Consultations About Changing Behaviour

Rollnick, S; Butler, Ceri; McCambridge, Jim; Kinnersley, Paul; Elwyn, Glyn; Resnicow, Kenneth

doi:10.1097/01.hcr.0000320079.04341.ac

Cited by 27 publications

(31 citation statements)

References 4 publications

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“…18,19 MI invites participants to indicate their feelings, thoughts, and ambivalence about change, and it helps reaching decisional balance. 17,20 Compared with other approaches such as education and nonspecific counseling, MI has been found to improve health behaviors and outcomes. 19 Parental involvement in MI interventions 21 can improve the effectiveness of school-based health programs.…”

Section: What This Study Addsmentioning

confidence: 99%

Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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BACKGROUND AND OBJECTIVE: Motivational interviewing (MI) has been shown to be an effective strategy for targeting obesity in adolescents, and parental involvement is associated with increased effectiveness. The aim of this study was to evaluate and compare the role of parental involvement in MI interventions for obese adolescents.METHODS: A total of 357 Iranian adolescents (aged 14-18 years) were randomized to receive an MI intervention or an MI intervention with parental involvement (MI + PI) or assessments only (passive control). Data regarding anthropometric, biochemical, psychosocial, and behavioral measures were collected at baseline and 12 months later. A series of intention-totreat, 2-way repeated-measures analysis of covariance were performed to examine group differences in change in outcomes measures over the 12-month follow-up period.RESULTS: Results revealed significant effects on most of the outcome parameters for MI + PI (eg, mean 6 SD BMI z score: 2.58 6 0.61) compared with the passive control group (2.76 6 0.70; post hoc test, P = .02), as well as an additional superiority of MI + PI compared with MI only (2.81 6 0.76; post hoc test, P = .05). This pattern was also shown for most of the anthropometric, biochemical, psychometric, and behavioral outcome variables.CONCLUSIONS: MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings might be important when administering MI interventions in school settings. WHAT'S KNOWN ON THIS SUBJECT:Motivational interviewing (MI) has been found to increase the effectiveness of weight loss programs in obese children and adolescents. Although parental involvement seems to be linked to its effectiveness, strong conclusions cannot be drawn. WHAT THIS STUDY ADDS:The present study found that MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings are important when administering MI interventions in school settings.

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Section: What This Study Addsmentioning

confidence: 99%

Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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“…Counseling in medical practice can be reduced to 4 essential skills, that is, (1) asking, (2) informing, (3) advising, and (4) listening. A framework for understanding how these skills are used in client-centered counseling was proposed by Rollnick et al 226 The framework delineates how these 4 skills manifest as 3 styles of communication, namely, following, guiding, and directing. These styles are differentiated by the skills used and the phase of the counseling encounter.…”

Section: Clinician Counseling Skillsmentioning

confidence: 99%

Recommendations for Prevention of Childhood Obesity

Davis¹,

et al. 2007

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The majority of US youth are of healthy weight, but the majority of US adults are overweight or obese. Therefore, a major health challenge for most American children and adolescents is obesity prevention-today, and as they age into adulthood. In this report, we review the most recent evidence regarding many behavioral and practice interventions related to childhood obesity, and we present recommendations to health care providers. Because of the importance, we also suggest approaches that clinicians can use to encourage obesity prevention among children, including specific counseling strategies and practice-based, systems-level interventions. In addition, we suggest how clinicians may interact with and promote local and state policy initiatives designed to prevent obesity in their communities.www.pediatrics.org/cgi

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“…1 Main components include health professionals exhibiting empathy and eliciting the patient's own reasons for wanting to change in a collaborative, nonjudgmental manner. 1 General practitioners [2][3][4] and specialists 5 are increasingly using this technique, and its efficacy has been demonstrated across multiple behavioral domains, 6,7 including diet, 8 medication adherence, 9 diabetes care, 10,11 and substance abuse. 6 Within endocrinology, the role of behavior modification is a critical part of helping patients manage their diabetes.…”

Section: Introductionmentioning

confidence: 99%

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Bean¹,

Biskobing²,

Francis³

et al. 2012

Journal of Graduate Medical Education

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Background Despite the importance of lifestyle change in disease management and the growing evidence supporting motivational interviewing (MI) as an effective counseling method to promote behavioral change, to date there are few published reports about MI training in graduate medical education. Objective The study aimed to pilot the feasibility and effectiveness of a brief MI training intervention for endocrinology fellows and other providers. Methods We used a pretest/posttest design to evaluate a brief MI training for 5 endocrinology fellows and 9 other providers. All participants completed subjective assessments of perceived confidence and beliefs about behavioral counseling at pretest and posttest. Objective assessment of MI was conducted using fellows' audiotaped patient encounters, which were coded using a validated tool for adherence to MI before and after the training. Paired t tests examined changes in objective and subjective assessments. Results The training intervention was well received and feasible in the endocrinology setting. At posttest, participants reported increased endorsement of the MI spirit and improved confidence in MI skills. Objective assessment revealed relative improvements in MI skills across several domains. However, most domains, as assessed by a validated tool, did not reach competency level after the training intervention. Conclusions Although more intensive training may be needed to develop MI competence, the results of our pilot study suggest that brief, targeted MI training has short-term efficacy and is well received by endocrinology fellows and other providers.

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Consultations About Changing Behaviour

Cited by 27 publications

References 4 publications

Motivational Interviewing With Parents for Obesity: An RCT

Motivational Interviewing With Parents for Obesity: An RCT

Recommendations for Prevention of Childhood Obesity

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

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