Motivational interviewing targeting diet and physical activity improves adherence to paediatric obesity treatment: results from the MI Values randomized controlled trial
Open accessAbstract
Summary: Background: Adherence is a challenge in obesity treatment. Motivational interviewing (MI) may promote patient adherence. MI Values is a randomized controlled trial of MI implemented as an adjunct to an adolescent obesity treatment [Teaching Encouragement Exercise Nutrition Support (T.E.E.N.S.)]. Objective: Assess effects of MI Values on T.E.E.N.S. attrition and adherence. Methods: Participants were randomized to MI (n = 58) or control (n = 41). At weeks 1 and 10, MI participants had brief MI sessions; controls viewed health education videos. All participants continued with T.E.E.N.S. (biweekly dietitian and behavioural support visits; 3 times per week supervised physical activity). Assessments were repeated at baseline, 3 and 6 months. T‐tests and chi‐square analyses examined T.E.E.N.S. attrition and adherence by group. Results: Adolescents (N = 99) were primarily African–American (73%) females (74%); age = 13.8 ± 1.8 years, body mass index percentile = 98.0 ± 1.2. Compared with controls, MI participants had greater 3‐month adherence overall (89.2% vs. 81.0%, P = 0.040), and to dietitian (91.3% vs. 84.0%; P = 0.046) and behavioural support (92.9% vs. 85.2%; P = 0.041) visits, and greater 6‐month adherence overall (84.4% vs. 76.2%, P = 0.026) and to behavioural support visits (87.5% vs. 78.8%, P = 0.011). Conclusions: MI enhanced adherence to this obesity intervention. MI Values is the first study to examine the impact of MI on treatment adherence among obese, primarily African–American adolescents.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
MI leads to decreased ambivalence, greater intention to change, and increased feelings of control, all of which are consistently associated with greater physical activity.
“Furthermore, MI itself leads to decreased ambivalence, greater intention to change, and increased feelings of control (pathway C1) [113, 133–137], all of which are consistently associated with greater physical activity (pathway C2) [138–140].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [134]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Interventions for treating obesity in children
Oude Luttikhuis, H., Baur, L., Jansen, H., Shrewsbury, V. A., O'Malley, C., Stolk, R. P., & Summerbell, C. D. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001872.pub2 · Cited by 1,531 · see citing works
RetractedMotivational interviewing: preparing people for change.
Miller, W. R., & Rollnick, S. (2002) · Cited by 7,002 · see citing works
Barlow, S. E., & and the Expert Committee (2007) · Pediatrics · doi:10.1542/peds.2007-2329c · Cited by 4,497 · see citing works
Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010.
Ogden, C., Carroll, M., Kit, B., & Flegal, K. (2012) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2012.40 · Cited by 4,128 · see citing works
Hettema, J., Steele, J., & Miller, W. R. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.143833 · Cited by 1,803 · see citing works
Long-term maintenance of weight loss: Current status.
Jeffery, R. W., Epstein, L. H., Wilson, G. T., Drewnowski, A., Stunkard, A. J., & Wing, R. R. (2000) · Health Psychology · doi:10.1037/0278-6133.19.suppl1.5 · Cited by 1,093 · see citing works
Armstrong, M. J., Mottershead, T. A., Ronksley, P. E., Sigal, R. J., Campbell, T. S., & Hemmelgarn, B. R. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2011.00892.x · Cited by 586 · see citing works
Interventions for Treating Obesity in Children
Miguel‐Etayo, P. D., Bueno, G., Garagorri, J. M., & Moreno, L. A. (2013) · World review of nutrition and dietetics · doi:10.1159/000351493 · Cited by 442 · see citing works
Attrition in paediatric weight management: a review of the literature and new directions
Skelton, J. A., & Beech, B. M. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00803.x · Cited by 401 · see citing works
Treatment of Pediatric Obesity: A Systematic Review and Meta-Analysis of Randomized Trials
McGovern, L. B., Johnson, J. N., Paulo, R., Hettinger, A., Singhal, V., Kamath, C. C., Erwin, P. J., & Montori, V. M. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-2409 · Cited by 382 · see citing works
Interventions for treating obesity in children
Luttikhuis, H. O., Baur, L. A., Jansen, H., Shrewsbury, V. A., O’Malley, C. L., Stolk, R. P., & Summerbell, C. D. (2009) · Sao Paulo Medical Journal · doi:10.1590/s1516-31802009000500015 · Cited by 381 · see citing works
Motivational Interviewing for Pediatric Obesity: Conceptual Issues and Evidence Review
Resnicow, K., Davis, R. E., & Rollnick, S. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.09.015 · Cited by 349 · see citing works
Office-Based Motivational Interviewing to Prevent Childhood Obesity
Schwartz, R. P., Hamre, R., Dietz, W. H., Wasserman, R. C., Slora, E. J., Myers, E. F., Sullivan, S. A., Rockett, H. R. H., Thoma, K. A., Dumitru, G. G., et al. (2007) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.161.5.495 · Cited by 305 · see citing works
Predictors of attrition from a pediatric weight management program
Zeller, M. H., Kirk, S., Claytor, R. P., Khoury, P. R., Grieme, J., Santangelo, M., & Daniels, S. R. (2004) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2003.12.031 · Cited by 294 · see citing works
Erickson, S. J., Gerstle, M., & Feldstein, S. W. (2005) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.159.12.1173 · Cited by 281 · see citing works
Quantum change : when epiphanies and sudden insights transform ordinary lives
Miller, W. R., & Baca, J. C. (2001) · Medical Entomology and Zoology · Cited by 274 · see citing works
Randomized Controlled Trial to Improve Primary Care to Prevent and Manage Childhood Obesity
Taveras, E. M. (2011) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2011.44 · Cited by 264 · see citing works
Results of go girls: a weight control program for overweight African-American adolescent females.
Resnicow, K., Taylor, R., Baskin, M., & Mccarty, F. (2005) · Obesity Research · doi:10.1038/oby.2005.212 · Cited by 206 · see citing works
Attrition in Randomized Controlled Trials for Pediatric Chronic Conditions
Karlson, C. W., & Rapoff, M. A. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn122 · Cited by 162 · cited 1× · see citing works
“Many strategies are recommended to address treatment adherence, including implementing a culturally sensitive intervention, using an easily accessible location, providing incentives and making frequent participant contact (5).”
Innovative techniques to address retention in a behavioral weight-loss trial
Goldberg, J. H., & Kiernan, M. (2004) · Health Education Research · doi:10.1093/her/cyg139 · Cited by 151 · see citing works
Motivational Interviewing and Diet Modification: A Review of the Evidence
Vanwormer, J. J., & Boucher, J. (2004) · The diabetes educator · doi:10.1177/014572170403000309 · Cited by 132 · see citing works
Motivational Interviewing and Pediatric Health Behavior Interventions
Suarez, M., & Mullins, S. M. (2008) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e31818888b4 · Cited by 104 · see citing works
Walpole, B., Dettmer, E. L., Morrongiello, B. A., McCrindle, B. W., & Hamilton, J. K. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jst023 · Cited by 97 · see citing works
MacDonell, K. K., Brogan, K. E., Naar‐King, S., Ellis, D. A., & Marshall, S. P. (2011) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2011.04.018 · Cited by 64 · see citing works
Wickham, E. P., Stern, M., Evans, R. K., Bryan, D. L., Moskowitz, W. B., Clore, J. N., & Laver, J. H. (2009) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2008.0038 · Cited by 55 · see citing works
Self-citationBean, M. K., Mazzeo, S. E., Stern, M., Bowen, D. J., & Ingersoll, K. S. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2011.04.010 · Cited by 47 · see citing works
Self-citationEvans, R. K., Franco, R. L., Stern, M., et al. (2008) · International Journal of Pediatric Obesity · doi:10.1080/17477160802314997 · Cited by 35 · see citing works
Bean, M. K., Mazzeo, S. E., Stern, M., Evans, R. K., Bryan, D. L., Ning, Y., Wickham, E. P., & Laver, J. H. (2011) · Clinical Pediatrics · doi:10.1177/0009922810393497 · Cited by 30 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Huffman, J. C., DuBois, C. M., Millstein, R. A., Celano, C. M., & Wexler, D. (2015) · Journal of Diabetes Research · doi:10.1155/2015/428349 · Cited by 127 · see citing works
Realist-informed review of motivational interviewing for adolescent health behaviors.
Mutschler, C., Naccarato, E., Rouse, J., Davey, C., & McShane, K. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0767-9 · Cited by 30 · see citing works
- Authors
- Bean, M. K., Powell, P., Quinoy, A., Ingersoll, K., Wickham, E. P., & Mazzeo, S. E.
- Affiliations
- Virginia Commonwealth University (US)
- University of Virginia (US)
- Corresponding author
- Bean, M. K.
- Venue
- Pediatric Obesity
- Publisher
- Wiley
- Published
- 2014-04-14
- Volume
- 10
- Issue
- 2
- Pages
- 118-125
- ISSN
- 2047-6302 (ISSN-L)
- 2047-6310
- PMC
- PMC4197118
- OpenAlex
- W1744190077
- Cited by
- 83
- References
- 28
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 11 · 2018: 13 · 2017: 6 · 2016: 12 · 2015: 8 · 2014: 2
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Cancer Society
- National Institutes of Health (UL1TR000058)
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD053742)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- motivational interviewing, childhood obesity, medication adherence, treatment discontinuation, adolescents, diet and physical activity, dietitian support, behavioral support, African American adolescents, obesity intervention
- MeSH terms
- Adolescent, Adolescent Behavior, Feeding Behavior, Female, Health Education, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Compliance, Weight Loss, Exercise, Body Mass Index, Motivational Interviewing, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
