246106 Using Goal Attainment Scaling in an Intervention to Prevent Diabetes in African Americans

Monday, October 31, 2011: 4:50 PM

Carolyn L. Blue, RN, PhD, CHES , School of Nursing, The University of North Carolina @ Greensboro, Greensboro, NC
Todd Lewis, PhD, LPC, NCC , School of Education, The University of North Carolina Greensboro, Greensboro, NC
Lori Mattox, BS, MS , Department of Kinesiology, The University of North Carolina @ Greensboro, Greensboro, NC
Background and Issues: There are 23.6 million (7.8%) children and adults in the US who have diabetes and of these, 17.9 million are diagnosed and about 5.7 million are undiagnosed. There is a period of time called pre-diabetes when people with blood glucose levels higher than normal are especially at-risk. It is estimated that 57 million people have pre-diabetes. African Americans have one of the highest prevalence of diabetes. Therefore, preventing or delaying diabetes in African Americans who are at risk for diabetes is an important public health goal. The national Diabetes Prevention Program and other research has revealed that moderate weight loss and exercise can prevent or delay type 2 diabetes among adults at high-risk for diabetes. Description: The motivational interviewing (MI) intervention to promote improvement in diet and exercise in African Americans included National Diabetes Education Program content and goal attainment scaling (GAS) as a strategy for focusing the intervention on individually determined goals, monitoring individual progress, and providing feedback to the participant. Lessons Learned: Including GAS within a MI intervention demonstrated the usefulness of formal goal setting and assessment of goal attainment in helping African Americans at risk for diabetes improve their diet and exercise behaviors. However, goals need to be clear, objective, and measureable in order for the MI intervention to have maximum effectiveness. Recommendations: The effectiveness of MI depends on the identification of target behaviors to change; GAS is a method that facilitates this process. GAS in conjunction with MI appears to enhance intervention effectiveness.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1. Explain the usefulness of motivational interviewing techniques in diabetes prevention interventions. 2. Describe goal attainment scaling as a strategy for helping people identify and reach their personal health behavior goals. 3. Identify how goal attainment scaling can be useful within a motivational interview application.

Keywords: Diabetes, Counseling

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am doctorally prepared and and expert in health behavior research and have presented many times at the APHA annual meetings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Disease Prevention
See more of: Public Health Nursing