An Example of How to Supplement Goal Setting to Promote Behavior Change for Families Using Motivational Interviewing
An Example of How to Supplement Goal Setting to Promote Behavior Change for Families Using Motivational Interviewing
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DOI：
10.1080/10410236.2015.1062975
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发表时间：
2016-10-01
影响因子：
3.9
通讯作者：
Fulkerson, Jayne
中科院分区：
文献类型：
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作者：
Draxten, Michelle;Flattum, Colleen;Fulkerson, Jayne
本研究的目的是描述动机访谈（MI）在行为改变干预中的组成部分和使用，以促进健康饮食和家庭膳食，预防儿童肥胖。通过膳食环境（HOME）加干预的健康家庭办公室是一项双臂随机对照试验的一部分，包括81个家庭（8- 12岁的儿童及其父母）。干预包括10个月，2小时的小组会议和5个双月的动机/目标设定电话。仅在每次目标设定电话时收集干预家庭的数据，并在第10次/最后一次小组会议上进行行为变化评估。使用描述性统计分析MI呼叫数据和行为评估。整体团体出席率很高（68%参加了7次会议）。父母很容易接受动机/目标设定电话，平均完成率为87%。超过85%的情况下，家庭报告说，他们在电话之间实现了自己选择的目标。完成行为评估的家庭报告说，在更频繁地与家人一起吃饭和改善家庭食物健康方面变化最大。研究人员在实施家庭行为改变计划时，应使用MI的组合交付方法，以促进儿童肥胖干预措施中的目标设定和健康饮食。
The purpose of this study was to describe the components and use of motivational interviewing (MI) within a behavior change intervention to promote healthful eating and family meals and prevent childhood obesity. The Healthy Home Offerings via the Mealtime Environment (HOME) Plus intervention was part of a two-arm randomized-controlled trial and included 81 families (children 8-12years old and their parents) in the intervention condition. The intervention included 10 monthly, 2-hour group sessions and 5 bimonthly motivational/goal-setting phone calls. Data were collected for intervention families only at each of the goal-setting calls and a behavior change assessment was administered at the 10th/final group session. Descriptive statistics were used to analyze the MI call data and behavior assessment. Overall group attendance was high (68% attending 7 sessions). Motivational/goal-setting phone calls were well accepted by parents, with an 87% average completion rate. More than 85% of the time, families reported meeting their chosen goal between calls. Families completing the behavioral assessment reported the most change in having family meals more often and improving home food healthfulness. Researchers should use a combination of delivery methods using MI when implementing behavior change programs for families to promote goal setting and healthful eating within pediatric obesity interventions.