title: Providers as weight coaches: using practice guides and motivational interview to treat obesity in the pediatric office.
abstract: Motivational interview techniques combined with an evidence-based guideline provide valuable tools for the treatment of childhood obesity. The National Association of Pediatric Nurse Practitioners' Healthy Eating and Activity Together guidelines were adopted in a rural pediatric office. After a 6-month pilot, effectiveness of treatment was evaluated with a retrospective chart review. The results suggest that children were motivated for healthy lifestyle changes but had difficulty maintaining motivation and compliance with healthy change choices after 1-2 months; however, with consistent use of motivational interviewing techniques combined with diet and exercise counseling, there was a trend toward lowered body mass index and waist measurements.
authors.affiliation: Duke University, Durham, NC, USA. tripp017@gmail.com
authors.forename: Sandy Blizzard
authors.initials: SB
authors.lastname: Tripp
authors.forename: Joan Templeton
authors.initials: JT
authors.lastname: Perry
authors.forename: Sharon
authors.initials: S
authors.lastname: Romney
authors.forename: Jane
authors.initials: J
authors.lastname: Blood-Siegfried
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D002648:Child; D002652:Child Behavior / Q000523:psychology; D002675:Child, Preschool; D037001:Directive Counseling; D055318:Evidence-Based Nursing; D005260:Female; D015438:Health Behavior; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D009042:Motivation; D015403:Nursing Evaluation Research; D009765:Obesity / Q000451:nursing* / Q000523:psychology; D010371:Pediatric Nursing / Q000379:methods*; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D019035:Rural Health Services; D012956:Societies, Nursing; D016896:Treatment Outcome