Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis

Abstract

BackgroundData on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents.Methods/designA systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I2 statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias.DiscussionThe results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group.Systematic review registrationPROSPERO 2017:CRD42017069813.

Integrating Motivational Interviewing in Pain Neuroscience Education for People With Chronic Pain: A Practical Guide for Clinicians

“…20,21 MI includes 2 essential components: the therapeutic relationship, or MI spirit, which is based on empathy, open-ended questions, eliciting the patient's thoughts, respecting the patient's autonomy, and appreciating the patient's re ections; and increasing cognitive dissonance for the current state and "change talk," which implies the use of each of the abovementioned aspects as well as re ective listening to delineate the patient's ambivalence or underlying reasons for behavior change and therefore instigating internal motivated change. [20][21][22] Motivational Interviewing Plus Explaining Pain Both PNE 19 and MI 15 have been widely tested and implemented for the management of chronic pain, and both strategies appear to be useful components for the treatment of patients with chronic pain. 15,19 Both strategies appear to elicit short-term effects in individuals experiencing chronic pain.…”

“…MI is a strategy that originates from the eld of alcohol and other substance abuse 20 to facilitate behavioral change toward a more healthy lifestyle. 22,43,44 Since its development, MI has been tested and applied to a variety of patient populations, including obesity, 43 arthritis, 45 and cancer. 44 MI has become a popular approach for increasing treatment adherence.…”

Fazla Kilolu ve Obez Adölesanlarda Motivasyonel Görüşme Tekniğinin Kullanımı

“…Yetişkin obezitesi olduğu kadar çocukluk çağı obezitesi verileri de oldukça dikkat çekicidir (4). Çocukluk çağı obezitesi; 21.yy da hem gelişmiş hem de gelişmekte olan ülkelerde sağlık hizmeti sağlayıcıları 1 Atatürk Üniversitesi Hemşirelik Fakültesi, Halk Sağlığı Hemşireliği AD, Erzurum, Türkiye 2 Muş Alparslan Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Engelli Bakım ve Rehabilitasyon Programı, Muş, Türkiye Sorumlu Yazar / Corresponding Author: Hasan EVCİMEN, e-mail: hsn_evcimen@hotmail.com Geliş Tarihi / Received: 15.04.2019, Kabul Tarihi / Accepted: 04.05.2020 arasında ciddi endişe uyandıran bir durumdur (5). Adölesan grup olan10-19 yaş arası fazla kilolu oranı 25 yılda %6,8'den %17,3'e yükselmiştir.…”

“…Bu durum yalnızca yetişkinlik obezitesine neden olmamakla birlikte beraberinde tip 2 diyabet ve iskemik kalp hastalıklarına yakalanma riskini de arttırmaktadır (8,9). Çocuk ve adölesanlara uygulanan davranışsal müdahalelerin, diyet ve fiziksel aktivite davranışlarını değiştirmede en etkili strateji olduğu belirtilmektedir (5). Mevcut kilo verme ve kilo yönetimi programlarının uzun vadeli kilo kontrolündeki merkezi rolüne rağmen, motivasyonun sürdürülmesine yönelik girişimlere az önem verdikleri görülmektedir.…”