Perceptions of physical activity and motivational interviewing among rural African-American women with type 2 diabetes.

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Stephania T MillerBettina M Beech

Abstract

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. 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. 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...Continue Reading

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Citations

Jun 15, 2011·The International Journal of Behavioral Nutrition and Physical Activity·Jamie M ZoellnerKathleen Yadrick
Feb 13, 2016·BMC Public Health·Jason G Su
Jul 3, 2013·Journal of Substance Abuse Treatment·Mary ClairCharles Golembeske
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Nov 7, 2016·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Cecilia Jörgensdotter Wegnelius, Eva-Lisa Petersson
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Dec 11, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Rafia S RasuDelwyn Catley
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Feb 2, 2021··Munif MujibJi Youn Shin

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