Using motivational interviewing for weight feedback to parents of young children

Dawson, A.; Brown, Deirdre A.; Cox, Adell; Williams, Sheila; Treacy, Lee; Haszard, Jillian; Meredith-Jones, Kim; Taylor, Barry; Ross, Jim; Taylor, Rachael W

doi:10.1111/jpc.12518

Cited by 32 publications

(65 citation statements)

References 54 publications

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“…In phase 2, all overweight children identified in phase 1 (n = 271) could participate in a 2-year intervention comparing UC with a frequent but low-intensity intervention tailored to the needs of their family. 23,26,27 Families were invited to participate in phase 1 and, if eligible, could agree to phase 2. Although this manuscript reports the findings from phase 2, sufficient detail regarding phase 1 is provided for context.…”

Section: Methodsmentioning

confidence: 99%

“…20 Although health professionals are generally reluctant to do so, 21 parents are receptive to the information if delivered well, 22 and recruitment into intervention can be high. 23 However, few studies have recruited families into treatment via weight screening. Families with young overweight children in the LEAP (Live, Eat and Play) trials attended 4 consultations with their general practitioner over 12 weeks.…”

Section: What This Study Addsmentioning

confidence: 99%

“…Anthropometry and blood pressure measurements on children were obtained as described below while parents completed a comprehensive online questionnaire (Table 1). Parents then received feedback about their child's weight status using either best practice care (n = 540) or motivational interviewing (n = 553, see Dawson et al 23 for additional information). Randomization to feedback condition occurred using random block lengths (Stata 12.0, StataCorp, College Station, TX) after stratifying for practice, with sealed opaque envelopes.…”

Section: Phase 1: Screeningmentioning

confidence: 99%

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A Tailored Family-Based Obesity Intervention: A Randomized Trial

Taylor¹,

et al. 2015

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OBJECTIVE: To determine whether a 2-year family-based intervention using frequent contact and limited expert involvement was effective in reducing excessive weight compared with usual care.METHODS: Two hundred and six overweight and obese (BMI $85th percentile) children aged 4 to 8 years were randomized to usual care (UC) or tailored package (TP) sessions at university research rooms. UC families received personalized feedback and generalized advice regarding healthy lifestyles at baseline and 6 months. TP families attended a single multidisciplinary session to develop specific goals suitable for each family, then met with a mentor each month for 12 months, and every third month for another 12 months to discuss progress and provide support. Outcome measurements (anthropometry, questionnaires, dietary intake, accelerometry) were obtained at 0, 12, and 24 months.RESULTS: BMI at 24 months was significantly lower in TP compared with UC children (difference, 95% confidence interval: -0.34, -0.65 to -0.02), as was BMI z score (-0.12, -0.20 to -0.04) and waist circumference (-1.5, -2.5 to -0.5 cm). TP children consumed more fruit and vegetables (P = .038) and fewer noncore foods (P = .020) than UC children, and fewer noncore foods were available in the home (P = .002). TP children were also more physically active (P = .035). No differences in parental feeding practices, parenting, quality of life, child sleep, or behavior were observed.CONCLUSIONS: Frequent, low-dose support was effective for reducing excessive weight in predominantly mild to moderately overweight children over a 2-year period. Such initiatives could feasibly be incorporated into primary care.

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Section: Methodsmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

Section: Phase 1: Screeningmentioning

confidence: 99%

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A Tailored Family-Based Obesity Intervention: A Randomized Trial

Taylor¹,

et al. 2015

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“…Baseline intervention appointment 1093 children were screened of which 271 were found to be overweight (BMI > 85th percentile of US reference data) [21]. Parents of these children received feedback about their child's weight status and were subsequently invited into a two-year intervention [17]. Those agreeing to participate (n = 203, 75%) attended a baseline intervention appointment.…”

Section: At Baseline Intervention Appointment -After Feedbackmentioning

confidence: 99%

“…We recently undertook a weight screening initiative in preparation for a family-based obesity intervention [17]. Our extensive compilation of baseline measures included indicators of social desirability, objective measures of physical activity from accelerometry, and measures of the home food environment.…”

Section: Introductionmentioning

confidence: 99%

Wanting to and Doing So: Parental Intent to Change Weight Does Not Translate Into Behavior

Taylor

Brown²,

Meredith-Jones³

et al. 2015

J Child Adolesc Behav

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Objective: Because poor parental recognition of overweight is so common in young children, we sought to determine whether demographics or family behaviors differed in children whose parents were actively trying to reduce excess weight in their child compared with those who were unaware there was an issue. Methods:Parents of 271 overweight (body mass index≥85th) children aged 4-8 years completed questionnaires on demographics, weight, feeding practices, social desirability, dietary intake, and home food availability. Children wore accelerometers over 7 days to measure physical activity/inactivity.Results: 113 parents (41.7%) classified their child as overweight, 96 (35.4%) indicated at least some concern, but only 66 (24.4%) parents were trying to (probably or definitely) change their child's weight. In total, 56 children met all three criteria. These children were older, heavier and more likely to be female (P<0.001), but did not differ in socioeconomic status (P=0.614), maternal education (P=0.615), or ethnicity (P=0.051), compared to the remaining children. Few differences in feeding practices were observed, except for higher food restriction in those trying to change their child's weight (P<0.001). These children were significantly less physically active (P=0.033) and more sedentary (P=0.002) than the other children. Despite strong intent to change the diet (P<0.001), this did not translate to differences in home food availability or dietary intake. Social desirability was also not related to efforts to change. Conclusion:Parental awareness of excess weight in young children and attempts to address the issue do not appear to translate into healthier behaviors in the home.

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Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Mead

Brown

Rees

et al. 2017

Cochrane Database of Systematic Reviews

365

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Multi-component behaviour-changing interventions that incorporate diet, physical activity and behaviour change may be beneficial in achieving small, short-term reductions in BMI, BMI z score and weight in children aged 6 to 11 years. The evidence suggests a very low occurrence of adverse events. The quality of the evidence was low or very low. The heterogeneity observed across all outcomes was not explained by subgrouping. Further research is required of behaviour-changing interventions in lower income countries and in children from different ethnic groups; also on the impact of behaviour-changing interventions on health-related quality of life and comorbidities. The sustainability of reduction in BMI/BMI z score and weight is a key consideration and there is a need for longer-term follow-up and further research on the most appropriate forms of post-intervention maintenance in order to ensure intervention benefits are sustained over the longer term.

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Using motivational interviewing for weight feedback to parents of young children

Abstract: MI and BPC were both successful in encouraging parents to participate in a family-based intervention, with MI offering little significant benefit over BPC. A traffic light approach to weight feedback is a suitable way of providing sensitive information to parents not expecting such news.

Cited by 32 publications

References 54 publications

A Tailored Family-Based Obesity Intervention: A Randomized Trial

A Tailored Family-Based Obesity Intervention: A Randomized Trial

Wanting to and Doing So: Parental Intent to Change Weight Does Not Translate Into Behavior

Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

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