The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment.
This study assessed whether motivational interviewing (MI), applied as part of a standard guided self-help (GSH) behavioral weight loss treatment, reduced attrition rate and improved participant weight loss and other eating-related and general psychological measures, relative to a standard GSH treatment alone. Thirty-nine overweight patients (7 males, 32 females) were randomized to receive either 6 sessions of traditional guided self-help and 2 traditional motivation-focused sessions (GSH treatment); or 6 guided self-help sessions and 2 sessions utilizing an MI approach to motivation (GSH/MI treatment). In intention-to-treat analyses, significant differences were found in the areas of eating concern and control over eating, favoring GSH/MI. Between-group effect size estimates indicated a small advantage for GSH/MI over GSH in weight loss, as well as on a number of secondary eating-related measures. Implications and future directions are discussed.
DiMarco
Ilyse Dobrow
ID
Rutgers, The State University of New Jersey, Department of Psychology, Psychology Building, Busch Campus, 152 Frelinghuysen Road, Piscataway, NJ 08854-8020, United States. idimarco@montefiore.org
Klein
Dena A
DA
Clark
Vicki L
VL
Wilson
G Terence
GT
D000328:Adult; D000339:Affect; D000704:Analysis of Variance; D001521:Behavior Therapy / Q000379:methods*; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D012657:Self-Help Groups; D012737:Sex Factors; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult