Amir H Pakpour1, Paul Gellert2, Stephan U Dombrowski3, Bengt Fridlund4. 1. Social Determinants of Health Research Centre, Qazvin University of Medical Sciences, Qazvin, Iran; pakpour_amir@yahoo.com apakpour@qums.ac.ir. 2. Charité-Universitätsmedizin, Berlin, Germany; 3. University of Stirling, United Kingdom; and. 4. Jönköping University, Jönköping, Sweden, Sweden.
Abstract
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-to-treat, 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 ± SD BMI z score: 2.58 ± 0.61) compared with the passive control group (2.76 ± 0.70; post hoc test, P = .02), as well as an additional superiority of MI + PI compared with MI only (2.81 ± 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.
RCT Entities:
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-to-treat, 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 ± SD BMI z score: 2.58 ± 0.61) compared with the passive control group (2.76 ± 0.70; post hoc test, P = .02), as well as an additional superiority of MI + PI compared with MI only (2.81 ± 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.
Authors: Monique K Vallabhan; Elizabeth Y Jimenez; Jacob L Nash; Diana Gonzales-Pacheco; Kathryn E Coakley; Shelly R Noe; Conni J DeBlieck; Linda C Summers; Sarah W Feldstein-Ewing; Alberta S Kong Journal: Pediatrics Date: 2018-10-22 Impact factor: 7.124
Authors: Ken Resnicow; Donna Harris; Richard Wasserman; Robert P Schwartz; Veronica Perez-Rosas; Rada Mihalcea; Linda Snetselaar Journal: Pediatr Clin North Am Date: 2016-06 Impact factor: 3.278
Authors: Fransiskus Geroda Mado; Saifuddin Sirajuddin; Masyta Muis; Ida Leida Maria; Darmawansyah Darmawansyah; Muhammad Alwi Arifin Journal: J Public Health Res Date: 2021-04-14
Authors: Thais Moura Ribeiro do Valle Nascimento; Ken Resnicow; Marcia Nery; Alexandra Brentani; Elizabeth Kaselitz; Pooja Agrawal; Simanjit Mand; Michele Heisler Journal: BMC Health Serv Res Date: 2017-01-13 Impact factor: 2.655
Authors: Lena Al-Khudairy; Emma Loveman; Jill L Colquitt; Emma Mead; Rebecca E Johnson; Hannah Fraser; Joan Olajide; Marie Murphy; Rochelle Marian Velho; Claire O'Malley; Liane B Azevedo; Louisa J Ells; Maria-Inti Metzendorf; Karen Rees Journal: Cochrane Database Syst Rev Date: 2017-06-22
Authors: Parisa Amiri; Mohammad Masih Mansouri-Tehrani; Ahmad Khalili-Chelik; Mehrdad Karimi; Sara Jalali-Farahani; Atieh Amouzegar; Elham Kazemian Journal: Int J Behav Med Date: 2021-07-15