Articles producció científica> Medicina i Cirurgia

Impact of the motivational interviewing for childhood obesity treatment: The Obemat2.0 randomized clinical trial

  • Identification data

    Identifier: imarina:9368042
    Handle: https://hdl.handle.net/20.500.11797/imarina9368042
    Authors:
    Luque, VeronicaFeliu, AlbertClosa-Monasterolo, RicardoMunoz-Hernando, JuditFerre, NataliaGutierrez-Marin, DesireeGuillen, NuriaBasora, JosepHsu, PabloAlegret-Basora, ClaraSerrano, M angelsMallafre, MartaAlejos, Ana MBalcells, Eva NBoada, AngelsPaixa, SandraMimbrero, GiselaGil-Mancha, SusanaTudela-Valls, CarolAlcazar, MireiaEscribano, Joaquin
    Abstract:
    Background and ObjectiveThe aim was assessing a short training for healthcare providers on patient-focused counselling to treat childhood obesity in primary care, along with dietitian-led workshops and educational materials.MethodsRandomized clustered trial conducted with paediatrician-nurse pairs (Basic Care Units [BCU]) in primary care centres from Tarragona (Spain). BCUs were randomized to intervention (MI) (motivational interview, dietitian-led education, and educational materials) or control group (SC, standard care). Participants were 8-14-year-old children with obesity, undergoing 1-11 monthly treatment visits during 1 year at primary care centres. The primary outcome was BMI z-score reduction.ResultsThe study included 44 clusters (23 MI). Out of 303 allocated children, 201 (n = 106 MI) completed baseline, final visits, and at least one treatment visit and were included in the analysis. BMI z-score reduction was -0.27 (+/- 0.31) in SC, versus -0.36 (+/- 0.35) in MI (p = 0.036). Mixed models with centres as random effects showed greater reductions in BMI in MI than SC; differences were B = -0.11 (95% CI: -0.20, -0.01, p = 0.025) for BMI z-score, and B = -2.06 (95% CI: -3.89, -0.23, p = 0.028) for BMI %. No severe adverse events related to the study were notified.ResultsThe study included 44 clusters (23 MI). Out of 303 allocated children, 201 (n = 106 MI) completed baseline, final visits, and at least one treatment visit and were included in the analysis. BMI z-score reduction was -0.27 (+/- 0.31) in SC, versus -0.36 (+/- 0.35) in MI (p = 0.036). Mixed models with centres as random effects showed greater reductions in BMI in MI than SC; differences were B = -0.11 (95% CI: -0.20, -0.01, p = 0.025) for BMI z-score, and B = -2.06 (95% CI: -3.89, -0.23, p = 0.028) for

  • Others:

    Author, as appears in the article.: Luque, Veronica; Feliu, Albert; Closa-Monasterolo, Ricardo; Munoz-Hernando, Judit; Ferre, Natalia; Gutierrez-Marin, Desiree; Guillen, Nuria; Basora, Josep; Hsu, Pablo; Alegret-Basora, Clara; Serrano, M angels; Mallafre, Marta; Alejos, Ana M; Balcells, Eva N; Boada, Angels; Paixa, Sandra; Mimbrero, Gisela; Gil-Mancha, Susana; Tudela-Valls, Carol; Alcazar, Mireia; Escribano, Joaquin
    Department: Medicina i Cirurgia Bioquímica i Biotecnologia
    URV's Author/s: Alcázar López, Mireia / Closa Monasterolo, Ricardo / Escribano Subías, Joaquín / Feliu Rovira, Albert / Ferre Pallas, Natalia / Guillén Rey, Núria / GUTIÉRREZ MARÍN, DESIRÉE / Luque Moreno, Verònica
    Keywords: Treatment outcome Spain Pubertal changes Primary health care Primary care Pediatric primary-care Pediatric obesity Pattern Patient education as topic Paediatric obesity Overweight Nutritionists Motivational interviewing Motivational interview Management Male Intervention Humans Female Clinical trial Children Childhood obesity Child Body mass index Attrition Adolescents Adolescent
    Abstract: Background and ObjectiveThe aim was assessing a short training for healthcare providers on patient-focused counselling to treat childhood obesity in primary care, along with dietitian-led workshops and educational materials.MethodsRandomized clustered trial conducted with paediatrician-nurse pairs (Basic Care Units [BCU]) in primary care centres from Tarragona (Spain). BCUs were randomized to intervention (MI) (motivational interview, dietitian-led education, and educational materials) or control group (SC, standard care). Participants were 8-14-year-old children with obesity, undergoing 1-11 monthly treatment visits during 1 year at primary care centres. The primary outcome was BMI z-score reduction.ResultsThe study included 44 clusters (23 MI). Out of 303 allocated children, 201 (n = 106 MI) completed baseline, final visits, and at least one treatment visit and were included in the analysis. BMI z-score reduction was -0.27 (+/- 0.31) in SC, versus -0.36 (+/- 0.35) in MI (p = 0.036). Mixed models with centres as random effects showed greater reductions in BMI in MI than SC; differences were B = -0.11 (95% CI: -0.20, -0.01, p = 0.025) for BMI z-score, and B = -2.06 (95% CI: -3.89, -0.23, p = 0.028) for BMI %. No severe adverse events related to the study were notified.ResultsThe study included 44 clusters (23 MI). Out of 303 allocated children, 201 (n = 106 MI) completed baseline, final visits, and at least one treatment visit and were included in the analysis. BMI z-score reduction was -0.27 (+/- 0.31) in SC, versus -0.36 (+/- 0.35) in MI (p = 0.036). Mixed models with centres as random effects showed greater reductions in BMI in MI than SC; differences were B = -0.11 (95% CI: -0.20, -0.01, p = 0.025) for BMI z-score, and B = -2.06 (95% CI: -3.89, -0.23, p = 0.028) for BMI %. No severe adverse events related to the study were notified.ConclusionTraining primary care professionals on motivational interviewing supported by dietitians and educational materials, enhanced the efficacy of childhood obesity therapy.
    Thematic Areas: Saúde coletiva Public health, environmental and occupational health Pediatrics, perinatology and child health Pediatrics Nutrition and dietetics Nutrição Medicina ii Medicina i Health policy General medicine Engenharias iv Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: nuria.guillen@urv.cat albert.feliu@urv.cat mireia.alcazar@urv.cat ricardo.closa@urv.cat mireia.alcazar@urv.cat veronica.luque@urv.cat natalia.ferre@urv.cat joaquin.escribano@urv.cat
    Author identifier: 0000-0001-9813-4645 0000-0002-9963-4163 0000-0001-9813-4645 0000-0003-2615-8175 0000-0002-2838-1525 0000-0002-5041-459X
    Record's date: 2025-03-03
    Paper version: info:eu-repo/semantics/publishedVersion
    Paper original source: Pediatric Obesity. 19 (7): e13125-e13125
    APA: Luque, Veronica; Feliu, Albert; Closa-Monasterolo, Ricardo; Munoz-Hernando, Judit; Ferre, Natalia; Gutierrez-Marin, Desiree; Guillen, Nuria; Basora, J (2024). Impact of the motivational interviewing for childhood obesity treatment: The Obemat2.0 randomized clinical trial. Pediatric Obesity, 19(7), e13125-e13125. DOI: 10.1111/ijpo.13125
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2024
    Publication Type: Journal Publications

  • Keywords:

    Health Policy,Nutrition and Dietetics,Pediatrics,Pediatrics, Perinatology and Child Health,Public Health, Environmental and Occupational Health
    Treatment outcome
    Spain
    Pubertal changes
    Primary health care
    Primary care
    Pediatric primary-care
    Pediatric obesity
    Pattern
    Patient education as topic
    Paediatric obesity
    Overweight
    Nutritionists
    Motivational interviewing
    Motivational interview
    Management
    Male
    Intervention
    Humans
    Female
    Clinical trial
    Children
    Childhood obesity
    Child
    Body mass index
    Attrition
    Adolescents
    Adolescent
    Saúde coletiva
    Public health, environmental and occupational health
    Pediatrics, perinatology and child health
    Pediatrics
    Nutrition and dietetics
    Nutrição
    Medicina ii
    Medicina i
    Health policy
    General medicine
    Engenharias iv
    Ciências biológicas i

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