Outcome of BMI2+: Motivational Interviewing to Reduce BMI Through Primary Care AAP PROS Practices.

Autor:	Resnicow K; School of Public Health, University of Michigan, Ann Arbor, Michigan., Delacroix E; School of Public Health, University of Michigan, Ann Arbor, Michigan., Sonneville KR; School of Public Health, University of Michigan, Ann Arbor, Michigan., Considine S; School of Public Health, University of Michigan, Ann Arbor, Michigan., Grundmeier RW; Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania., Shu D; Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania., Faerber JA; Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania., Fiks AG; Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania., Steffes J; Primary Care Research, American Academy of Pediatrics, Itasca, Illinois., Harris D; Primary Care Research, American Academy of Pediatrics, Itasca, Illinois., Woo H; Department of Pediatrics, University of California Los Angeles, Los Angeles, California., Proctor T; Physician's Computer Company, Winooski, Vermont., Wright ME; University of Illinois Cancer Center, Chicago, Illinois., Shone LP; Shone Sciences, DBA, Lowville, New York., Barlow SE; Department of Pediatrics, University of Texas Southwestern Medical School, Dallas, Texas., Wasserman RC; Larner College of Medicine, University of Vermont, Burlington, Vermont., Siegel R; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio., Stockwell MS; Division of Child Adolescent Health, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2024 Jan 01; Vol. 153 (2).
DOI:	10.1542/peds.2023-062462
Abstrakt:	Background: Pediatric obesity rates in the United States remain at an all-time high. Pediatric primary care clinicians and registered dietitians can help treat childhood obesity, and motivational interviewing (MI) has shown promising effects in prior trials. Methods: We randomized 18 pediatric primary care practices to receive the Brief Motivational Interviewing to Reduce BMI or BMI2+ intervention or continue with usual care (UC). Practices were recruited through the American Academy of Pediatrics Pediatric Research in Office Settings network. The intervention comprised 4 components1: in-person and telehealth MI counseling by pediatric clinicians; 4 recommended sessions,2 6 telephone MI counseling sessions from a registered dietitian,3 text message reminders and tailored motivational messages, and4 parent educational materials. The main outcome was the change in the percentage of the 95th percentile of BMI. The study was conducted 2017 through 2021. Results: There was a significant treatment x time interaction (b = 0.017, 95% confidence interval: [0.0066-0.027]) for the main outcome, favoring the UC group, with youth in the intervention arm showing a greater relative increase in their percent of the 95th percentile. Conclusions: There was no overall benefit of the intervention and, contrary to expectations, youth in the intervention arm gained more weight, based on percent of the distance from the 95th percentile than matched youth from UC practices. The absolute excess weight gain among intervention relative to UC youth was small, approximately 0.5 BMI units and 1 kg over 2 years. We offer several potential explanations for these unexpected findings.
Databáze:	MEDLINE
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