title: Brief training in patient-centered counseling for healthy weight management increases counseling self-efficacy and goal setting among pediatric primary care providers: results of a pilot program.
abstract: BACKGROUND
  We hypothesized that training in patient-centered counseling would improve self-efficacy and quality of weight management-related counseling provided by pediatric primary care physicians (PCPs).
  
  
  METHODS
  A total of 36 PCPs attended a brief (2-hour) training and consented to participate in an evaluation. Training impact was assessed using self-administered, pretraining and posttraining surveys and a review of patient charts from prior to and from 6 and 12 months after training for a random subsample of 19 PCPs (10 charts/timepoint per PCP).
  
  
  RESULTS
  Self-reported effectiveness at obesity prevention and treatment increased from 16.7% to 44.4% (P = .01) and from 19.4% to 55.6% (P < .001), respectively. Self-efficacy in counseling and motivating patients increased from 44.4% to 80.6% (P < .001) and 27.8% to 63.9% (P < .001), respectively. Goal documentation increased from 3.9% to 16.4% and 57.9% at 6 months and 12 months posttraining, respectively.
  
  
  CONCLUSIONS
  Brief training in patient-centered counseling appears to increase self-efficacy and the frequency and quality of weight-related counseling provided by PCPs.
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA Nutrition and Health Sciences PhD Program, Emory University, Atlanta, GA, USA.
authors.forename: Jean A
authors.initials: JA
authors.lastname: Welsh
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Nelson
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Walsh
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA.
authors.forename: Holly
authors.initials: H
authors.lastname: Sealer
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Palmer
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA Nutrition and Health Sciences PhD Program, Emory University, Atlanta, GA, USA mvos@emory.edu.
authors.forename: Miriam B
authors.initials: MB
authors.lastname: Vos
mesh_terms: D001835:Body Weight; D003376:Counseling / Q000193:education*; D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D018802:Patient-Centered Care / Q000379:methods*; D063766:Pediatric Obesity / Q000517:prevention & control / Q000628:therapy*; D010372:Pediatrics / Q000193:education*; D058007:Physicians, Primary Care / Q000193:education* / Q000523:psychology; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods; D020377:Self Efficacy
keywords: motivational interviewing; obesity; patient-centered counseling; pediatrics; primary care