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Effects of motivational interviewing to promote weight loss in obese children.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Sep2013, Vol. 22 Issue 17-18, p2519-2530, 12p, 3 Charts
- Publication Year :
- 2013
-
Abstract
- Aims and objectives To assess the effects of motivational interviewing for obese children and telephone consultation for parents to promote weight loss in obese children. Background Childhood obesity is a worldwide health problem that leads to serious metabolic and physiological consequences. An effective intervention to manage obesity is essential. Motivational interviewing is designed to resolve ambivalence, enhance intrinsic motivation and promote confidence in a person's ability to make behaviour changes. It has shown promise in the adult obesity literature as effecting positive health behaviour changes. Motivational interviewing has also been proposed as an effective method for improving the weight loss of obese children. Design A pre-post quasi-experimental design with repeated measures was used. Methods The study was conducted in four primary schools over an 11-month period in 2010-2011. Obese children ( n = 185) were screened from 791 school children studying the equivalent to UK grades 5 and 6 and were divided into three groups: motivational interviewing, motivational interviewing+ and a control group. The motivational interviewing group ( n = 70) children were provided with motivational interviewing counselling; the motivational interviewing+ group ( n = 66) children were provided with motivational interviewing counselling while telephone consultation was provided for their parents; and the control group did not receive any intervention ( n = 49). Results Children in both the motivational interviewing and motivational interviewing+ groups showed significant improvement in their weight-related behaviour and obesity-related anthropometric measures from the baseline to the end of the 14-week intervention, while the control group had significant deterioration in their anthropometric measures. Conclusion Motivational interviewing appears to be a promising intervention for promoting weight loss in obese children. Motivational interviewing counselling may be extended to obese children of different age groups. Relevance to clinical practice This study indicates that motivational interviewing is a useful method for improving behaviour changes in eating, physical activity and weight loss for obese children, suggesting the benefits of such intervention. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of obesity
ANALYSIS of variance
ANTHROPOMETRY
BEHAVIOR modification
BLOOD pressure measurement
EXERCISE
HEALTH education
INGESTION
RESEARCH methodology
NUTRITION education
RESEARCH funding
SCHOOL children
STATISTICAL hypothesis testing
STATISTICS
T-test (Statistics)
TELEPHONES
WEIGHT loss
DATA analysis
EFFECT sizes (Statistics)
MOTIVATIONAL interviewing
PRE-tests & post-tests
REPEATED measures design
FOOD diaries
PHYSICAL activity
DESCRIPTIVE statistics
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 22
- Issue :
- 17-18
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 89023831
- Full Text :
- https://doi.org/10.1111/jocn.12098