Motivational interviewing fails to improve outcomes of a behavioral weight loss program for obese African American women: a pilot randomized trial

被引:80
作者
Befort, Christie A. [1 ]
Nollen, Nicole [1 ]
Ellerbeck, Edward F. [1 ]
Sullivan, Debra K. [1 ]
Thomas, Janet L. [2 ]
Ahluwalia, Jasjit S. [2 ]
机构
[1] Univ Kansas, Med Ctr, Kansas City, KS 66160 USA
[2] Univ Minnesota, Minneapolis, MN USA
关键词
African American; obesity; weight loss; motivational interviewing; behavioral treatment;
D O I
10.1007/s10865-008-9161-8
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Compared to other racial/ethnic groups, African American (AA) women are more likely to be obese but less likely to participate in weight loss interventions or to successfully lose weight. Sustained motivation for weight loss may be especially difficult for AA women due to socioeconomic and cultural factors. The purpose of this study was to examine whether the addition of motivational interviewing (MI) to a culturally-targeted behavioral weight loss program for AA women improved adherence to the program, diet and physical activity behaviors, and weight loss outcomes. Forty-four obese (mean BMI = 39.4, SD = 7.1) AA women were randomized to receive a 16-week behavioral weight loss program plus four MI sessions, or the same behavioral weight loss program plus four health education (HE; attention control) sessions. Results showed that participants in both MI and HE conditions lost a significant amount of weight, reduced their energy intake and percent calories from fat, and increased their fruit and vegetable consumption (ps < .05). However, adherence to the behavioral weight loss program and changes in diet, physical activity, and weight did not differ across MI and HE conditions. Future research is warranted to determine the subpopulations with which MI is most effective.
引用
收藏
页码:367 / 377
页数:11
相关论文
共 55 条
  • [1] A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects
    AgursCollins, TD
    Kumanyika, SK
    TenHave, TR
    AdamsCampbell, LL
    [J]. DIABETES CARE, 1997, 20 (10) : 1503 - 1511
  • [2] Pathways to health: Cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing
    Ahluwalia, Jasjit S.
    Nollen, Nicole
    Kaur, Harsohena
    James, Aimee S.
    Mayo, Matthew S.
    Resnicow, Ken
    [J]. HEALTH PSYCHOLOGY, 2007, 26 (02) : 214 - 221
  • [3] The effects of nicotine gum and counseling among African American light smokers: a 2 x 2 factorial design
    Ahluwalia, Jasjit S.
    Okuyemi, Kolawole
    Nollen, Nicole
    Choi, Won S.
    Kaur, Harsohena
    Pulvers, Kim
    Mayo, Matthew S.
    [J]. ADDICTION, 2006, 101 (06) : 883 - 891
  • [4] COMPENDIUM OF PHYSICAL ACTIVITIES - CLASSIFICATION OF ENERGY COSTS OF HUMAN PHYSICAL ACTIVITIES
    AINSWORTH, BE
    HASKELL, WL
    LEON, AS
    JACOBS, DR
    MONTOYE, HJ
    SALLIS, JF
    PAFFENBARGER, RS
    [J]. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1993, 25 (01) : 71 - 80
  • [5] Bandura A., 2005, SELF EFFICACY BELIEF, P307
  • [6] BEFORT CA, 2006, HLTH ED BEHAV
  • [7] Monitoring dietary change in a low-fat diet intervention study: Advantages of using 24-hour dietary recalls vs food records
    Buzzard, IM
    Faucett, CL
    Jeffery, RW
    McBane, L
    McGovern, P
    Baxter, JS
    Shapiro, AC
    Blackburn, GL
    Chlebowski, RT
    Elashoff, RM
    Wynder, EL
    [J]. JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 1996, 96 (06) : 574 - 579
  • [8] Process evaluation of an effective church-based diet intervention: Body & soul
    Campbell, Marci Kramish
    Resnicow, Ken
    Carr, Carol
    Wang, Terry
    Williams, Alexis
    [J]. HEALTH EDUCATION & BEHAVIOR, 2007, 34 (06) : 864 - 880
  • [9] Using motivational interviewing as a supplement to obesity treatment: A stepped-care approach
    Carels, Robert A.
    Darby, Lynn
    Cacciapaglia, Holly M.
    Konrad, Krista
    Coit, Carissa
    Harper, Jessica
    Kaplar, Mary E.
    Young, Kathleen
    Baylen, Chelsea A.
    Versland, Amelia
    [J]. HEALTH PSYCHOLOGY, 2007, 26 (03) : 369 - 374
  • [10] Centers for Disease Control and Prevention, 2005, MMWR-MORBID MORTAL W, V54, P991