Office-Based Motivational Interviewing to Prevent Childhood Obesity

Schwartz, Robert P.; Hamre, Robin; Dietz, William H.; Wasserman, Richard C.; Slora, Eric J.; Myers, Esther F.; Sullivan, Susan A.; Rockett, Helaine; Thoma, Kathleen A.; Dumitru, Gema; Resnicow, Kenneth

doi:10.1001/archpedi.161.5.495

Cited by 285 publications

(254 citation statements)

References 21 publications

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“…37 Instead, a more patient-centered approach may be more effective. 37,38 This approach is characterized by asking questions, assessing parental readiness, and working with parents to make changes. Using this patient-centered approach may help decrease the feeling of blame and make the discussion seem more relevant to the individual child, thereby, increasing the likelihood that behavior change may occur.…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

et al. 2013

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Background: To prevent childhood obesity, parents and their children's healthcare providers need to engage in effective dialogue. We know much about mothers' experiences, but very little about fathers' experiences.Methods: We explored African-American, Caucasian, and Latino fathers' perceptions and experiences communicating with their children's provider during clinic visits regarding weight, diet, and physical activity. Focus groups (n = 3), grouped by race/ethnicity, including a total of 24 fathers, were conducted. The men were asked open-ended questions; responses were recorded and transcribed, and analyzed using ATLAS.ti.Results: Findings revealed that these fathers were involved in their children's healthcare and found providers to be helpful partners in keeping their children healthy, yet they generally felt ''left out'' during clinic appointments. The quality of the relationship with their children's provider influenced how receptive fathers were to discussing their children's weight, diet, and physical activity behaviors. Fathers made suggestions to help improve communication between providers and fathers, such as personalizing the discussion.Conclusions: These fathers expressed strong feelings about the provider-parent relationship when discussing weight, diet, and physical activity.

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Section: Discussionmentioning

confidence: 99%

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

et al. 2013

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“…However, other recent interventions in primary care or general medicine settings have been effective [7,[80][81][82][83], though challenging to implement [84], so this area may also be worthy of further study.…”

Section: Discussionmentioning

confidence: 99%

What are successful recruitment and retention strategies for underserved populations? Examining physical activity interventions in primary care and community settings

Carroll

Yancey

Spring

et al. 2011

Behav. Med. Pract. Policy Res.

108

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The purposes of this review are to (1) describe recruitment and retention strategies for physical activity interventions focusing on underserved populations and (2) identify successful strategies which show the most promise for "best practices" recommendations to guide future research. The method used was systematic review. Data on recruitment and retention strategies were abstracted and analyzed according to participant characteristics, types of strategies used, and effectiveness using an ecological framework. Thirty-eight studies were identified. Populations included African American (n=25), Hispanic (n=8), or Asian (n=3) groups. Successful recruitment strategies consisted of partnering with respected community stakeholders and organizations, well-trained study staff ethnically, linguistically, and culturally matched to the population of interest, and use of multiple advertising channels. Successful retention strategies included efficient administrative tracking of participants, persistence, skillful teamwork, and demonstrating a positive, caring attitude towards participants. Promising recruitment and retention strategies correspond to all levels of ecological influence: individual, interpersonal, organizational, and societal.

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“…7,8 In addition, several clinic-based interventions have shown positive effects, such as modest weight loss, improved diet quality, and increased physical activity. [9][10][11][12][13] Social cognitive theory suggests that ones' self-efficacy (confidence in one's ability to do a given behavior), outcome expectations (a person's expectation that performing an action will lead to a specific result), and perceived environmental barriers and facilitators can influence behavior. 14 Previous studies exploring providers' attitudes and beliefs have been descriptive in nature and have shown that providers believe that childhood obesity needs treatment, affects chronic disease risk, and deserves their attention.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Providers' Self-Efficacy and Outcome Expectations for Childhood Obesity Counseling

et al. 2013

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Background: Primary care providers have a role in the prevention and management of childhood obesity. We explored the relationship of providers' self-efficacy, outcome expectations, and practice level support with childhood obesity counseling frequency.Methods: Providers (n = 123) completed a survey that assessed their self-efficacy, outcome expectations, and reported obesity counseling frequency. A practice level assessment tool was used to characterize the practices. We analyzed data using frequencies and proportional odds modeling.Results: Providers were confident or very confident (78.5-93.5%) in their ability to counsel about healthy eating, physical activity, and weight and agreed or strongly agreed (64.2-86.2%) that their counseling would result in actual changes. Providers with higher outcome expectations were more likely [odds ratio (OR) = 3.4] to report providing obesity counseling. Female providers were more likely to report counseling about obesity (OR = 2.3) than males. Providers in practices with resources for healthy eating and physical activity reported higher levels of self-efficacy and counseling frequency.Conclusions: In our study, providers were confident in their ability to provide obesity counseling and expected changes from their efforts, suggesting that future studies should build on the high level of outcome expectations as well as self-efficacy. The gender difference found regarding obesity counseling may need further exploration.

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Office-Based Motivational Interviewing to Prevent Childhood Obesity

Abstract: Motivational interviewing by pediatricians and dietitians is a promising office-based strategy for preventing childhood obesity. However, additional studies are needed to demonstrate the efficacy of this intervention in practice settings.

Cited by 285 publications

References 21 publications

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

What are successful recruitment and retention strategies for underserved populations? Examining physical activity interventions in primary care and community settings

Primary Care Providers' Self-Efficacy and Outcome Expectations for Childhood Obesity Counseling

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