Angela J Jacques-Tiura1, April Idalski Carcone1, Sylvie Naar1, Kathryn Brogan Hartlieb2, Terrance L Albrecht3, Ellen Barton4. 1. Department of Family Medicine and Public Health Sciences, School of Medicine, Wayne State University, MI, USA. 2. Department of Dietetics and Nutrition, Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA. 3. Karmanos Cancer Institute, School of Medicine, Wayne State University, MI, USA. 4. Linguistics Program, Department of English, Wayne State University, MI, USA.
Abstract
Objective: We sought to examine communication between counselors and caregivers of adolescents with obesity to determine what types of counselor behaviors increased caregivers' motivational statements regarding supporting their child's weight loss. Methods: We coded 20-min Motivational Interviewing sessions with 37 caregivers of African American 12-16-year-olds using the Minority Youth Sequential Coding for Observing Process Exchanges. We used sequential analysis to determine which counselor communication codes predicted caregiver motivational statements. Results: Counselors' questions to elicit motivational statements and emphasis on autonomy increased the likelihood of both caregiver change talk and commitment language statements. Counselors' reflections of change talk predicted further change talk, and reflections of commitment language predicted more commitment language. Conclusions: When working to increase motivation among caregivers of adolescents with overweight or obesity, providers should strive to reflect motivational statements, ask questions to elicit motivational statements, and emphasize caregivers' autonomy.
Objective: We sought to examine communication between counselors and caregivers of adolescents with obesity to determine what types of counselor behaviors increased caregivers' motivational statements regarding supporting their child's weight loss. Methods: We coded 20-min Motivational Interviewing sessions with 37 caregivers of African American 12-16-year-olds using the Minority Youth Sequential Coding for Observing Process Exchanges. We used sequential analysis to determine which counselor communication codes predicted caregiver motivational statements. Results: Counselors' questions to elicit motivational statements and emphasis on autonomy increased the likelihood of both caregiver change talk and commitment language statements. Counselors' reflections of change talk predicted further change talk, and reflections of commitment language predicted more commitment language. Conclusions: When working to increase motivation among caregivers of adolescents with overweight or obesity, providers should strive to reflect motivational statements, ask questions to elicit motivational statements, and emphasize caregivers' autonomy.
Authors: Melissa S Xanthopoulos; Reneé H Moore; Thomas A Wadden; Chanelle T Bishop-Gilyard; Christine A Gehrman; Robert I Berkowitz Journal: J Pediatr Psychol Date: 2013-04-28
Authors: Terrance L Albrecht; John C Ruckdeschel; Fountain L Ray; Ben J Pethe; Dawn L Riddle; Joan Strohm; Louis A Penner; Michael D Coovert; Gwendolyn Quinn; Christina G Blanchard Journal: Behav Res Methods Date: 2005-02
Authors: Mehedi Hasan; April Idalski Carcone; Sylvie Naar; Susan Eggly; Gwen L Alexander; Kathryn E Brogan Hartlieb; Alexander Kotov Journal: J Healthc Inform Res Date: 2018-10-31