{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:34:24Z","timestamp":1781300064747,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R34DK090670"],"award-info":[{"award-number":["R34DK090670"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To assess the efficacy and acceptability of a group medical nutritional therapy (MNT) intervention, using motivational interviewing (MI).<jats:italic>Research Design &amp; Method<\/jats:italic>. African American (AA) women with type 2 diabetes (T2D) participated in five, certified diabetes educator\/dietitian-facilitated intervention sessions targeting carbohydrate, fat, and fruit\/vegetable intake and management. Motivation-based activities centered on exploration of dietary ambivalence and the relationships between diet and personal strengths. Repeated pre- and post-intervention, psychosocial, dietary self-care, and clinical outcomes were collected and analyzed using generalized least squares regression. An acceptability assessment was administered after intervention.<jats:italic>Results<\/jats:italic>. Participants (<jats:italic>n<\/jats:italic>= 24) were mostly of middle age (mean age 50.8 \u00b1 6.3) with an average BMI of 39 \u00b1 6.5. Compared to a gradual pre-intervention loss of HbA1c control and confidence in choosing restaurant foods, a significant post-intervention improvement in HbA1c (<jats:italic>P<\/jats:italic>= 0.03) and a near significant (<jats:italic>P<\/jats:italic>= 0.06) increase in confidence in choosing restaurant foods were observed with both returning to pre-intervention levels. 100% reported that they would recommend the study to other AA women with type 2 diabetes.<jats:italic>Conclusion<\/jats:italic>. The results support the potential efficacy of a group MNT\/MI intervention in improving glycemic control and dietary self-care-related confidence in overweight\/obese AA women with type 2 diabetes.<\/jats:p>","DOI":"10.1155\/2014\/345941","type":"journal-article","created":{"date-parts":[[2014,8,28]],"date-time":"2014-08-28T17:01:28Z","timestamp":1409245288000},"page":"1-7","source":"Crossref","is-referenced-by-count":16,"title":["Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study"],"prefix":"10.1155","volume":"2014","author":[{"given":"Stephania T.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Surgery, Meharry Medical College, 1005 Dr. D. B. Todd, Nashville, TN 37208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica J.","family":"Oates","sequence":"additional","affiliation":[{"name":"Department of Family and Consumer Sciences, College of Agriculture, Human and Natural Sciences, Tennessee State University, 224 Humphries Hall, 3500 John A. Merritt Boulevard, Nashville, TN 37209, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malinda A.","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Surgery, Meharry Medical College, 1005 Dr. D. B. Todd, Nashville, TN 37208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayumi","family":"Shintani","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Vanderbilt University Medical Center, S-2323 Medical Center North, Nashville, TN 37232-2158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4548-3010","authenticated-orcid":true,"given":"Tebeb","family":"Gebretsadik","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Vanderbilt University Medical Center, S-2323 Medical Center North, Nashville, TN 37232-2158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darlene M.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"National Health Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00276-6"},{"key":"2","first-page":"S61","volume":"31, supplement 1","year":"2008","journal-title":"Diabetes Care"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.1996.9961793"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2004.01.013"},{"issue":"2","key":"5","first-page":"vii","volume":"16","year":"2005","journal-title":"Journal of National Black Nurses' Association"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2006.10.004"},{"issue":"1","key":"7","first-page":"6","volume":"13","year":"2003","journal-title":"Ethnicity and Disease"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.7.928"},{"key":"9","year":"2007"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.03.020"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.04.005"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.04.007"},{"issue":"6","key":"13","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1177\/0145721707309662","volume":"33","year":"2007","journal-title":"The Diabetes Educator"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1037\/h0090198"},{"key":"27","year":"2000"},{"issue":"7","key":"15","first-page":"972","volume":"97","year":"2005","journal-title":"Journal of the National Medical Association"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.7.943"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.3.713"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2710.2002.00430.x"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.2007.S28"},{"issue":"3","key":"20","first-page":"529","volume":"17","year":"2007","journal-title":"Ethnicity and Disease"},{"issue":"3","key":"21","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2337\/diacare.22.3.403","volume":"22","year":"1999","journal-title":"Diabetes Care"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-8-70"},{"key":"23","doi-asserted-by":"crossref","first-page":"S36","DOI":"10.2337\/diacare.27.2007.S36","volume":"27","year":"2004","journal-title":"Diabetes Care"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-233"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1627"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.07.013"}],"container-title":["Journal of Obesity"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2014\/345941.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2014\/345941.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2014\/345941.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T15:33:07Z","timestamp":1498145587000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/jobe\/2014\/345941\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":27,"alternative-id":["345941","345941"],"URL":"https:\/\/doi.org\/10.1155\/2014\/345941","relation":{},"ISSN":["2090-0708","2090-0716"],"issn-type":[{"value":"2090-0708","type":"print"},{"value":"2090-0716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}