Quality-of-life outcomes of a weight management program for adolescents based on motivational interviewing.

Autor: Freira S; Department of Pediatrics, Faculty of Medicine, Hospital de Santa Maria, University of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisboa, Lisbon, Portugal. Electronic address: freira@gmail.com., Fonseca H; Department of Pediatrics, Faculty of Medicine, Hospital de Santa Maria, University of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisboa, Lisbon, Portugal. Electronic address: helenaregalofonseca@gmail.com., Williams G; University of Rochester Medical Center, 46 Prince St., Ste 3001, Rochester, NY 14617, United States. Electronic address: geoffrey_williams@urmc.rochester.edu., Ribeiro M; Department of Pediatrics, Faculty of Medicine, Hospital de Santa Maria, University of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisboa, Lisbon, Portugal. Electronic address: martaribeiro2@campus.ul.pt., Pena F; Unit of Continuing Care, Largo da Mundet - Bairro Novo 2840-264 Seixal, Portugal. Electronic address: fernandapena@csseixal.min-saude.pt., do Céu Machado M; Department of Pediatrics, Faculty of Medicine, Hospital de Santa Maria, University of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisboa, Lisbon, Portugal. Electronic address: machadomariaceu@gmail.com., Lemos MS; Faculty of Psychology and Educational Sciences, University of Porto, Rua Alfredo Allen 535, Porto, Portugal. Electronic address: marina@fcpe.up.pt.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2019 Apr; Vol. 102 (4), pp. 718-725. Date of Electronic Publication: 2018 Nov 22.
DOI: 10.1016/j.pec.2018.11.011
Abstrakt: Objective: To compare motivational interviewing (MI) with conventional care regarding the health-related quality-of-life (HRQoL) of adolescents with overweight/obesity.
Methods: RCT with parallel design, involving two groups: intervention group (MI group [MIG]) and control group (conventional intervention group [CIG]). The intervention included three 30-minute interviews 3 months apart.
Outcome: Change in Pediatric Quality of Life Inventory (PedsQL) scores. A mixed repeated-measures analysis of variance was used to assess group versus time interactions.
Results: Eighty-three participants finished the protocol (82% girls). MIG participants showed a significant average increase (+4.7) on the Psychosocial (t[41] = -2.388, p = .022, d = .37) and Emotional Subscales (+5.1) (t[41] = 5.733, p < .001, d = .88). CIG participants showed a significant average decrease on the Psychosocial (-6.1) (t[40] = 5.733, p < .001, d = .90), Emotional (-14.1) (t[40] = 7.249, p < .001, d = 1.13) and Social Subscales (-3.8) (t[40] = 3.782, p = .001, d = .59) and on the Total Score (-4.4) (t[40] = 3.535, p = .001, d = .55) CONCLUSION: MI improved HRQoL among overweight adolescents participating in a weight management program.
Practice Implications: MI increases HRQoL and has the potential to benefit weight management programs for adolescents.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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