Developing and Pilot Testing the Readiness and Motivation Interview for Families in Pediatric Weight Management.
Clinical acumen is often used to assess families' motivation prior to initiating pediatric obesity management due to a lack of available tools. The purpose of this pilot study was to (i) develop and (ii) pilot test the "Readiness and Motivation Interview for Families" (RMI-Family) in pediatric weight management. We conducted 5 focus groups with parents (n = 15), youth with obesity (n = 11), and health care providers (n = 8) to explore perceptions of barriers to making healthy behaviour changes, which led to the creation of the RMI-Family as a semi-structured interview. Five domains (treat foods, overeating, emotional eating, total physical activity, and screen time) emerged from the focus groups to inform the development of the RMI-Family, which was then pilot tested with a sample of youth with obesity and their parents (n = 11 dyads). Interviewers administered the RMI-Family to youth (age 12.8 ± 1.7 years; body mass index [BMI] z-score: 2.71 ± 0.43) and parents (age 47.1 ± 3.7 years; BMI: 33.5 ± 10.1 kg/m(2)). The RMI-Family was feasible to administer, easily understood by families, and may be a useful tool for assessing families' motivation. Research is underway to determine the psychometric properties and utility of the RMI-Family in predicting clinical outcomes in pediatric weight management.
a Eating Disorders Program, St. Paul's Hospital, Vancouver, BC.|b Department of Psychiatry, University of British Columbia, Vancouver, BC.
Josie
J
Geller
c Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.
Jillian
J
Avis
a Eating Disorders Program, St. Paul's Hospital, Vancouver, BC.|b Department of Psychiatry, University of British Columbia, Vancouver, BC.
Suja
S
Srikameswaran
a Eating Disorders Program, St. Paul's Hospital, Vancouver, BC.|d Department of Counselling Psychology, University of British Columbia, Vancouver, BC.
Joanna
J
Zelichowska
e Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB.
Katie
K
Dartnell
e Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB.
Bailey
B
Scheuerman
c Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.
Arnaldo
A
Perez
c Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.
Allison
A
Rasquinha
f Department of Psychology, University of Hawai'i at Maānoa, Honolulu, HI.
Krista E
KE
Brown
g Endocrinology and Diabetes Unit, B.C.'s Children's Hospital, Vancouver, BC.
Jean-Pierre
JP
Chanoine
c Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.|e Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB.|h Pediatric Centre for Weight and Health, Stollery Children's Hospital, Alta, Health Services, Edmonton, AB.
Geoff
G
Ball
D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D002648:Child; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010290:Parents; D063766:Pediatric Obesity / Q000517:prevention & control / Q000523:psychology*; D010865:Pilot Projects; D015203:Reproducibility of Results