scholarly journals A meta-analysis of motivational interviewing interventions for pediatric health behavior change.

2014 ◽  
Vol 82 (3) ◽  
pp. 521-535 ◽  
Author(s):  
Laurie A. Gayes ◽  
Ric G. Steele
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Meta Analysis ◽  
Health Behavior Change ◽  
Pediatric Health

scholarly journals Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention

2018 ◽  
Vol 53 (8) ◽  
pp. 756-768
Author(s):  
Rebecca Murray ◽  
Amanda Baker ◽  
Sean Halpin ◽  
Ben Britton ◽  
Kristen McCarter ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Behavior ◽  
Behavior Change ◽  
Therapeutic Alliance ◽  
Motivational Interviewing ◽  
Head And Neck ◽  
Neck Cancer ◽  
Health Behavior Change ◽  
Behavior Change Intervention ◽  
Interviewing Techniques

Abstract Background The relationship between a clinician and their client—the “therapeutic alliance” is a robust predictor of outcome in healthcare settings; yet, few interventions to improve alliance have been tested. Motivational interviewing is a client-centered approach that embodies many principles and strategies consistent with a strong therapeutic alliance. Purpose To examine whether alliance is enhanced by training dietitians to deliver a motivational interviewing informed health behavior change intervention (“Eating as Treatment”; EAT) as part of routine consultations with patients with head and neck cancer. The predictive ability of motivational interviewing techniques was also assessed. Methods A secondary analysis of the EAT stepped-wedge cluster-randomized controlled trial was conducted. Patients with head and neck cancer undergoing radiotherapy (n = 307) were treated by radiotherapy dietitians (n = 29) during the control (Treatment as Usual) or intervention (EAT) phase. Alliance was rated during the first and final weeks of radiotherapy, and again 4 and 12 weeks post-radiotherapy. Dietetic sessions were audiotaped. Week one sessions were objectively rated for dietitians’ use of motivational interviewing techniques. Results Generalized linear-mixed effects regressions found no effect of EAT on dietitian-rated alliance (p = .237). After excluding outliers, patient-rated alliance was 0.29 points lower after EAT training (p = .016). Post hoc analyses revealed lower patient ratings on perceived support and dietitian confidence. Hierarchical multiple regressions found that no specific motivational interviewing techniques predicted patient-rated alliance. Dietitian acknowledgment of patient challenges was related to dietitian-rated alliance (β =.15, p =.035). Conclusions Patient and dietitian ratings of alliance were high after EAT training, but not significantly improved. Further research is needed to better understand the differential impact of intervention training and delivery on patient and clinician ratings of therapeutic alliance. Clinical Trial information Trial registration number ACTRN12613000320752

scholarly journals Preventive Health Behavior Change Text Message Interventions: A Meta-analysis

2017 ◽  
Vol 52 (3) ◽  
pp. 391-402 ◽  
Author(s):  
Ashleigh A. Armanasco ◽  
Yvette D. Miller ◽  
Brianna S. Fjeldsoe ◽  
Alison L. Marshall
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Meta Analysis ◽  
Text Message ◽  
Health Behavior Change ◽  
Preventive Health ◽  
Preventive Health Behavior

scholarly journals Advanced Patient-Centered Communication for Health Behavior Change: Motivational Interviewing Workshops for Medical Learners

MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Kathryn Brogan Hartlieb ◽  
Brett Engle ◽  
Vivian Obeso ◽  
Maryse A. Pedoussaut ◽  
Lisa J. Merlo ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Health Behavior Change ◽  
Patient Centered

scholarly journals Effects of eHealth-Based Multiple Health Behavior Change Interventions on Physical Activity, Healthy Diet, and Weight in People With Noncommunicable Diseases: Systematic Review and Meta-analysis

10.2196/23786 ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. e23786
Author(s):  
Yanping Duan ◽  
Borui Shang ◽  
Wei Liang ◽  
Gaohui Du ◽  
Min Yang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Behavior Change ◽  
Meta Analysis ◽  
Health Behavior Change ◽  
Healthy Diet ◽  
Noncommunicable Diseases ◽  
Healthy Weight ◽  
Multiple Health Behavior Change ◽  
Multiple Health

Background Noncommunicable diseases (NCDs) are associated with the burden of premature deaths and huge medical costs globally. There is an increasing number of studies combining a multiple health behavior change (MHBC) intervention paradigm with eHealth approaches to jointly promote weight-related health behaviors among people with NCD; yet, a comprehensive summary of these studies is lacking. Objective This review aims to meta-analyze the effectiveness and systematically summarize the characteristics of the relevant intervention studies for improving the outcomes of physical activity, healthy diet, and weight among people with NCD. Methods Following PRISMA guidelines, 4 electronic databases (PsycINFO, PubMed, Scopus, SPORTDiscus) were systematically searched to identify eligible articles based on a series of inclusion and exclusion criteria. Article selection, quality assessment, and data extraction were independently performed by 2 authors. The standardized mean difference (SMD) was calculated to evaluate the effectiveness of interventions for 3 intervention outcomes (physical activity, healthy diet, and weight), and subsequent subgroup analyses were performed for gender, age, intervention duration, channel, and theory. Calculations were conducted, and figures were produced in SPSS 22 and Review Manager 5.3. Results Of the 664 original hits generated by the systematic searches, 15 eligible studies with moderate to high quality were included. No potential publication bias was detected using statistical analyses. Studies varied in intervention channel, intensity, and content. The meta-analysis revealed that the eHealth MHBC interventions significantly promoted physical activity (SMD 0.85, 95% CI 0.23 to 1.47, P=.008) and healthy diet (SMD 0.78, 95% CI 0.13 to 1.43, P=.02), but did not contribute to a healthy weight status (SMD –0.13, 95% CI= –0.47 to 0.20, P=.43) among people with NCDs, compared to the control conditions. Results from subgroup analysis indicated that theory-based interventions achieved greater effect than nontheory-based interventions in promoting physical activity, and interventions with traditional approaches (SMS, telephone) were more effective than those with modern internet-based approaches in promoting healthy diet. Conclusions The results of this review indicates that eHealth MHBC interventions achieve preliminary success in promoting physical activity and healthy diet behaviors among people with NCD. Future studies could improve the intervention design to achieve better intervention effectiveness. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42019118629; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=118629

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