Motivational Interviewing and Caregiver Engagement in the Family Check-Up 4 Health.
Motivational Interviewing and Caregiver Engagement in the Family Check-Up 4 Health.
复制标题
在家庭检查4健康方面的动机面试和照料者参与。
DOI：
10.1007/s11121-020-01112-8
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Smith JD
中科院分区：
文献类型：
--
作者：
Berkel C;Mauricio AM;Rudo-Stern J;Dishion TJ;Smith JD
动机访谈（MI）是一种治疗方式，提供者可以通过这种方式激发客户的动机并帮助加强对变革的承诺。最初的家庭检查 (FCU) 以及用于改善初级保健中健康行为的改编版本家庭检查 4 健康 (FCU4Health) 是简短的、评估驱动的、以家庭为中心的预防干预措施，利用 MI 来提高家长对服务的参与度，从而改善养育方式并预防负面的儿童结果。本研究探讨了 MI 在养育健康儿童项目中的作用，该项目是一项随机试验，旨在测试 FCU4Health 在儿科初级保健中预防肥胖的有效性，数据来自分配接受 FCU4Health 的 141 个家庭。如果孩子在确诊时年龄在 5.5 至 12 岁之间，并且在最近一次就诊时其年龄和性别的 BMI ≥ 85%，则家庭有资格参加该研究。第一次会议的 MI 技能预测了护理人员在会议中的积极参与、后续育儿会议的出席情况以及解决儿童健康和行为目标的动力的提高。家庭的基线特征（即儿童健康诊断、照顾者基线抑郁、动机和西班牙语偏好）与反应能力和 MI 技能存在差异关联。这项研究对项目开发、提供商培训和保真度监控具有重要意义。
Motivational interviewing (MI) is a therapeutic style in which a provider elicits client motivation and helps strengthen commitment to change. The original Family Check-Up (FCU)—and the adapted version for improving health behaviors in primary care, the Family Check-Up 4 Health (FCU4Health)—are brief, assessment-driven, and family-centered preventive interventions that use MI to improve parent engagement in services to improve parenting and prevent negative child outcomes. This study examines the role of MI in the Raising Healthy Children project, a randomized trial to test the effectiveness of the FCU4Health for the prevention of obesity in pediatric primary care, with data from the 141 families assigned to receive the FCU4Health. Families were eligible for the study if the child was between 5.5 and 12 years of age at the time of identification and had a BMI ≥ 85th percentile for age and gender at the most recent visit to their primary care provider. MI skills at the first session predicted caregiver in-session active engagement, attendance at follow-up parenting sessions, and improvements in motivation to address child health and behavior goals. Baseline characteristics of the family (i.e., child health diagnosis, caregiver baseline depression, motivation, and Spanish language preference) had differential associations with responsiveness and MI skills. This study has implications for program development, provider training, and fidelity monitoring.
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影响因子：
4.9
作者：
Brennan, Lauretta M.;Shelleby, Elizabeth C.;Shaw, Daniel S.;Gardner, Frances;Dishion, Thomas J.;Wilson, Melvin
通讯作者：
Wilson, Melvin
影响因子：
5.9
作者：
Chiapa, Amanda;Kim, Hanjoe;Shaw, Daniel S.;Smith, Justin D.;Dishion, Thomas J.;Wilson, Melvin N.
通讯作者：
Wilson, Melvin N.
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.4
作者：
DiClemente, Carlo C.;Corno, Catherine M.;Knoblach, Daniel J.
通讯作者：
Knoblach, Daniel J.
影响因子：
3.3
作者：
Fosco, Gregory M.;Van Ryzin, Mark;Dishion, Thomas J.
通讯作者：
Dishion, Thomas J.