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the studies discussed above [14–20, 27], we hypothesised that body weight is underestimated for a complete population for multiple perception questions and that an intervention from a medical professional can cause a substantial change in self-perception.…”

Section: Introductionmentioning

confidence: 99%

The effect of a medical opinion on self-perceptions of weight for Mexican adults: perception of change and cognitive biases

2017

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BackgroundThis study analysed the relationship between perceived and actual Body Mass Index (BMI) and the effect of a prior identification of obesity by a medical professional for adults using difference in response for two distinct BMI self-perception questions. Typically, self-perception studies only investigate the relation with current weight, whereas here the focus is on the self-perception of weight differences.MethodsA statistical approach was used to assess responses to the Mexican ENSANUT 2006 survey. Adults in the range of BMI from 13 to 60 were tested on responses to a categorical question and a figure rating scale self-perception question. Differences in response by gender and identification of obesity by a medical professional were analysed using linear regression.ResultsResults indicated that regardless of current BMI and gender, a verbal intervention by a medical professional will increase perceived BMI independently of actual BMI but does not necessarily make the identified obese more accurate in their BMI estimates. A shift in the average self-perception was seen with a higher response for the identified obese. A linear increase in perceived BMI as a function of actual BMI was observed in the range BMI < 35 but with a rate of increase much less than expected if weight differences were perceived accurately.ConclusionsObese and overweight Mexican adults not only underestimated their weight, but also, could not accurately judge changes in weight. For example, an increase of 5 kg is imagined, in terms of self-image, to be considerably less. It was seen that an identification of obesity by a health care professional did not improve ability to judge weight but, rather, served as a new anchor from which the identified obese judge their weight, suggesting that even those identified obese who have lost weight, perceive their weight to be greater than it actually is. We believe that these results can be explained in terms of two cognitive biases; the self-serving bias and the anchoring bias.

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“…Longitudinal studies Diabetes Care/Services in African American Women -Miller et al diabetes-related microvascular and macrovascular complications (HbA1c ≥ 7.0%, and either systolic blood pressure of ≥130 mm Hg, LDL cholesterol ≥100, or BMI ≥30). As part of group-based dietary self-care 12 and weight management interventions, participants were recruited using managed care organization referrals and radio, email, flyer and church advertisements. Study protocol was approved by the Meharry Medical College institutional review board.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Education, Specialty Care, and Self-Care Advice among Obese African American Women with Type 2 Diabetes

2016

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Diabetes IntroductIonThe American Diabetes Association recommends that all persons with diabetes receive diabetes selfmanagement education (DSME) and referral to specialists for supplemental care.1 Diabetes self-management education, the "cornerstone of treatment for all people with diabetes," 2 has been effective in assisting patients in managing their type 2 diabetes. [3][4][5] Moreover, the involvement of specialists, such as podiatrists and ophthalmologists, is an equally important factor in the prevention and management of diabetes complications. 1Given the increasing morbidity, mortality and financial burden of diabetes in the United States, 6,7 Healthy People 2020 (HP 2020) goals includes benchmarks for DSME and specialty care. For example, a 10% increase in the numbers of diabetes patients receiving formal diabetes education, annual dilated eye exams, and annual foot exams are projected. 8To date, however, there is very little information describing existing patterns of diabetes education and specialty care among groups who experience the highest diabetes-related morbidity and mortality burdens, ethnic minorities 9,10 and those who are obese.11 Among obese African American women with type 2 diabetes, our descriptive study highlights receipt of formal diabetes education, specialty care and diabetes self-care advice. In addition, the relationship between self-care behaviors and receipt of advice is described. MaterIals and MethodsEligible participants were African American women with a clinical diagnosis of type 2 diabetes for ≥ 6 months and who were at-risk for development and/or progression of Design: Cross-sectional survey study. Participants: African American women with type 2 diabetes enrolled in dietary and weight management interventions.Main Outcome Measures: Self-report assessments of diabetes education, specialty care, self-care behaviors and advice. Associations between diabetes self-care behaviors and diabetes advice using Chisquare tests.Results: Among 96 participants (age = 53 ± 9.4; BMI = 37.9 ± 7.3 kg/m 2 ), reported diabetes education and foot exams were lower than HP2020 benchmarks, 48.9% vs 62.5% and 35.1% vs 74.8%, respectively and higher for dilated eye exams (70.1% vs 58.7%). The most frequently reported dietary advice was to increase fruit/ vegetable intake (58%) and approximately 50% reported physical activity advice. Receiving no exercise advice was associated with greater odds of little or no physical activity (OR = 3.38) and planned exercises (OR = 2.65). Conclusion:Receipt of diabetes education and some specialty care were below national benchmarks while health care provider advice influenced patient self-care behaviors. Increasing diabetes education and specialty care should be included within existing efforts to address the excess diabetes burden experienced by African American women. Longitudinal studies exploring the relationship between health care provider advice and self-care behaviors are needed.

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Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study

Cited by 20 publications

References 22 publications

Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket intervention

Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket intervention

The effect of a medical opinion on self-perceptions of weight for Mexican adults: perception of change and cognitive biases

Diabetes Education, Specialty Care, and Self-Care Advice among Obese African American Women with Type 2 Diabetes

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