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• W2003628485 abstract "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." @default.
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• W2003628485 date "2010-01-01" @default.
• W2003628485 modified "2023-10-18" @default.
• W2003628485 title "Perceptions of Physical Activity and Motivational Interviewing Among Rural African-American Women with Type 2 Diabetes" @default.
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• W2003628485 doi "https://doi.org/10.1016/j.whi.2009.09.004" @default.
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