Parental perceptions of a motivational interviewing-based pediatric obesity prevention intervention.

Parental perceptions of a motivational interviewing-based pediatric obesity prevention intervention.
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DOI:
10.1177/0009922813483170
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发表时间:
2013-06
影响因子:
1.6
通讯作者:
Taveras EM
Taveras EM
中科院分区:
医学4区
文献类型:
--
作者:
Woo Baidal JA;Price SN;Gonzalez-Suarez E;Gillman MW;Mitchell K;Rifas-Shiman SL;Horan CM;Gortmaker SL;Taveras EM

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动机访谈(MI)显示了儿童肥胖预防的希望,但很少有研究涉及父母对MI的看法。本研究的目的是确定相关的父母的看法,有益的和满意度与MI为基础的儿童肥胖预防干预。我们研究了253名2至6岁的儿童在干预臂的高五儿童,一个初级保健为基础的随机对照试验。在多变量模型中,在美国以外出生的父母(比值比[OR] = 8.81; 95%置信区间[CI] = 2.44,31.8),家庭收入较低(OR = 3.60; 95% CI = 1.03,12.55),且BMI较高(OR = 2.86; 95% CI = 1.07,7.65)更有可能认为基于MI的访问有助于改善儿童的肥胖-干预第一年后的相关行为。女性(vs男性)、黑人(vs白色)和拉丁裔(vs白色)儿童的父母干预满意度较低。我们的研究结果强调了针对目标人群进行儿童肥胖预防工作的重要性。
Motivational interviewing (MI) shows promise for pediatric obesity prevention, but few studies address parental perceptions of MI. The aim of this study was to identify correlates of parental perceptions of helpfulness of and satisfaction with a MI-based pediatric obesity prevention intervention. We studied 253 children 2 to 6 years of age in the intervention arm of High Five for Kids, a primary care–based randomized controlled trial. In multivariable models, parents born outside the United States (odds ratio [OR] = 8.81; 95% confidence interval [CI] = 2.44, 31.8), with lower household income (OR = 3.60; 95% CI = 1.03, 12.55), and with higher BMI (OR = 2.86; 95% CI = 1.07, 7.65) were more likely to perceive MI-based visits as helpful in improving children’s obesity-related behaviors after the first year of the intervention. Parents of female (vs male), black (vs white), and Latino (vs white) children had lower intervention satisfaction. Our findings underscore the importance of tailoring pediatric obesity prevention efforts to target populations.
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