Veronica Luque, Albert Feliu, Ricardo Closa-Monasterolo, Judit Muñoz-Hernando, Natalia Ferré, Desirée Gutiérrez-Marín, Núria Guillen, Josep Basora, Pablo Hsu, Clara Alegret-Basora, M. Àngels Serrano, Marta Mallafré, Ana M. Alejos, Eva N. Balcells, Àngels Boada, Sandra Paixà, Gisela Mimbrero, Susana Gil-Mancha, Càrol Tudela-Valls, Mireia Alcazar, Joaquín Escribano, Obemat2.0 Study Group
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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 <i>z</i>-score reduction.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The study included 44 clusters (23 MI). Out of 303 allocated children, 201 (<i>n</i> = 106 MI) completed baseline, final visits, and at least one treatment visit and were included in the analysis. BMI <i>z</i>-score reduction was −0.27 (±0.31) in SC, versus −0.36 (±0.35) in MI (<i>p</i> = 0.036).</p>\n \n <p>Mixed models with centres as random effects showed greater reductions in BMI in MI than SC; differences were <i>B</i> = −0.11 (95% CI: −0.20, −0.01, <i>p</i> = 0.025) for BMI <i>z</i>-score, and <i>B</i> = −2.06 (95% CI: −3.89, −0.23, <i>p</i> = 0.028) for BMI %. No severe adverse events related to the study were notified.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Training primary care professionals on motivational interviewing supported by dietitians and educational materials, enhanced the efficacy of childhood obesity therapy.</p>\n </section>\n </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"19 7","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.13125","citationCount":"0","resultStr":"{\"title\":\"Impact of the motivational interviewing for childhood obesity treatment: The Obemat2.0 randomized clinical trial\",\"authors\":\"Veronica Luque, Albert Feliu, Ricardo Closa-Monasterolo, Judit Muñoz-Hernando, Natalia Ferré, Desirée Gutiérrez-Marín, Núria Guillen, Josep Basora, Pablo Hsu, Clara Alegret-Basora, M. Àngels Serrano, Marta Mallafré, Ana M. Alejos, Eva N. Balcells, Àngels Boada, Sandra Paixà, Gisela Mimbrero, Susana Gil-Mancha, Càrol Tudela-Valls, Mireia Alcazar, Joaquín Escribano, Obemat2.0 Study Group\",\"doi\":\"10.1111/ijpo.13125\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Objective</h3>\\n \\n <p>The 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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Randomized 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). 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Impact of the motivational interviewing for childhood obesity treatment: The Obemat2.0 randomized clinical trial
Background and Objective
The 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.
Methods
Randomized 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.
Results
The 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.
Conclusion
Training primary care professionals on motivational interviewing supported by dietitians and educational materials, enhanced the efficacy of childhood obesity therapy.
期刊介绍：
Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large.
Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following:
Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes
Metabolic consequences of child and adolescent obesity
Epidemiological and population-based studies of child and adolescent overweight and obesity
Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition
Clinical management of children and adolescents with obesity including studies of treatment and prevention
Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment
Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity
Nutrition security and the "double burden" of obesity and malnutrition
Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents
Community and public health measures to prevent overweight and obesity in children and adolescents.
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