title: Reducing pediatric overweight: nurse-delivered motivational interviewing in primary care.
abstract: The purpose of this study was to test the Let's Go 5-2-1-0 program delivered through motivational interviewing by nurses with 4-18-year-old overweight children and parents in primary care (PC). A quasi-experimental design allocated 60 control families to standard clinical care (SCC) and 70 families to SCC plus the 5-2-1-0 intervention. Drop-out rates were 9 and 35% at 6 months and 25 and 41% at 12 months, respectively for control and intervention participants. BMI percentile trended (p = .057) toward decline (M change = -3.0 versus -1.5) for intervention children at 6 months (n = 52 control, 44 intervention), and nonsignificantly (p = 0.14) for both groups (43 control, 40 intervention) at 12 months (controls -1.9, intervention -4.6). Intervention effects were found for self-reported daily fruit/vegetable consumption, physical activity, and screen time. Satisfaction was high. Further study of the PC nursing intervention is warranted.
authors.affiliation: Department of Nursing Services and Patient Care, Nursing Research and Evidence-Based Practice, University of Iowa Hospitals & Clinics, Iowa City, IA. Electronic address: sharon-tucker@uiowa.edu.
authors.forename: Sharon J
authors.initials: SJ
authors.lastname: Tucker
authors.forename: Karen L
authors.initials: KL
authors.lastname: Ytterberg
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Lenoch
authors.forename: Tammy L
authors.initials: TL
authors.lastname: Schmit
authors.forename: Debra I
authors.initials: DI
authors.lastname: Mucha
authors.forename: Judith A
authors.initials: JA
authors.lastname: Wooten
authors.forename: Christine M
authors.initials: CM
authors.lastname: Lohse
authors.forename: Christine M
authors.initials: CM
authors.lastname: Austin
authors.forename: Kari J
authors.initials: KJ
authors.lastname: Mongeon Wahlen
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004032:Diet; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D057194:Intention to Treat Analysis; D008297:Male; D062405:Motivational Interviewing; D024802:Nurse's Role; D050177:Overweight / Q000451:nursing* / Q000517:prevention & control* / Q000523:psychology; D010371:Pediatric Nursing; D011320:Primary Health Care
keywords: Childhood overweight; Motivational interviewing; Nurse led intervention; Pediatric obesity; Primary care