title: Teen CHAT: Development and utilization of a web-based intervention to improve physician communication with adolescents about healthy weight.
abstract: OBJECTIVE
  To describe the theoretical basis, use, and satisfaction with Teen CHAT, an online educational intervention designed to improve physician-adolescent communication about healthy weight.
  
  
  METHODS
  Routine health maintenance encounters between pediatricians and family practitioners and their overweight adolescent patients were audio recorded, and content was coded to summarize adherence with motivational interviewing techniques. An online educational intervention was developed using constructs from social cognitive theory and using personalized audio recordings. Physicians were randomized to the online intervention or not, and completed post-intervention surveys.
  
  
  RESULTS
  Forty-six physicians were recruited, and 22 physicians were randomized to view the intervention website. The educational intervention took an average of 54min to complete, and most physicians thought it was useful, that they would use newly acquired skills with their patients, and would recommend it to others. Fewer physicians thought it helped them address confidentiality issues with their adolescent patients.
  
  
  CONCLUSIONS
  The Teen CHAT online intervention shows potential for enhancing physician motivational interviewing skills in an acceptable and time-efficient manner.
  
  
  CONCLUSIONS
  If found to be effective in enhancing motivational interviewing skills and changing adolescent weight-related behaviors, wide dissemination will be feasible and indicated.
authors.affiliation: Adolescent Medicine, Nationwide Children's Hospital, Department of Pediatrics, The Ohio State University, Columbus, OH, USA. Electronic address: Bravender.1@osu.edu.
authors.forename: Terrill
authors.initials: T
authors.lastname: Bravender
authors.forename: James A
authors.initials: JA
authors.lastname: Tulsky
authors.forename: David
authors.initials: D
authors.lastname: Farrell
authors.forename: Stewart C
authors.initials: SC
authors.lastname: Alexander
authors.forename: Truls
authors.initials: T
authors.lastname: Østbye
authors.forename: Pauline
authors.initials: P
authors.lastname: Lyna
authors.forename: Rowena J
authors.initials: RJ
authors.lastname: Dolor
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Coffman
authors.forename: Alicia
authors.initials: A
authors.lastname: Bilheimer
authors.forename: Pao-Hwa
authors.initials: PH
authors.lastname: Lin
authors.forename: Kathryn I
authors.initials: KI
authors.lastname: Pollak
mesh_terms: D000293:Adolescent; D000328:Adult; D003142:Communication; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009042:Motivation; D062405:Motivational Interviewing; D050177:Overweight / Q000523:psychology* / Q000628:therapy; D010549:Personal Satisfaction; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration; D013637:Tape Recording; D013997:Time Factors; D015431:Weight Loss
keywords: Adolescents; Motivational interviewing; Obesity; Overweight; Physician–patient communication; Tailored intervention
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