title: [Motivational interviewing in adolescent obesity treatment. Ensuring quality and preventing relapse].
abstract: Group and individual counseling sessions play a key role in adolescent obesity treatment. The requirements of these training sessions are defined in national guidelines, e.g., the German "Adipositas-Konsensuspapier" (Obesity Consensus Paper). Literature research between 2005 and 2010 showed that the long-term effects of these sessions were low, based on five reviews considering obesity treatment and six reviews dealing with motivational interviewing (MI). The reviews underline high attrition and dropout rates associated with decreasing compliance. Individual requirements for resilient motivation and relapse prevention are described with the help of the transtheoretical model of behavioral change and the self-control model. By integrating MI into group and individual counseling sessions, behavioral change can be encouraged over the long term. The stages of change can be ascertained and coping strategies of three different risk situations can be established. MI seems to be helpful especially at the beginning and end of treatment, during the state of maintenance.
authors.affiliation: Hochschule Coburg, Integrative Gesundheitsförderung, Coburg, Deutschland. Hassel@hs-coburg.de
authors.forename: H
authors.initials: H
authors.lastname: Hassel
authors.forename: J
authors.initials: J
authors.lastname: Dreas
mesh_terms: D000293:Adolescent; D002648:Child; D003376:Counseling / Q000592:standards*; D005858:Germany; D006801:Humans; D007406:Interview, Psychological / Q000592:standards*; D009042:Motivation; D009765:Obesity / Q000517:prevention & control*; D010349:Patient Compliance; D011785:Quality Assurance, Health Care / Q000379:methods*; D012008:Recurrence