Advances in Motivational Interviewing for Pediatric Obesity: Results of the Brief Motivational Interviewing to Reduce Body Mass Index Trial and Future Directions.
Rates of childhood obesity in the United States remain at historic highs. The pediatric primary care office represents an important yet underused setting to intervene with families. One factor contributing to underuse of the primary care setting is lack of effective available interventions. One evidence-based method to help engage and motivate patients is motivational interviewing, a client-centered and goal-oriented style of counseling used extensively to increase autonomous motivation and modify health behaviors. This article summarizes the methods and results from a large trial implemented in primary care pediatric office and concludes with recommendations for improving the intervention and increasing its dissemination.
Department of Health Behavior & Health Education, School of Public Health, University of Michigan, 109 Observatory Street, Room 3867 SPH I, Ann Arbor, MI 48109-2029, USA. Electronic address: Kresnic@umich.edu.
Ken
K
Resnicow
Pediatric Research in Office Settings (PROS), Department of Research, American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, IL 60101, USA.
Donna
D
Harris
Department of Pediatrics, University of Vermont College of Medicine, Burlington, VT, USA; Pediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, IL, USA.
Richard
R
Wasserman
Office of Emeritus Affairs, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Robert P
RP
Schwartz
Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109-202, USA.
Veronica
V
Perez-Rosas
Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109-202, USA.
Rada
R
Mihalcea
Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Linda
L
Snetselaar
D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002669:Child Welfare / Q000639:trends; D002986:Clinical Trials as Topic; D005260:Female; D006293:Health Promotion / Q000639:trends*; D006801:Humans; D008297:Male; D062405:Motivational Interviewing / Q000639:trends*; D063766:Pediatric Obesity / Q000150:complications / Q000628:therapy*; D011320:Primary Health Care / Q000639:trends; D011614:Psychotherapy, Brief / Q000639:trends*; D014481:United States
Motivational interviewing; Pediatric obesity; Primary care