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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
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Technology to Support Motivational Interviewing.

Bonnie Gance-Cleveland1, Loretta C Ford1, Heather Aldrich2

  • 1College of Nursing, University of Colorado Anschutz Medical Campus, 13120 E. 19th Avenue, Aurora, CO 80045, USA.

Journal of Pediatric Nursing
|July 22, 2017
PubMed
Summary
This summary is machine-generated.

Motivational interviewing (MI) training improved provider skills for childhood obesity counseling. Technology support enhanced parent-reported healthy eating support, suggesting potential for improved child health outcomes.

Keywords:
Childhood obesityHealth Disparities Learning CollaborativeMotivational interviewingSchool-based health centersVirtual training

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Area of Science:

  • Public Health
  • Behavioral Science
  • Pediatrics

Background:

  • Childhood obesity is a significant public health concern.
  • Motivational interviewing (MI) is recommended for promoting healthy weight in children.
  • Effective training for healthcare providers is crucial for implementing MI in practice.

Purpose of the Study:

  • To evaluate the impact of virtual motivational interviewing (MI) training on school-based health center (SBHC) providers' satisfaction and counseling skills.
  • To assess the effect of technology support (HeartSmartKids™) integrated with MI training on providers' behavioral counseling for childhood overweight/obesity.
  • To examine parents' perceptions of care and provider support for healthy eating following MI training, with and without technology.

Main Methods:

  • A cluster randomized trial involving 24 SBHCs across six states.
  • Virtual MI training delivered to all participating SBHC providers.
  • Half of the sites received HeartSmartKids™, a bilingual decision-support technology to aid MI counseling and patient education.
  • Surveys administered to providers and parents at baseline, post-training, and six months post-training to assess satisfaction, counseling proficiency, and perceived care.

Main Results:

  • Providers reported high satisfaction with the virtual MI training.
  • Significant improvements were observed in providers' self-reported counseling proficiency and psychological/emotional assessment skills post-training (p<0.0007, p=0.0004).
  • Parents in the technology group reported significantly greater improvement in provider support for healthy eating (p=0.04).

Conclusions:

  • Virtual MI training is a viable method for equipping providers to address childhood obesity.
  • The integrated technology (HeartSmartKids™) demonstrated a positive impact on parent-reported support for healthy eating.
  • Further research is warranted to explore the impact of technology-supported MI on objective patient outcomes in childhood obesity management.