Pediatrician-led motivational interviewing to treat overweight children: an RCT

Pediatrician-led motivational interviewing to treat overweight children: an RCT

The aim of this study was to evaluate the effect of family pediatrician-led motivational interviews (MIs) on BMI of overweight (85th ≥ BMI percentile ≥ 95 th) children aged 4 to 7 years. All the family pediatricians working in Reggio Emilia Province (Italy) were invited to participate in the study;...

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Bibliographic Details
Published in:Pediatrics (Evanston) Vol. 132; no. 5; pp. e1236 - e1246
Main Authors: Davoli, Anna Maria, Broccoli, Serena, Bonvicini, Laura, Fabbri, Alessandra, Ferrari, Elena, D'Angelo, Stefania, Di Buono, Annarita, Montagna, Gino, Panza, Costantino, Pinotti, Mirco, Romani, Gabriele, Storani, Simone, Tamelli, Marco, Candela, Silvia, Giorgi Rossi, Paolo
Format: Journal Article
Language:English
Published: United States American Academy of Pediatrics 01-11-2013
Subjects:
Analysis
Body Mass Index
Care and treatment
Child
Child, Preschool
Childhood obesity
Children & youth
Female
Follow-Up Studies
Humans
Intervention
Lifestyles
Male
Motivation
Motivational Interviewing - methods
Obesity
Obesity in children
Overweight - psychology
Overweight - therapy
Parents & parenting
Pediatrics
Physicians
Physicians - psychology
Practice
Risk Reduction Behavior
Wellness programs
United Kingdom
Italy
motivational interview
overweight children
BMI
pediatrician
randomized controlled trial
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Summary:The aim of this study was to evaluate the effect of family pediatrician-led motivational interviews (MIs) on BMI of overweight (85th ≥ BMI percentile ≥ 95 th) children aged 4 to 7 years. All the family pediatricians working in Reggio Emilia Province (Italy) were invited to participate in the study; 95% accepted. Specific training was provided. Parents were asked to participate in the trial if they recognized their child as overweight. Children were individually randomly assigned to MIs or usual care. All children were invited for a baseline and a 12-month visit to assess BMI and lifestyle behaviors. The usual care group received an information leaflet, and the intervention group received 5 MI family meetings. The primary outcome was the individual variation of BMI, assessed by pediatricians unblinded to treatment groups. Of 419 eligible families, 372 (89%) participated; 187 children were randomized to MIs and 185 to the usual care group. Ninety-five percent of the children attended the 12-month visit. The average BMI increased by 0.49 and 0.79 during the intervention in the MI and control groups, respectively (difference: -0.30; P = .007). MI had no effect in boys or in children whose mothers had a low educational level. Positive changes in parent-reported lifestyle behaviors occurred more frequently in the MI group than in the control group. The pediatrician-led MI was overall effective in controlling BMI in these overweight children aged 4 to 7 years, even though no effect was observed in male children or when the mother's education level was low.
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ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2013-1738