BM12: Brief Motivational Interviewing to Reduce Child BMI

BM12：减少儿童体重指数的简短动机访谈

• 批准号: 8214633
• 负责人: Ken A. Resnicow
• 金额: $ 68.52万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2014-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8214633
• 关键词: Academy; Accident and Emergency department; Address; Age; American; American Dietetic Association; Behavior; Behavior Therapy; Behavioral; Body mass index; Caring; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Collaborations; Consumption; Continuing Education; Counseling; Data; Diet; Dietitian; Educational Intervention; Educational Materials; Educational workshop; Effectiveness of Interventions; Enrollment; Evidence based intervention; Health; Intake; Intervention; Life Style; Mediation; Metric; Modeling; Obesity; Outpatients; Overweight; Parents; Patient Self-Report; Patients; Pediatric Research; Pediatrics; Persons; Physical activity; Pilot Projects; Policies; Primary Health Care; Process; Public Health; Questionnaires; Randomized; Relative (related person); Reporting; SERPINI2 gene; Schedule; Screening procedure; Series; Supervision; System; Target Populations; Telephone; Television; Testing; Training; Videotape; Visit; Weight; Work; Youth; base; cohort; cost; cost effectiveness; design; disorder prevention; drinking; efficacy trial; feeding; follow-up; fruits and vegetables; heme oxygenase-1; indexing; instrument; motivational enhancement therapy; nutrition; obesity treatment; pediatrician; primary outcome; programs; response; secondary outcome; sugar; tool; treatment as usual; tv watching

DESCRIPTION (provided by applicant): Working with the PROS (Pediatric Research in Office Settings) Network of the American Academy of Pediatrics (AAP), the American Dietetic Association (ADA), and the Centers for Disease Control (CDC), we will conduct an efficacy trial among 30 PROS practices to test two interventions that address many of the key barriers to obesity counseling in pediatric primary care. The target population will be 600 youth ages 2-8 with a BMI >= 85th and =< 97th percentile. We will employ a cluster-randomized design with PROS practice as the unit of randomization with three experimental groups. Group 1 (Usual Care-UC) will include determination of BMI percentile at baseline, 1 year, and 2 year follow up. UC practitioners will provide parents with a series of educational tip sheets as well as an educational video tape. UC pediatricians (PEDS) will also receive a = day study orientation session that will include a brief CME-type workshop addressing obesity treatment. Group 2 (PED only) will include the same assessments, enrollment criterion and educational materials as UC. In addition, Group 2 PEDs will receive 2.0 days of in-person training in Motivational Interviewing (MI) plus 2 telephone based counseling supervision sessions, and an interactive DVD MI booster training system to be developed during year 1. PEDs in Group 2 will schedule 3 proactive counseling sessions with a parent of the index child in Year 1 and 1 additional visits in year 2. Group 2 PEDS will be reimbursed $50 per visit. Group 3 (PED+RD) will include the same training and intervention components as Group 2, but will add counseling from a trained dietitian (RD). RDs will deliver 6 MI-based counseling sessions over 2 years, frontloaded with 4 contacts in year 1 and 2 in year 2. The RD sessions will be delivered both in-person and by telephone. RDs will receive 2.0 days of in-person MI training jointly with PEDS, plus 2 telephone-based supervision sessions. RDs will be compensated $50 per in-person visit and $35 for telephone sessions. The project is significantly informed by a recently completed pilot study conducted with AAP PROS, along with the team that will conduct the proposed study. The primary outcome for the trial will be child's BMI percentile at 2 year followup. Secondary outcomes include physical activity by accelerometry, diet and activity via 24hr recall and self report questionnaire, and parental feeding practices. Process, mediation, and cost effectiveness analyses will also be conducted. Pediatric obesity remains a major public health problem. There is a paucity of evidenced- based intervention models to assist primary care practitioners to treat their overweight pediatric patients. The results of this study could impact training, policy, and reimbursement of obesity care in pediatric practice.

描述(由申请人提供)：与美国儿科学会(AAP)、美国饮食协会(ADA)和疾病控制中心(CDC)的PROS(办公室设置中的儿科研究)网络合作，我们将在30个PROS实践中进行一项有效性试验，以测试两种干预措施，这两种干预措施解决了儿科初级保健中肥胖咨询的许多关键障碍。目标人群将是600名2-8岁、BMI=85和=97百分位数的年轻人。我们将采用整群随机设计，以PROS实践为单位，对三个试验组进行随机分组。第1组(常规护理-UC)将包括在基线、1年和2年随访时测定BMI百分位数。加州大学的从业者将为家长提供一系列的教育提示单以及教育录像带。加州大学儿科医生(PED)还将接受为期一天的学习指导会议，其中将包括一个简短的CME类型的研讨会，讨论肥胖的治疗。第二组(仅限PED)将包括与加州大学相同的评估、入学标准和教育材料。此外，第二组儿科医生将接受为期2.0天的激励面谈(MI)面对面培训，外加两次基于电话的咨询监督课程，以及将在第一年开发的交互式DVD MI助推器培训系统。第二组儿科医生将在第一年安排3次与索引儿童的父母进行的主动咨询课程，并在第二年再安排一次咨询。第二组儿科医生每次访问将获得50美元的报销。第三组(PED+RD)将包括与第二组相同的培训和干预内容，但将增加训练有素的营养师(RD)的咨询。RDS将在两年内提供6次以MI为基础的咨询会议，第一年有4名联系人，第二年有2名联系人。RD会议将通过面对面和电话进行。RDS将与儿科一起接受为期2.0天的面对面MI培训，外加2次电话监督会议。RDS每次面对面访问将获得50美元的补偿，电话费为35美元。最近与AAP专业人员以及将进行拟议研究的团队一起完成的一项试点研究为该项目提供了重要信息。试验的主要结果将是儿童在2年后的BMI百分位数。次要结果包括通过加速计进行的身体活动，通过24小时回忆和自我报告问卷进行的饮食和活动，以及父母的喂养做法。还将进行流程、调解和成本效益分析。儿童肥胖仍然是一个主要的公共卫生问题。缺乏循证干预模式来帮助初级保健从业者治疗超重的儿科患者。这项研究的结果可能会影响儿科实践中肥胖护理的培训、政策和报销。

项目成果

Cost-effectiveness of a motivational interviewing obesity intervention versus usual care in pediatric primary care offices.

• DOI: 10.1002/oby.23560
• 发表时间: 2022-11
• 期刊: OBESITY
• 影响因子: 6.9
• 作者: Woolford, Susan J.;Resnicow, Kenneth;Davis, Matthew M.;Nichols, Lauren P.;Wasserman, Richard C.;Harris, Donna;Gebremariam, Achamyeleh;Shone, Laura;Fiks, Alexander G.;Chang, Tammy
• 通讯作者: Chang, Tammy

Study design and baseline description of the BMI2 trial: reducing paediatric obesity in primary care practices.

• DOI: 10.1111/j.2047-6310.2011.00001.x
• 发表时间: 2012-02
• 期刊: Pediatric obesity
• 影响因子: 3.8
• 作者: Resnicow K;McMaster F;Woolford S;Slora E;Bocian A;Harris D;Drehmer J;Wasserman R;Schwartz R;Myers E;Foster J;Snetselaar L;Hollinger D;Smith K
• 通讯作者: Smith K

Advances in Motivational Interviewing for Pediatric Obesity: Results of the Brief Motivational Interviewing to Reduce Body Mass Index Trial and Future Directions.

儿童肥胖动机访谈的进展：减少体重指数试验的简短动机访谈的结果和未来方向。

• DOI: 10.1016/j.pcl.2016.02.008
• 发表时间: 2016
• 期刊: Pediatric clinics of North America
• 影响因子: 2.6
• 作者: Resnicow,Ken;Harris,Donna;Wasserman,Richard;Schwartz,RobertP;Perez-Rosas,Veronica;Mihalcea,Rada;Snetselaar,Linda
• 通讯作者: Snetselaar,Linda