Motivational Interviewing in NOURISH for Parents of Overweight Children
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss, Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | January 2013 |
| End Date: | August 2015 |
The purpose of this study is to investigate if a brief, motivational interviewing
intervention (NOURISH+MI) can improve retention and treatment adherence for parents enrolled
in an intervention for their child's overweight (NOURISH+). The investigators hypothesize
that children whose parents participate in NOURISH+MI will demonstrate lower attrition and
greater adherence with NOURISH+, ultimately leading to greater treatment effects, compared
with children whose parents are randomized to NOURISH+ or a control group.
intervention (NOURISH+MI) can improve retention and treatment adherence for parents enrolled
in an intervention for their child's overweight (NOURISH+). The investigators hypothesize
that children whose parents participate in NOURISH+MI will demonstrate lower attrition and
greater adherence with NOURISH+, ultimately leading to greater treatment effects, compared
with children whose parents are randomized to NOURISH+ or a control group.
There is an urgent need for innovative approaches to pediatric obesity prevention and
treatment. There is also a demand for targeted strategies that reduce attrition and improve
compliance with obesity treatment. Intervening exclusively with parents of overweight
children is a novel treatment approach, with demonstrated efficacy in reducing child body
mass index (BMI) percentile. Motivational interviewing (MI), a brief communication style for
exploring and resolving ambivalence about change, may enhance treatment engagement when
implemented as part of obesity interventions. Further research investigating MI within
pediatric obesity treatments is needed. In the current application, the investigators are
examining whether MI implemented with parents for the treatment of their children's
overweight can improve treatment effects. NOURISH+, a recently funded R01 (Nourishing Our
Understanding of Role modeling to Improve Support and Health; PI, Mazzeo), is a culturally
tailored parent intervention for overweight children ages 5-11. NOURISH+ targets
lower-income, African American participants, a group at increased risk for pediatric
overweight and associated complications, and builds on pilot work which yielded significant
reductions in child BMI percentile. The investigators are adding an MI treatment into
NOURISH+. Specifically, we will randomly select 60 parents at enrollment and investigate if
adding two brief MI sessions prior to the NOURISH+ group intervention will enhance treatment
effects. The investigators will be able to compare NOURISH+MI with participants from the two
R01 treatment conditions (NOURISH+ and Control), matched on child ethnicity and gender. The
investigators hypothesize that children whose parents participate in NOURISH+ MI will
demonstrate lower attrition and greater compliance with NOURISH+, ultimately leading to
greater treatment effects, compared with children whose parents are randomized to NOURISH+
or a control group.
treatment. There is also a demand for targeted strategies that reduce attrition and improve
compliance with obesity treatment. Intervening exclusively with parents of overweight
children is a novel treatment approach, with demonstrated efficacy in reducing child body
mass index (BMI) percentile. Motivational interviewing (MI), a brief communication style for
exploring and resolving ambivalence about change, may enhance treatment engagement when
implemented as part of obesity interventions. Further research investigating MI within
pediatric obesity treatments is needed. In the current application, the investigators are
examining whether MI implemented with parents for the treatment of their children's
overweight can improve treatment effects. NOURISH+, a recently funded R01 (Nourishing Our
Understanding of Role modeling to Improve Support and Health; PI, Mazzeo), is a culturally
tailored parent intervention for overweight children ages 5-11. NOURISH+ targets
lower-income, African American participants, a group at increased risk for pediatric
overweight and associated complications, and builds on pilot work which yielded significant
reductions in child BMI percentile. The investigators are adding an MI treatment into
NOURISH+. Specifically, we will randomly select 60 parents at enrollment and investigate if
adding two brief MI sessions prior to the NOURISH+ group intervention will enhance treatment
effects. The investigators will be able to compare NOURISH+MI with participants from the two
R01 treatment conditions (NOURISH+ and Control), matched on child ethnicity and gender. The
investigators hypothesize that children whose parents participate in NOURISH+ MI will
demonstrate lower attrition and greater compliance with NOURISH+, ultimately leading to
greater treatment effects, compared with children whose parents are randomized to NOURISH+
or a control group.
Inclusion Criteria:
- parents/caregivers must be at least 18 years old
- have a child between the ages of 5 and 11
- have a child with a BMI > the 85th%ile
- the eligible child primarily resides in the caregiver's home
- English speaking
Exclusion Criteria:
- non-ambulatory
- pregnant
- have a medical condition that might be negatively impacted by exercise have a
psychiatric diagnosis that would impair their ability to respond to assessments or
participate in a group
- Parents whose children have a medical or developmental condition that precludes
weight loss using conventional diet and exercise methods are also ineligible
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Virginia Commonwealth University Since our founding as a medical school in 1838, Virginia Commonwealth University...
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