1. Motivational interviewing with families in the home environment.
- Author
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O'Kane, Carley, Irwin, Jennifer D, Morrow, Don, Tang, Lisa, Wong, Samantha, Buchholz, Andrea C, Ma, David W L, Haines, Jess, and Guelph Family Health Study
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FAMILIES & psychology , *HOME care service statistics , *PILOT projects , *COUNSELING , *MOTIVATIONAL interviewing , *CHILDHOOD obesity , *FAMILY health , *PATIENTS' attitudes , *PATIENT education , *HEALTH promotion - Abstract
Objective: This study explored the feasibility and acceptability of using Motivational Interviewing (MI) in the home setting with families of preschoolers.Methods: Using mixed-methods pilot data from an MI-based obesity prevention intervention delivered via home visits by health educators (HEs) with 44 families (n = 17 four home visit group; n = 14 two home visit group), we examined: 1) fidelity of MI adherence by HEs; 2) parents' perceptions of the intervention; and 3) HEs insights pertaining to the intervention's delivery.Results: Multiple measures of MI fidelity were deemed to exceed defined proficiency levels. Ninety-three percent of families reported being "satisfied" to "very satisfied" with the intervention. HEs reported building a high level of trust with families and gaining a thorough understanding of familial context. Parents appreciated how HEs' were knowledgeable and provided personalized attention when discussing health goals. Some parents suggested more directive advice and follow-up visits as ways to improve the intervention.Conclusion: Home-based MI was conducted with a high level of fidelity, was well accepted by families and practitioners.Practice Implications: Our findings from parents and MI practitioners provide key learnings that can inform future behavior change interventions that propose to use MI within the home setting. [ABSTRACT FROM AUTHOR]- Published
- 2019
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