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Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis

BACKGROUND: Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI w...

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Autores principales: Amiri, Parisa, Kazemian, Elham, Mansouri-Tehrani, Mohammad Masih, Khalili, Ahmad, Amouzegar, Atieh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208103/
https://www.ncbi.nlm.nih.gov/pubmed/30376888
http://dx.doi.org/10.1186/s13643-018-0814-6
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author Amiri, Parisa
Kazemian, Elham
Mansouri-Tehrani, Mohammad Masih
Khalili, Ahmad
Amouzegar, Atieh
author_facet Amiri, Parisa
Kazemian, Elham
Mansouri-Tehrani, Mohammad Masih
Khalili, Ahmad
Amouzegar, Atieh
author_sort Amiri, Parisa
collection PubMed
description BACKGROUND: Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents. METHODS/DESIGN: A systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I(2) statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias. DISCUSSION: The results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group. SYSTEMATIC REVIEW REGISTRATION: PROSPERO 2017:CRD42017069813.
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spelling pubmed-62081032018-11-16 Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis Amiri, Parisa Kazemian, Elham Mansouri-Tehrani, Mohammad Masih Khalili, Ahmad Amouzegar, Atieh Syst Rev Protocol BACKGROUND: Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents. METHODS/DESIGN: A systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I(2) statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias. DISCUSSION: The results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group. SYSTEMATIC REVIEW REGISTRATION: PROSPERO 2017:CRD42017069813. BioMed Central 2018-10-30 /pmc/articles/PMC6208103/ /pubmed/30376888 http://dx.doi.org/10.1186/s13643-018-0814-6 Text en © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Protocol
Amiri, Parisa
Kazemian, Elham
Mansouri-Tehrani, Mohammad Masih
Khalili, Ahmad
Amouzegar, Atieh
Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title_full Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title_fullStr Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title_full_unstemmed Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title_short Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
title_sort does motivational interviewing improve the weight management process in adolescents? protocol for a systematic review and meta-analysis
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208103/
https://www.ncbi.nlm.nih.gov/pubmed/30376888
http://dx.doi.org/10.1186/s13643-018-0814-6
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