Motivational Interviewing for Adolescents: Behavior Counseling for Diet and Exercise

Gruhl, Emilie J; Leuven, Karen A. Van

doi:10.1016/j.nurpra.2014.04.006

Cited by 5 publications

(14 citation statements)

References 26 publications

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“…In addition to introducing youths to the concept of selfcompassion in counseling sessions, clinicians can also utilize motivational interviewing (MI), which has been shown to promote progress in making healthy lifestyle choices in youths. 6,24,25,30 Motivational interviewing focuses on honoring autonomy and developing intrinsic motivations to drive healthy lifestyle choices. 30 Motivational interviewing is designed to address ambivalence and resistance, while emphasizing a collaborative, engaging counseling process between the youth and the clinician.…”

Section: Utilization Of Motivational Interviewingmentioning

confidence: 99%

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Dealing With Disordered Eating Thoughts and Behaviors in Youth

et al. 2022

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Youth are vulnerable to societal pressures to be thin and are at higher risk of dieting to reduce body weight. Dieting can evolve into maladaptive behaviors intended to result in weight loss (disordered eating) because eating behaviors occur on a spectrum. This review is designed to assist clinicians in identifying and addressing disordered eating thoughts and behaviors in youths. Clinicians should rely on recognizing language describing disordered eating thoughts and behaviors, rather than on the youth's weight, when screening for disordered eating. Referral to specialized clinicians is crucial to guide the youth in developing a healthy relationship with food.

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Section: Utilization Of Motivational Interviewingmentioning

confidence: 99%

“…Lacking selfcompassion 4,20,25 • Shows anger and/or disappointment with self when things are not going as expected or wished…”

Section: Utilization Of Motivational Interviewingmentioning

confidence: 99%

Dealing With Disordered Eating Thoughts and Behaviors in Youth

et al. 2022

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“…As a transition period from childhood to adulthood, adolescence, which coincides with physical, metabolic and emotional development and the person’s increased independency, is a golden age to encourage healthy behaviors [ 21 ]. Adolescents are more prone to assume higher personal responsibilities for behavioral changes and choices [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…Adolescents are more prone to assume higher personal responsibilities for behavioral changes and choices [ 22 ]. As a patient-oriented communication style, MI expects the patient, as opposed to the health provider, to use his/her reasoning to promote their life style which leads to more collaboration and trust in both parties, resulting in higher levels of autonomy and patient satisfaction [ 21 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis

et al. 2018

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BackgroundData on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents.Methods/designA systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I2 statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias.DiscussionThe results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group.Systematic review registrationPROSPERO 2017:CRD42017069813.

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“…Research also suggests that 80% of providers in the pediatric primary care setting report feeling dissatisfaction during conversations with patient about obesity (Gruhl & Van Leuven, 2014). The importance of decreasing obesity within the pediatric population is very clear because this is the first generation that is expected to have shorter lifespans than previous generations (Cygan, Baldwin, Chehab, Rodriguez & Zenk, 2014).…”

Section: Implementing Screening Guidelines In Primary Carementioning

confidence: 99%

Implementation of Screening Guidelines to Improve Quality of Care in a Small, Ethnically Diverse Pediatric Primary Care Practice…Then What?

Basford¹

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Although best practice guidelines have been shown to be effective, the process of translation into everyday practice can be challenging. The purpose of this evidence-based project (EBP) was the implementation of standardized screening tools into annual well-child visits in a small, ethnically diverse pediatric primary care practice in southern California. Standardized screening is recognized as an important process in identifying conditions early to facilitate early intervention. The practice site identified obesity has a priority and consequently the Department of Health Care Services: Child Health and Disability Prevention (CHDP) Program Guidelines for Diet and Nutrition Screening for Children assessment form was implemented in children aged 5-18 years with a body mass index (BMI) of greater than 95%. Additionally, a lack of standardized screening for autism was identified as an additional practice need. The Modified Checklist for Autism in Toddlers-Revised (MCHAT-R) was implemented at the 18-month well-child check. The results of this EBP project was the successful implementation of obesity and autism screening tools with an uptake of 77% and 60% respectively. Additionally, obese patients were offered student nurse practitioner led weight management education sessions, resulted in low uptake (24%).

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Motivational Interviewing for Adolescents: Behavior Counseling for Diet and Exercise

Cited by 5 publications

References 26 publications

Dealing With Disordered Eating Thoughts and Behaviors in Youth

Dealing With Disordered Eating Thoughts and Behaviors in Youth

Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis

Implementation of Screening Guidelines to Improve Quality of Care in a Small, Ethnically Diverse Pediatric Primary Care Practice…Then What?

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