![]() ![]() A primary goal for integrating MI into the CBT approach was to support participants’ engagement in the intervention. In this study, the CBT approach was modified by integrating motivational interviewing (MI) into the delivery of the intervention. A sub-group analysis in a meta-analysis of studies using CBT among patients with diabetes found that the CBT had to be tailored to the population it was being implemented while being cognizant of the goals of treatment. Recent studies have also observed a moderate to large improvement in glycemic control with the implementation of CBT. Previous studies have found CBT to be useful in alleviating depressive symptoms associated with diabetes. The CBT approach applies techniques to identify thoughts, beliefs, and behaviors that may be detrimental to self-care and replace them with more helpful thoughts and behaviors. Psychological interventions such as cognitive behavioral therapy (CBT) have been shown as effective in overcoming behavioral barriers related to self-management and improved glycemic control among people with diabetes. The greater risk and diabetes burden in AA patients suggests a need for tailoring interventions in this high-risk group.Ĭognitive behavioral therapy is a form of psychotherapy consisting of a cognitive and a behavioral aspect that addresses thoughts, beliefs, and behaviors detrimental to self-care in chronic health conditions and replaces them with more helpful thoughts and behaviors. These two factors are respectively associated with poorer health outcomes and a greater prevalence of diabetes. ![]() Further aggravating the impact of type 2 diabetes on AA adults are racial discrimination and low SES. The interaction between DM and related comorbidities adds a complex behavioral aspect of diabetes management, since it requires tasks with self-management components such as activity, diet, adherence and compliance with treatment regimens, self-monitoring of glucose levels, and making and keeping healthcare appointments. The relationship between DM and these co-morbidities is complex, since they are thought to influence each other and are affected by biological and psychosocial pathways. Additionally, depression, anxiety, and diabetes-related specific concerns are common comorbidities in people with DM. Other related risk factors seen in the AA population at higher rates include hypertension, high cholesterol levels, and smoking. Risk factors for DM are also more prevalent in the AA population, such as a 1.3 times greater likelihood of obesity when compared to non-Hispanic White adults. AA adults are more likely to receive a physician diagnosis of DM, have worse glycemic control, and have more DM-related complications compared to non-Hispanic White adults. According to the Centers for Disease Control and Prevention, diabetes has been documented to have a disproportionate impact on the African American (AA) population of the USA. In 2018, about 10% of the total US population was estimated to have diabetes mellitus (DM). The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
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