Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study

Table 1

Group medical nutrition therapy/motivational interviewing intervention among African American women with type 2 diabetes.

Motivational interviewing component	Medical nutritional therapy education/behavioral skills component
	Session 1
Dietitian-led discussion of participants study expectations (served as ice-breaker)	(i) Certified diabetes educator-led diabetes self-management overview; (ii) Homework presentation/discussion (record a single breakfast, lunch, and dinner meal)
	Session 2
Dietitian-led “importance” exercise—participants ranked and discussed their perceptions of the importance of managing dietary intake	(i) Dietitian-led carbohydrate management presentation (carbohydrate/blood glucose relationship, identification of carbohydrate food sources; basic carbohydrate counting); (ii) Meal planning using “plate” method and food models; (ii) Homework presentation/discussion (drink 64 ounces of water; record all meals for 3 days/week including a weekend day)
	Session 3
Dietitian-led “roadmap” exercise—participants used a picture of a roadmap to discuss pros and cons of 2 paths: (1) limiting dietary fat; (2) not limiting dietary fat intake	(i) Dietitian-led dietary fat presentation (fat/heart health relationship, identification of different fat types with emphasis on reducing saturated/trans fats, identification of fat content of popular restaurant foods); (ii) Use of participant- and dietitian-provided food labels and food models to identify fat/types and quantities intake; (iii) Homework presentation/discussion (same as session 2 above in addition to recording carbohydrate and fat content of meals)
	Session 4
Dietitian-led “strength” exercise—participants selected and described their personal strengths and elaborated on how strengths could be used in managing dietary intake	(i) Dietitian-led carbohydrate management presentation (carbohydrate/blood glucose relationship, identification of carbohydrate food sources; basic carbohydrate counting); (ii) Meal planning using “plate” method and food models; (iii) Homework presentation/discussion (same as session 3 in addition to planning 3 meals in advance and recording types of fat; identify dietary management strategies that have been most helpful to date for use in long-term planning)
	Session 5
Dietitian-led discussion of participants’ dietary successes/improvements since the beginning of the intervention	(i) Dietitian-led long-term planning exercise (identify dietary goal based on strategies that have been most helpful; identification of specific activities to accomplish goals; development of an action plan); (ii) Action plan based on strategies from “Living a Healthy Life with Chronic Conditions” [15]