Motivational Interviewing Shows Promise in Improving Child Health Behaviors

2014 ◽  
Author(s):  
L.A. Gayes ◽  
R.G. Steele
Keyword(s):  
Child Health ◽  
Health Behaviors ◽  
Motivational Interviewing

Technology-Delivered Adaptations of Motivational Interviewing (TAMI) Interventions for the Prevention and Management of Chronic Disease: Narrative Review (Preprint)

2021 ◽  
Author(s):  
Havisha Pedamallu ◽  
Matthew J. Ehrhardt ◽  
Julia Maki ◽  
April Idalski Carcone ◽  
Melissa M. Hudson ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Behaviors ◽  
Health Outcomes ◽  
Motivational Interviewing ◽  
Text Messaging ◽  
Disease Risk ◽  
Behavioral Outcomes ◽  
Narrative Review ◽  
Population Characteristics ◽  
Web Based

BACKGROUND Motivational interviewing is an effective strategy to mitigate chronic disease risk through promotion of health behavior changes. However, multiple barriers impede its delivery to and uptake by patients. mHealth-based versions of motivational interviewing interventions, or technology-delivered adaptations of motivational interviewing (TAMIs), might increase reach, but their effectiveness is less well-understood. OBJECTIVE The purpose of this narrative review was to characterize the extent to which TAMIs: (1) affect behavioral outcomes, (2) have included individuals from populations that have been marginalized, and (3) have addressed socio-contextual influences on health. METHODS We identified studies indexed in PubMed that described interventions incorporating motivational interviewing techniques into a mobile or electronic health platform. Data were abstracted from eligible studies, including target population characteristics, study design and eligibility criteria, theoretical/conceptual models utilized, mHealth tool details, and effects on behavioral outcomes. RESULTS Thirty-three studies reported the use of TAMIs. Sample sizes ranged from 10 to 2,069 participants ages 13 to 70 years. Most studies (n=24) directed interventions towards individuals engaging in behaviors that increased the risk of chronic disease. Most studies oversampled (n=18) individuals from marginalized socio-demographic groups, but few were designed specifically with marginalized groups in mind (n=3). TAMIs utilized text messaging (n=7), web-based (n=19), app + text messaging (n=1), and web-based + text messaging (n=3) delivery platforms. Twenty-seven (90%) included randomized controlled trials reporting behavioral and health-related outcomes, 21 of which reported statistically significant improvements in targeted behaviors with the use of TAMIs. TAMIs improved targeted health behaviors in the remaining 3 studies. Nine of 30 (30%) assessed TAMI feasibility, acceptability, and/or satisfaction, all of which rated TAMIs highly in this regard. Among 18 studies comprised of a disproportionately high number of racial or ethnic minorities, 15 (83%) reported increased engagement in health behaviors and/or better health outcomes. CONCLUSIONS TAMIs can improve health promotion and disease management behaviors for people from a variety of socio-demographic backgrounds. Future studies are needed to determine the contribution of TAMIs on individual health outcomes, and to determine best practices for implementing TAMIs into clinical practice.

scholarly journals Promoting positive maternal, newborn, and child health behaviors through a group-based health education and microfinance program: a prospective matched cohort study in western Kenya

2020 ◽  
Author(s):  
Lauren Yu-Lien Maldonado ◽  
Julia J. Songok ◽  
John W. Snelgrove ◽  
Christian B. Ochieng ◽  
Sheilah Chelagat ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Education ◽  
Child Health ◽  
Health Behaviors ◽  
Pregnant Women ◽  
Evidence Based ◽  
Matched Cohort ◽  
Western Kenya ◽  
Newborn And Child Health ◽  
And Child Health

Abstract Background: We launched Chamas for Change (Chamas), a group-based health education and microfinance program for pregnant women and their infants, to address inequities contributing to high rates of maternal and neonatal mortality in western Kenya. In this prospective matched cohort study, we evaluated the association between Chamas participation and uptake of evidence-based, maternal, newborn and child health (MNCH) behaviors. Methods: We prospectively compared the uptake of MNCH behaviors between a cohort of Chamas participants and controls matched for age, parity, and prenatal care location. Between October-December 2012, government-sponsored community health volunteers (CHV) recruited pregnant women attending their first antenatal care (ANC) visits at health facilities in Busia County to participate in Chamas . Women enrolled in Chamas agreed to attend bi-monthly group health education and optional microfinance sessions for 12 months. We collected baseline sociodemographic data at study enrollment for each cohort. We used descriptive analyses and adjusted multivariable logistic regression models to compare outcomes across cohorts at 6-12 months postpartum, with α set to 0.05. Results: Compared to controls (n=115), a significantly higher proportion of Chamas participants (n=211) delivered in a facility with a skilled birth attendant (84.4% vs. 50.4%, p<0.001), attended at least four ANC visits (64.0% vs. 37.4%, p<0·001), exclusively breastfed to six months (82.0% vs. 47.0%, p<0·001), and received a CHV home visit within 48 hours postpartum (75.8% vs. 38.3%, p<0·001). In our adjusted models, Chamas participants were nearly five times as likely as controls to deliver in a health facility (OR 5.07, 95% CI 2.74-9.36, p<0.001). Though not statistically significant, Chamas participants experienced a lower proportion of stillbirths (0.9% vs. 5.2%), miscarriages (5.2% vs. 7.8%), infant deaths (2.8% vs. 3.4%), and maternal deaths (0.9% vs. 1.7%) compared to controls. Our sensitivity analyses revealed no significant difference in the odds of facility delivery based on microfinance participation. Conclusions: Chamas participation was associated with increased practice of evidence-based MNCH health behaviors among pregnant women in western Kenya. Our findings demonstrate this program’s potential to achieve population-level MNCH benefits; however, a larger study is needed to validate this observed effect.

scholarly journals Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback

PLoS ONE ◽  
2016 ◽  
Vol 11 (9) ◽  
pp. e0163624 ◽  
Author(s):  
Johanna Enö Persson ◽  
Benjamin Bohman ◽  
Lars Forsberg ◽  
Maria Beckman ◽  
Per Tynelius ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Motivational Interviewing ◽  
Child Health Services ◽  
Systematic Feedback

scholarly journals A positive psychology–motivational interviewing intervention for patients with type 2 diabetes: Proof-of-concept trial

2018 ◽  
Vol 54 (2) ◽  
pp. 97-114 ◽  
Author(s):  
Christopher M Celano ◽  
Taylor A Gianangelo ◽  
Rachel A Millstein ◽  
Wei-Jean Chung ◽  
Deborah J Wexler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Positive Psychology ◽  
Health Behaviors ◽  
Motivational Interviewing ◽  
Well Being ◽  
Self Report ◽  
Proof Of Concept ◽  
Medical Outcomes

Objective Eighteen million Americans with type 2 diabetes (T2D) do not follow recommended guidelines for physical activity. Motivational interviewing (MI) has had modest effects on activity and related behaviors in T2D. Positive psychological attributes (e.g., optimism) are associated with superior medical outcomes in T2D, and positive psychology (PP) interventions promote such attributes. There had been no study in T2D of a combined PP–MI intervention to promote well-being and health behavior adherence. We developed a novel, telephone-delivered, 16-week PP–MI intervention and explored its feasibility and impact in T2D patients in a single-arm, proof-of-concept trial. Method Participants completed PP-based exercises and MI-based physical activity goal-setting activities and reviewed these activities weekly with a study trainer for 16 weeks. Feasibility and acceptability were assessed via exercise completion rates and post-exercise ratings of ease/utility (0–10 scales). Impact was explored by examining changes in physical activity (via accelerometers and self-report), other health behaviors, psychological measures, and medical outcomes (e.g., hemoglobin A1c (A1C)) from baseline to 16 weeks, using paired t tests. Results Twelve participants enrolled, and 10 provided follow-up data. Seventy-eight percent of PP–MI activities were completed, and participants rated the PP–MI content and sessions as easy (mean = 8.2/10, standard deviation (SD) = 1.9) and useful (mean = 9.1/10, SD = 1.5). PP–MI was associated with improved adherence to health behaviors and overall self-care, variable effects on accelerometer-measured activity and psychological outcomes, and modest beneficial effects on body mass index and A1C. Conclusion Further testing of this intervention is warranted in a larger, controlled trial to assess its effects on important health outcomes.

Adapting a parental support app for preschooler’s health behaviors (MINISTOP) in a multi-ethnic setting: A qualitative study on needs and preferences of Somali, Arabic and Swedish speaking parents and nurses within Swedish child health care (Preprint)

2020 ◽  
Author(s):  
Christina Alexandrou ◽  
Ulrika Müssener ◽  
Kristin Thomas ◽  
Hanna Henriksson ◽  
Marie Löf
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Behaviors ◽  
Parental Support ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Healthy Diet ◽  
Child Health Care ◽  
Dietary Recommendations ◽  
Clear Information

BACKGROUND Similar to other high-income countries, Sweden has a socioeconomic gradient of obesity, with twice as high prevalence of childhood overweight and obesity in areas were the population is predominantly immigrant and more socioeconomically vulnerable. Preventive efforts in primary child health care to counteract this development already in the preschool age has been called for. Mobile health (mHealth) represents an attractive approach to deliver such obesity interventions as they are highly flexible and adaptable. However, knowledge is limited regarding what adaptations of content and features that are required to also make such interventions accessible and effective for parents with a foreign background. OBJECTIVE This study aimed to explore: (1) needs and concerns among Somali, Arabic and Swedish speaking parents in terms of supporting healthy diet and activity behaviors in their children; (2) nurses’ perceptions of parental needs and concerns, in relation to diet and physical activity behaviors, and (3) how features and content of a parental support app (MINISTOP 1.0) could be refined to better support health behaviors in children, among both parents and nurses. METHODS Three focus group interviews with parents speaking Somali (n=5), Arabic (n=4) and Swedish (n=6), and 15 individual telephone interviews with Swedish primary child health care nurses from different geographic and socioeconomic areas in Sweden were conducted. All interviews were audio-recorded, transcribed verbatim, and analyzed using an inductive thematic approach. RESULTS Two main themes were identified in the data. The first theme, “Parenthood and health behaviors”, highlighted insecurities and concerns among parents relating to a healthy diet in their children. Swedish speaking parents expressed being stressed about trying to adhere to dietary recommendations, while Arabic speaking parents requested clear information on how to adhere to them. Nurses underlined the need of targeting parents early and strengthening them in their parenting role. In the second theme, “Preferences of content and features”, parents and nurses expressed key aspects that needed to be included in an app. For example, parents from all three focus groups suggested inclusion of clear and reassuring information on children’s diet and eating behaviors. Parents also requested inclusion of social and emotional support rather than just recommendations per se. Nurses talked about the value of a shared digital platform with clear information and pictures, available in different languages, to aid their communication with the parents. CONCLUSIONS This study contributes with valuable insights and knowledge about adapting a parental app supporting health behaviors in children in a multi-ethnic setting. Findings include the importance of strengthening parents in their role, as well as translating and making relevant adaptations to the app, for it to be accessible for parents speaking other languages and facilitate parent-nurse communication.

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