Texting Motivational Interviewing: A Randomized Controlled Trial of Motivational Interviewing Text Messages Designed to Augment Childhood Obesity Treatment

Armstrong, Sarah; Mendelsohn, Alan L.; Bennett, Gary G.; Taveras, Elsie M.; Kimberg, Amanda; Kemper, Alex R.

doi:10.1089/chi.2017.0089

Cited by 38 publications

(134 citation statements)

References 16 publications

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“…Specifically, Armstrong et al . reported that MI‐based text messages sent daily for 12 weeks to parents as part of the treatment for their child's obesity, enhanced attendance at clinic visits . Importantly, the intensity of the weight management treatment was much lower (monthly) in this prior investigation, compared with NOURISH + (weekly), and the frequency and type of the adjunctive MI contact also differed substantially, which might explain the differential findings.…”

Section: Discussionmentioning

confidence: 71%

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Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

et al. 2018

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Summary Background Attrition and treatment adherence are notorious challenges in paediatric obesity interventions. Objective To evaluate if brief, pretreatment motivational interviewing (MI) can improve retention (at baseline, post‐assessment and follow‐up assessment) and adherence (i.e. attendance) in a parent‐exclusive paediatric obesity intervention. Methods MI was implemented with parents as an adjunct to a larger randomized controlled trial of Nourishing Our Understanding of Role‐modeling to Improve Support and Health (NOURISH+), a parent intervention for children with overweight ages 5–11 years. Parents (N = 112) were randomized to receive two MI sessions (one telephone and one in person) or reminder calls. Results Parents (91% women; 52% African American) who completed one telephone MI session were more likely to attend baseline (74%) compared with parents who received reminder calls only (53%, p < .001). After a second MI session, there were no group differences in treatment initiation (p > .05). Treatment attendance, post or 4‐month follow‐up assessment completion did not differ between conditions (p > .05). Conclusion One MI session implemented prior to treatment can improve baseline attendance; a second MI session did not enhance these effects. A single‐session telephone‐based MI pretreatment might be a cost and time‐effective strategy to enhance recruitment efforts. Further strategies to address retention and treatment attendance are needed.

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Section: Discussionmentioning

confidence: 71%

“…Comparison to other studies is limited given the few investigations with this population in this scientific area. Indeed, to our knowledge, only one other study investigated the effect of MI on engagement among parents of children with obesity, conducted in a tertiary care and clinic‐based setting . Specifically, Armstrong et al .…”

Section: Discussionmentioning

confidence: 99%

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

et al. 2018

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“…The drop-out rate in the present study was low, although participants, primarily in the control group, frequently cancelled appointments. Compared to standard care alone, Armstrong et al found that children who received additional text messages had better adherence to appointments [29]. Similarly, the intervention group had a smaller number of cancellations, indicating that the support system reduced barriers to face-to-face meetings.…”

Section: Mhealth Usage and Compliancementioning

confidence: 99%

A novel interactive mobile health support system for pediatric obesity treatment: a randomized controlled feasibility trial

2020

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Background In order to achieve improved weight status, behavioral pediatric obesity treatment is resource intensive. Mobile Health (mHealth) is more accessible than standard care but effective approaches are scarce. Therefore, the aim of this feasibility trial was to study trial design, mHealth usage, compliance, and acceptability of a novel mHealth approach in pediatric obesity treatment. Methods This six-month parallel two-arm feasibility trial took place at three pediatric outpatient clinics in Stockholm, Sweden. Participants, 5–12 years, starting obesity treatment were randomized to using an mHealth support system as an addition to standard care (intervention) or to standard care alone (control). The intervention included daily self-monitoring of weight transferred to a mobile application (app) used by parents, a website in which clinicians could track treatment progress, prespecified treatment goals for change in degree of obesity shown in the app and on the website, and text message interactions between clinicians and parents. The main outcome was description of feasibility. Height and weight were measured at baseline, three, and 6 months to explore changes in body mass index standard deviation score (BMI SDS). Results Of 40 children eligible for inclusion, 28 agreed to participate (54% girls) and were randomized to intervention (n = 15) or control (n = 13). Weight was measured at home regularly throughout the entire trial period by 12/15 children in the intervention group. Attendance at appointments were better in the intervention group (p = 0.024). Both parents and clinicians had a positive experience and found the mHealth support system accessible. At 6 months the intervention group had a greater reduction of 0.24 units in BMI SDS than standard care (− 0.23 vs. 0.01, p = 0.002). Conclusions The mHealth support system was a feasible and innovative treatment approach which, in addition to standard care, generated better treatment results than standard care alone. Future research should evaluate the treatment effects over a longer follow-up time in a larger study sample. Trial registration This trial was retrospectively registered at ClinicalTrials.gov, ID: NCT03380598, on November 8, 2017.

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“…40 Motivational interviewing (MI) and shared decisionmaking with goal setting are the crux of the treatment plans. [41][42][43][44] MI is integral in the treatment of overweight and obese children as noted in a review that investigated the effects of MI techniques and showed statistically significant positive effect on changing body mass index (BMI) and secondary obesity-related behavior outcomes in overweight or obese children from ages 2 to 11. 44 One of the WMP listed in Table 1 utilized a goal setting component that positively influenced the behavior change for the low-income, rural women participants who were contemplating lifestyle changes.…”

Section: Behavioral Therapiesmentioning

confidence: 99%

“…45 Additionally, a study noted daily text messaging with MI can improve outcomes. 42 Behavioral medicine fits alongside the traditional medical treatment for obesity. Behavioral therapy can minimize the need for more intensive medical treatments, improve outcomes, and improve adherence to treatment plans.…”

Section: Behavioral Therapiesmentioning

confidence: 99%

Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity

Bright

O’Hare

Beesley

et al. 2019

Exp Biol Med (Maywood)

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Obesity is a costly and complex health issue that precipitates and/or complicates many medical conditions. Clinical recommendations include a comprehensive approach to weight loss with a combination of diet, physical activity, behavioral interventions, pharmacotherapy or surgery to achieve weight loss. Care in the primary care setting is integral in obesity management. Outside of their clinical role, primary care physicians serve as role models, educators, and promoters of healthy lifestyle practices and leaders in obesity treatment. Physician recommendations have consistently been shown to exert a powerful influence on patient behavior, but there is a substantial gap between patients who would benefit from obesity care and those receiving it. Providers, especially primary care, cite many obstacles to addressing obesity including lack of time, expertise, and resources. This review focuses on describing the feasibility and evidence for tackling obesity through provider-led multidisciplinary weight management programs. A literature search was conducted in Med Line and PubMed for published articles on multidisciplinary weight management programs that included lifestyle modification (diet and exercise), behavioral modification and a physician (MD/DO) with one or more of the following multidisciplinary team members: nutritionist/registered dietician (RD), behavioral health provider (BH), case manager (CM), pharmacist (Pharm), nursing (RN), and research staff. Relevant articles from bibliographies of systematic reviews/meta-analyses were included as well. Ten studies qualified, and we organized the articles to discuss the following three themes: diet and exercise, behavioral therapies and barriers, and facilitators for clinical weight management programs. The studies in this mini-review of multidisciplinary weight programs that included physicians reiterate the guidelines for successful treatment of obesity, with more research needed to fully understand how primary care providers can assist higher risk patient populations, particularly those of lower socioeconomic status who are disproportionally impacted by obesity.

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Texting Motivational Interviewing: A Randomized Controlled Trial of Motivational Interviewing Text Messages Designed to Augment Childhood Obesity Treatment

Abstract: Parent-directed text messages did not significantly change child BMI. However, texting significantly reduced attrition for treatment visits. Nearly all parents in this racially diverse, low-income sample engaged in daily text messaging, making this a feasible approach.

Cited by 38 publications

References 16 publications

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

Impact of motivational interviewing on engagement in a parent‐exclusive paediatric obesity intervention: randomized controlled trial of NOURISH+MI

A novel interactive mobile health support system for pediatric obesity treatment: a randomized controlled feasibility trial

Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity

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