BACKGROUND: Obesity has reached epidemic proportions in the USA and is a particular threat to those with coronary disease. Motivational interviewing (MI) is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence about altering behavior. PURPOSE: This study examined the efficacy of MI compared to nutritional counseling for weight loss in a small sample of obese cardiac patients. METHOD: Participants were assigned to either MI or to nutrition counseling and followed up over 3 months. Trained undergraduate students delivered the MI intervention. RESULTS: There were significant reductions in weight in women in the MI intervention, but not in men. CONCLUSION: The results suggest that MI may be effective for obese female cardiac patients, in particular, even when delivered by nonprofessional interviewers. Limitations of the study include a small sample size, nonrandomized assignment to conditions, and attrition over time.
BACKGROUND: Obesity has reached epidemic proportions in the USA and is a particular threat to those with coronary disease. Motivational interviewing (MI) is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence about altering behavior. PURPOSE: This study examined the efficacy of MI compared to nutritional counseling for weight loss in a small sample of obese cardiacpatients. METHOD:Participants were assigned to either MI or to nutrition counseling and followed up over 3 months. Trained undergraduate students delivered the MI intervention. RESULTS: There were significant reductions in weight in women in the MI intervention, but not in men. CONCLUSION: The results suggest that MI may be effective for obese female cardiac patients, in particular, even when delivered by nonprofessional interviewers. Limitations of the study include a small sample size, nonrandomized assignment to conditions, and attrition over time.
Authors: Christie A Befort; Nicole Nollen; Edward F Ellerbeck; Debra K Sullivan; Janet L Thomas; Jasjit S Ahluwalia Journal: J Behav Med Date: 2008-06-28
Authors: Philip A Ades; Patrick D Savage; Michael J Toth; Jean Harvey-Berino; David J Schneider; Janice Y Bunn; Marie C Audelin; Maryann Ludlow Journal: Circulation Date: 2009-05-11 Impact factor: 29.690
Authors: Robert A Carels; Lynn Darby; Holly M Cacciapaglia; Krista Konrad; Carissa Coit; Jessica Harper; Mary E Kaplar; Kathleen Young; Chelsea A Baylen; Amelia Versland Journal: Health Psychol Date: 2007-05 Impact factor: 4.267