Dyslipidemia management in overweight or obese adolescents: A mixed-methods clinical trial of motivational interviewing.
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ABSTRACT:
SUBMITTER: Chahal N
PROVIDER: S-EPMC5438108 | biostudies-literature | 2017
REPOSITORIES: biostudies-literature
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Dyslipidemia management in overweight or obese adolescents: A mixed-methods clinical trial of motivational interviewing.
Chahal Nita N Rush Janet J Manlhiot Cedric C Boydell Katherine M KM Jelen Ahlexxi A McCrindle Brian W BW
SAGE open medicine 20170515
<h4>Background</h4>Lifestyle management for dyslipidemic adolescents often occurs in the context of family-centered care, which necessitates adaptation of counseling strategies.<h4>Objective</h4>To determine the effectiveness of motivational interviewing for lifestyle behavior change for dyslipidemic adolescents in a dyad with a parent versus alone.<h4>Methods</h4>A total number of 32 adolescents were randomized 1:1 to receive a series of motivational interviewing sessions either together with a ...[more]
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Project description:BackgroundThis study tested the occurrence of early childhood caries (ECC) and changes in potential mediators of ECC after an early childhood oral health promotion intervention.MethodsConsenting parent/child dyads in Western Australia were randomised into test [motivational interviewing (MI) + anticipatory guidance (AG)] or control (lift the lip assessments by child health nurses). A questionnaire at baseline and follow-ups (at 18, 36 and 60 months) evaluated the parental factors and the children clinically examined. Data were analysed using parametric and non-parametric tests for two groups and paired comparisons. Multivariable analysis used negative binomial regression with robust standard errors for over-dispersed count data and effect estimates presented as incidence rate ratios.ResultsNine hundred and seventeen parent/child dyads were randomised (test n = 456; control n = 461). The parental attitude toward a child's oral hygiene needs improved among the test group at the first follow-up (n = 377; baseline 1.8, SD 2.2, follow-up 1.5, SD 1.9, p = 0.005). Living in a non-fluoridated area and parents holding a fatalistic belief increased the risk of caries (IRR = 4.2, 95% CI 1.8-10.2 and IRR = 3.5, 95% CI 1.7-7.3), respectively, but MI/AG did not reduce the incidence of dental caries.ConclusionThe brief MI/AG oral health promotion intervention improved parental attitude but did not reduce ECC.
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