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

Anna Maria Davoli, Serena Broccoli, Laura Bonvicini, Alessandra Fabbri, Elena Ferrari, Stefania D'angelo, Annarita Di Buono, Gino Montagna, Costantino Panza, Mirco Pinotti, Gabriele Romani, Simone Storani, Marco Tamelli, Silvia Candela, Paolo Giorgi Rossi

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

OBJECTIVE: The aim of this study was to evaluate the effect of family pediatrician-led motivational interviews (MIs) on BMI of overweight (85th $BMI percentile $95th) children aged 4 to 7 years. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Pediatrics 2013;132:e1236-e1246.

Original languageEnglish
JournalPediatrics
Volume132
Issue number5
DOIs
Publication statusPublished - Nov 1 2013

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Motivational Interviewing
Interviews
Life Style
Mothers
Pediatricians
Randomized Controlled Trial
Interviewing
Control Groups
Italy
Parents
Pediatrics
Education

Keywords

  • Bmi
  • Motivational interview
  • Overweight children
  • Pediatrician
  • Randomized controlled trial

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)
  • Medicine(all)

Cite this

Davoli, A. M., Broccoli, S., Bonvicini, L., Fabbri, A., Ferrari, E., D'angelo, S., ... Rossi, P. G. (2013). Pediatrician-led motivational interviewing to treat overweight children: An RCT. Pediatrics, 132(5). https://doi.org/10.1542/peds.2013-1738

Pediatrician-led motivational interviewing to treat overweight children : An RCT. / 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; Rossi, Paolo Giorgi.

In: Pediatrics, Vol. 132, No. 5, 01.11.2013.

Research output: Contribution to journalArticle

Davoli, AM, Broccoli, S, Bonvicini, L, Fabbri, A, Ferrari, E, D'angelo, S, Di Buono, A, Montagna, G, Panza, C, Pinotti, M, Romani, G, Storani, S, Tamelli, M, Candela, S & Rossi, PG 2013, 'Pediatrician-led motivational interviewing to treat overweight children: An RCT', Pediatrics, vol. 132, no. 5. https://doi.org/10.1542/peds.2013-1738
Davoli AM, Broccoli S, Bonvicini L, Fabbri A, Ferrari E, D'angelo S et al. Pediatrician-led motivational interviewing to treat overweight children: An RCT. Pediatrics. 2013 Nov 1;132(5). https://doi.org/10.1542/peds.2013-1738
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 ; Rossi, Paolo Giorgi. / Pediatrician-led motivational interviewing to treat overweight children : An RCT. In: Pediatrics. 2013 ; Vol. 132, No. 5.
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abstract = "OBJECTIVE: The aim of this study was to evaluate the effect of family pediatrician-led motivational interviews (MIs) on BMI of overweight (85th $BMI percentile $95th) children aged 4 to 7 years. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Pediatrics 2013;132:e1236-e1246.",
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AU - Pinotti, Mirco

AU - Romani, Gabriele

AU - Storani, Simone

AU - Tamelli, Marco

AU - Candela, Silvia

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