Can a Trial of Motivational Lifestyle Counseling be Effective for Controlling Childhood Obesity and the Associated Cardiometabolic Risk Factors?

Kelishadi, Roya; Malekahmadi, Mohammad; Hashemipour, Mahin; Soghrati, Mehrnaz; Soghrati, Mojgan; Mirmoghtadaee, Parisa; Ghatrehsamani, Shohreh; Poursafa, Parinaz; Khavarian, Noushin

doi:10.1016/j.pedneo.2012.01.005

Cited by 20 publications

(15 citation statements)

References 38 publications

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“…Mean high-density lipoprotein cholesterol (HDL-C) increased significantly, the prevalence of the metabolic syndrome decreased from 20.8 to 1.8%. Triglycerides, low-density lipoprotein cholesterol (LDL-C), diastolic blood pressure had the highest decrease in all age groups, with the most prominent changes in the 14-18year age group [35]. In contrast to this study, a randomized controlled trial (RCT) of motivational interviewing-based educational modules focusing on watching television (TV), fast food and sugar-sweetened beverage intake delivered by paediatricians to 475 children aged 2-6 only succeeded in reducing watching TV at 12 months in the intervention arm [36].…”

Section: Paediatric Obesitymentioning

confidence: 99%

The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: a clinical review

Christie¹,

Channon

2013

Diabetes Obesity Metabolism

163

119

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Having good intentions to engage in healthy behaviours, to change our lives in a positive direction and make substantial, lasting changes may not always translate into actions or behaviour that is maintained. Motivational Interviewing is a directive person-centred approach designed to explore ambivalence and activate motivation for change [Miller WR, Rollnick S. Motivational Interviewing: Preparing People to Change Addictive Behaviour. London: Guilford Press, 1991]. A key component of a motivational interviewing conversation is to acknowledge that clients have every right to make no change. It uses a guiding communication style which invites people to consider their own situation and find their own solutions to situations that they identify as problematic that are preventing change. Motivational Interviewing was first introduced in adult health addiction services in the early 1980s. It has developed in the physical health specialties, and in the last 20 years or so attention has turned to the potential of Motivational Interviewing in the paediatric setting and the challenges of using it in families with children at differing ages and developmental stages. This article summarizes studies published from 2006 to 2011 of Motivational Interviewing in individuals across the lifespan with type 1 and type 2 diabetes and obesity.

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Section: Paediatric Obesitymentioning

confidence: 99%

The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: a clinical review

Christie¹,

Channon

2013

Diabetes Obesity Metabolism

163

119

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“…Of the single tools used, only the family approach has evidence of efficacy [13,15,46]; other tools have been evaluated in single studies. Motivational interviewing, introduced in therapeutic guidelines and recommendations in many countries, has not proven to be effective [18,[47][48][49][50][51]. The reduction of a sense of guilt is proposed by the authors of this study, but poorly sustained by others.…”

Section: Family Therapeutic Educationmentioning

confidence: 77%

A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

Tanas¹,

Federica²,

Caggese³

et al. 2013

OJPed

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Background: Obesity is a high-cost social disease, the management of which, usually assigned to general practice, is less supported by evidence-based medicine. Most general practitioners feel unprepared to face the problem. Objectives: In 2000, at the Pediatric Department of Ferrara, we started a Family Group Therapeutic Education Program for the treatment of childhood obesity. More than 300 families have attended the program. Following our positive results, we created a professional training course on therapeutic education, addressed to healthcare personnel involved in the treatment of childhood obesity. The purpose of the present study is to discover if it is possible to promote the development of a shared therapeutic education strategy for obesity, involving primary care physiccians/pediatricians, specialists and dietitians. Methods: The integrated professional training course consists of a four-day seminar along with an on-line course for distance learning. The assessment of the project takes into account the following criteria: a multidimensional questionnaire (a pre- and post-test which explores: knowledge, motivation, self-efficacy, methodology, communication, modeling, etc.), an appreciation questionnaire with responses collected over the course of 2 years. Moreover, the nine participants of our 2008 training course began to use the new therapeutic tools in their practice and six of them sent us the anthropometric measurements of patients whom they have treated over the past two years using this approach allows us to present outcomes in terms of implementation of this therapeutic education program in everyday professional practice. Results and Conclusions: The course was attended by 15 healthcare professionals: ten in 2008 and five in 2009, from different Italian centers. Results seem to indicate a great interest and appreciation by the participants. Results based on BMI z-score reduction of the children cared for by our trainees seem to support the efficacy of our educational method in clinical practice. If these preliminary results are confirmed, new training projects for the management of childhood obesity can be planned and addressed to a wider healthcare professional public.

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“…The studies reviewed indicated that childhood-focused health advice from nurses was given primarily during childcare consultations and home visits, and was also directed toward parents. The content of this advice involved relevant aspects of children's nutrition for obesity prevention, amount of time spent in physical activities and family habits (11,18,27,33) .…”

Section: Observational Descriptive N=10mentioning

confidence: 99%

“…In Wales, the activities of these professionals focused more on groups of people with obesity with high blood pressure and diabetes (26) . In Iran, children and adolescents suffering from obesity and comorbidities who were monitored by nurses for 24 weeks, experienced a decrease in anthropometric measurements, an increase in HDL-cholesterol, and a decrease in the prevalence of metabolic syndrome by 20.8% (33) . In Finland, most overweight adults with associated comorbidities managed to stabilize their weight after an intervention based on lifestyle-change counseling during a period of three years (34) .…”

Section: Observational Descriptive N=13mentioning

confidence: 99%

Nursing interventions with people with obesity in Primary Health Care: an integrative review

Braga

Jesus

Conz

et al. 2018

Rev. esc. enferm. USP

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Objective Identify the knowledge produced on nursing interventions with people suffering from obesity in Primary Health Care. Method Integrative literature review of publications indexed in the databases: CINAHL, LILACS, MEDLINE, SciELO, SCOPUS and WEB OF SCIENCE, between 2011 and 2016. Results Thirty-three articles were selected. The knowledge produced covered two themes: "Counseling aimed at weight control and promotion of healthy lifestyle habits" and "Perception of Primary Health Care nurses regarding interventions with people with obesity." Conclusion The results may help prompt reflections on professional training, management, and health services in terms of the relevance of nurses working with people suffering from obesity, with the support of digital technologies, motivational techniques, and nursing consultations. This could enhance their activities in the multiprofessional teams in which they participate at this healthcare level.

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Can a Trial of Motivational Lifestyle Counseling be Effective for Controlling Childhood Obesity and the Associated Cardiometabolic Risk Factors?

Cited by 20 publications

References 38 publications

The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: a clinical review

The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: a clinical review

A Pilot Experience in the training of healthcare professionals to face the childhood obesity epidemic through family therapeutic education

Nursing interventions with people with obesity in Primary Health Care: an integrative review

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