Motivational Interviewing to Treat Overweight Children: 24-Month Follow-Up of a Randomized Controlled Trial

Broccoli, Serena; Davoli, A.; Bonvicini, Laura; Fabbri, Alessandra; Ferrari, Elena; Montagna, Gino; Panza, Costantino; Pinotti, Mirco; Storani, Simone; Tamelli, Marco; Candela, Silvia; Bellocchio, Eletta; Rossi, Paolo Giorgi

doi:10.1542/peds.2015-1979

Cited by 55 publications

(81 citation statements)

References 30 publications

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“…16,17 Despite promising results in the treatment of adult obesity, 18 MI as a counseling tool for the prevention or treatment of childhood obesity has shown only a weak or no effect in children and their parents. [19][20][21][22][23][24] Too brief an intervention or follow-up period, and possibly limited intervention fidelity, have been proposed as explanations for the lack of an intervention effect. There is, however, an exception in 1 recent study, which presents a modest effect of MI compared with care as usual, when targeting overweight and obese preschool children and their parents.…”

mentioning

confidence: 99%

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

Döring¹,

Ghaderi

Bohman

et al. 2016

Pediatrics

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The objective was to evaluate a manualized theory-driven primary preventive intervention aimed at early childhood obesity. The intervention was embedded in Swedish child health services, starting when eligible children were 9 to 10 months of age and continuing until the children reached age 4. METHODS:Child health care centers in 8 Swedish counties were randomized into intervention and control units and included 1355 families with 1369 infants. Over ∼39 months, families in the intervention group participated in 1 group session and 8 individual sessions with a nurse trained in motivational interviewing, focusing on healthy food habits and physical activity. Families in the control group received care as usual. Primary outcomes were children's BMI, overweight prevalence, and waist circumference at age 4. Secondary outcomes were children's and mothers' food and physical activity habits and mothers' anthropometrics. Effects were assessed in linear and log-binominal regression models using generalized estimating equations.RESULTS: There were no statistically significant differences in children's BMI (β = -0.11, 95% confidence interval [CI]: -0.31 to 0.08), waist circumference (β = -0.48, 95% CI: -0.99 to 0.04), and prevalence of overweight (relative risk = 0.95, 95% CI: 0.69 to 1.32). No significant intervention effects were observed in mothers' anthropometric data or regarding mothers' and children's physical activity habits. There was a small intervention effect in terms of healthier food habits among children and mothers.CONCLUSIONS: There were no significant group differences in children's and mothers' anthropometric data and physical activity habits. There was, however, some evidence suggesting healthier food habits, but this should be interpreted with caution.

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mentioning

confidence: 99%

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

Döring¹,

Ghaderi

Bohman

et al. 2016

Pediatrics

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show abstract

“…The benefits of these interventions to families and children include statistically significant reductions in BMI z scores as well as increased physical activity, reduced screen time, and reduced consumption of sugary drinks and foods. The improvements are generally clinically modest, however, and do not show evidence of sustained effects beyond the intervention period, usually 6–12 months . Future research should focus on sustaining the benefits of these programs.…”

Section: Discussionmentioning

confidence: 99%

“…The review also demonstrated the effectiveness of motivational interviewing (MI), an intensive counseling style used by PCPs to encourage families to adopt healthier lifestyle habits (Table 3) (20)(21)(22)(23)(24)(25)(26). The 2007 Expert Committee recommended PCPs use MI as a tool in negotiating healthy lifestyle changes with families; however, the degree of efficacy of this technique in a clinical setting was unknown until recently (4).…”

Section: Motivational Interviewingmentioning

confidence: 99%

Primary care interventions to reduce childhood obesity and sugar‐sweetened beverage consumption: Food for thought for oral health professionals

Dooley

Moultrie

Sites³

et al. 2017

J Public Health Dent

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Effective primary care interventions for addressing childhood obesity have been identified, although only short-term effectiveness has been demonstrated. Dissemination of these practices as well as further research and advocacy are needed. Childhood obesity and poor oral health share many common risk factors. Additional research should focus on the benefits and feasibility of widespread interdisciplinary medical-oral health collaboration in addressing the two most prevalent diseases of childhood.

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“…The USPSTF also noted that primary care‐based weight management programs did not differ in their effectiveness based on youth age, race/ethnicity, caregiver education and income . Specifically, there were two contradictory findings: one US trial noted that low income families with 2‐ to 6‐year‐old youth had greater benefit from interventions than higher income families, and another Italian trial noted that there was greater benefit among families with higher maternal education compared to those with lower maternal education . Additional research should seek to explore how experiences of adversity or lack thereof may influence family susceptibility to or awareness of impairments in family functioning.…”

Section: Discussionmentioning

confidence: 99%

Youth weight status and family functioning in paediatric primary care

et al. 2019

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Summary The purpose of this study is to examine the associations between family functioning and youth overweight and obesity in a sample of primary care paediatric patients. Specially, we hypothesize that caregivers of youth with an overweight/obese weight status will report more impaired family functioning. A cross‐sectional descriptive study was conducted with 329 caregivers of youth ages 2 to 18 seen in paediatric primary care. Caregivers completed the Family Assessment Device General Functioning Scale and clinical demographics, including parent‐reported youth height and weight to calculate body mass index (BMI). Family functioning was used as a continuous total variable, and as a dichotomous variable based on clinically impaired or healthy family functioning. Analyses included descriptive statistics, Pearson's correlations, and independent t tests. Caregivers who reported impaired family functioning based on the clinical cutoff score were more likely to report that their youth had a higher BMI and BMI z‐score. Caregivers with impaired family functioning and who identified as being in two‐parent families, with at least a Bachelor's degree, and a moderate to high family income were more likely to report their youth was a higher weight status. Further screening and assessment of family functioning in combination with youth weight status among a larger diverse sample of primary care paediatric patients over time will provide insight into what aspects of family functioning may contribute to maintaining a healthy lifestyle or adopting new health behaviours to prevent and/or treat obesity in youth.

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Motivational Interviewing to Treat Overweight Children: 24-Month Follow-Up of a Randomized Controlled Trial

Cited by 55 publications

References 30 publications

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

Primary care interventions to reduce childhood obesity and sugar‐sweetened beverage consumption: Food for thought for oral health professionals

Youth weight status and family functioning in paediatric primary care

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