Document Detail


Perceptions of physical activity and motivational interviewing among rural African-American women with type 2 diabetes.
MedLine Citation:
PMID:  19944621     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Motivational interviewing (MI), a patient-centered behavioral counseling style, is a common behavioral intervention strategy. Because intervention outcomes are highly dependent on patient responsiveness to intervention strategy, we evaluated MI perceptions among rural African American women with type 2 diabetes before a physical activity intervention.
METHODS: Four moderator-led focus groups were conducted with patients aged 21-50 years who had never participated in a MI intervention and who receive diabetes care in a rural community health center. Patients were asked to share their perceptions of an MI consultation after viewing a DVD-based example. They were also asked to discuss their physical activity perceptions and readiness. A comprehensive content analysis based on grounded theory was performed by two raters in order to identify main themes.
MAIN FINDINGS: Although patients (n = 31) had an appreciation for physical activity benefits and high levels of physical activity readiness, themes related to physical activity barriers and lack of motivation were pervasive. Patients regarded the MI consultation as an effective health communication but the patient-centeredness of the approach was negatively perceived. Compared with MI, patients agreed that more traditional paternalistic approaches (i.e., physician-led interactions) were more representative of "good counseling" and more familiar to them. Patients shared deeply about personal experiences and provided words of encouragement to one another.
CONCLUSION: Physical activity interventions including rural African-American women should include activities that focus on barrier management and increasing motivation. MI might be an appropriate behavioral counseling model when added to a more traditional cognitive-behavioral physical activity intervention that is group-based and tailored to patients' communication preferences and the clinical setting.
Authors:
Stephania T Miller; Khensani N Marolen; Bettina M Beech
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-11-26
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  20     ISSN:  1878-4321     ISO Abbreviation:  Womens Health Issues     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-23     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Jacobs Institute of Women
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / psychology,  statistics & numerical data*
Attitude to Health / ethnology
Counseling / methods
Diabetes Mellitus, Type 2 / ethnology*,  rehabilitation*
Exercise / psychology*
Female
Health Behavior / ethnology*
Humans
Middle Aged
Motor Activity
Patient Acceptance of Health Care / ethnology
Patient Education as Topic / methods*
Questionnaires
Rural Population / statistics & numerical data*
Socioeconomic Factors
United States / epidemiology
Young Adult
Grant Support
ID/Acronym/Agency:
5 K12 HD043483-07/HD/NICHD NIH HHS; 5 P20 MD000516-03/MD/NIMHD NIH HHS; K12 HD043483/HD/NICHD NIH HHS; K12 HD043483-05/HD/NICHD NIH HHS; P20 MD000516/MD/NIMHD NIH HHS; P20 MD000516-03/MD/NIMHD NIH HHS; P60 DK020593/DK/NIDDK NIH HHS; P60 DK020593-28S1/DK/NIDDK NIH HHS; P60DK020593-26S1/DK/NIDDK NIH HHS
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