Childhood Obesity Clinical Trial
Official title:
Motivational Interviewing as an Intervention to Increase Adolescent Self-Efficacy and Promote Weight Loss
The investigators studied the effect of motivational interviewing (MI) on self-efficacy, health behaviors, and health outcomes in overweight children and adolescents (ages ranging from 10 to 18 years).
One empirically supported intervention with a large evidence base for improving adult
outcomes in behavioral health-related disorders is Motivational Interviewing (MI). MI is
strongly rooted in the client-centered therapy of Rogers (1951). Its relational stance
emphasizes the importance of understanding the client's internal frame of reference and
displaying unconditional positive regard for the client. Motivational interviewing can thus
be defined as a client-centered, directive method of therapy for enhancing intrinsic
motivation to change by exploring and resolving ambivalence. MI manifests through specific
strategies, such as reflective listening, summarization, shared decision making, and agenda
setting.
Adolescent participants exposed to motivational interviewing in conjunction with usual care
(diet and exercise program) are expected to endorse greater self-efficacy, report increased
engagement in healthy behaviors, demonstrate a decrease in body weight and report improved
psychological outcomes. While motivational interviewing has been shown to increase adults'
motivation to make healthy behavior changes, few adolescent studies have demonstrated this
effect.
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