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Motivational Interviewing for Parent-child Health Interventions: A Systematic Review and Meta-Analysis.

Belinda Borrelli1, Erin M Tooley2, Lori A J Scott-Sheldon3

  • 1Department of Health Policy and Health Services Research, Boston University, Henry M. Goldman School of Dental Medicine, Boston, Mass., USA. belindab@bu.edu.

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|June 12, 2015
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Summary

Motivational interviewing (MI) helps parents and children improve pediatric health behaviors. This meta-analysis shows MI significantly enhances outcomes like diet, physical activity, and reduced screen time.

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Area of Science:

  • Pediatric Health
  • Behavioral Science
  • Health Psychology

Background:

  • Motivational interviewing (MI) is a patient-centered counseling style.
  • It focuses on enhancing intrinsic motivation for behavior change.
  • Parental involvement is key in pediatric health interventions.

Purpose of the Study:

  • To conduct a meta-analysis of parent-involved MI interventions.
  • To assess the effectiveness of MI in improving pediatric health behaviors and outcomes.
  • To synthesize evidence from randomized controlled trials.

Main Methods:

  • Included 25 randomized controlled trials with 5,130 participants.
  • Focused on modifiable pediatric health behaviors in individuals under 18.
  • Analyzed studies using MI or motivational enhancement with parent or parent-child dyads.

Main Results:

  • MI significantly improved various health behaviors, including diet, physical activity, and smoking cessation.
  • MI was associated with a reduction in body mass index.
  • Interventions were more effective for Caucasian populations and with more MI components.

Conclusions:

  • Parent-involved MI is a supportive approach for improving pediatric health behaviors.
  • Findings support the use of MI for parents and children to foster healthier lifestyles.
  • Further research is needed to confirm MI's impact on dental caries.