Cargando…
Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit
Motivational interviewing (MI) is devised to change unhealthy behaviors by increasing motivation. We adapted MI to a group format for the treatment of relapse during the behavioral treatment of obesity and performed a clinical audit to evaluate its effectiveness in stopping weight regain. The progra...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7765885/ https://www.ncbi.nlm.nih.gov/pubmed/33353057 http://dx.doi.org/10.3390/nu12123881 |
_version_ | 1783628586904715264 |
---|---|
author | Centis, Elena Petroni, Maria L. Ghirelli, Veronica Cioni, Mattia Navacchia, Paola Guberti, Emilia Marchesini, Giulio |
author_facet | Centis, Elena Petroni, Maria L. Ghirelli, Veronica Cioni, Mattia Navacchia, Paola Guberti, Emilia Marchesini, Giulio |
author_sort | Centis, Elena |
collection | PubMed |
description | Motivational interviewing (MI) is devised to change unhealthy behaviors by increasing motivation. We adapted MI to a group format for the treatment of relapse during the behavioral treatment of obesity and performed a clinical audit to evaluate its effectiveness in stopping weight regain. The program was structured in seven weekly sessions, plus a 6-month follow-up. Patients (n = 86) completed a questionnaire on motivation to change in both healthy diet and physical activity, and a self-reported measurement of calorie intake and physical activity at baseline, at program end and at 6-month follow-up. The attendance to the program was high, with only 13 patients (15%) not completing the program and 24% not attending the 6-month follow-up. By the end of follow up, the prevalence of patients in either precontemplation or contemplation was reduced from over 60% at enrollment to approximately 20%, whereas the sum of patients in action or maintenance stages was increased from 9.5% in healthy diet and 14% in physical activity to 39.7% and 41.3%, respectively. These changes translated into significant behavioral changes (mean calorie intake, −13%; total physical activity, +125%; sedentary time, −8%) and finally into reduced body weight ( −3%). We conclude that MI programs adapted for groups may be used to stop relapse in individuals following a behavioral intervention for obesity. |
format | Online Article Text |
id | pubmed-7765885 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77658852020-12-28 Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit Centis, Elena Petroni, Maria L. Ghirelli, Veronica Cioni, Mattia Navacchia, Paola Guberti, Emilia Marchesini, Giulio Nutrients Article Motivational interviewing (MI) is devised to change unhealthy behaviors by increasing motivation. We adapted MI to a group format for the treatment of relapse during the behavioral treatment of obesity and performed a clinical audit to evaluate its effectiveness in stopping weight regain. The program was structured in seven weekly sessions, plus a 6-month follow-up. Patients (n = 86) completed a questionnaire on motivation to change in both healthy diet and physical activity, and a self-reported measurement of calorie intake and physical activity at baseline, at program end and at 6-month follow-up. The attendance to the program was high, with only 13 patients (15%) not completing the program and 24% not attending the 6-month follow-up. By the end of follow up, the prevalence of patients in either precontemplation or contemplation was reduced from over 60% at enrollment to approximately 20%, whereas the sum of patients in action or maintenance stages was increased from 9.5% in healthy diet and 14% in physical activity to 39.7% and 41.3%, respectively. These changes translated into significant behavioral changes (mean calorie intake, −13%; total physical activity, +125%; sedentary time, −8%) and finally into reduced body weight ( −3%). We conclude that MI programs adapted for groups may be used to stop relapse in individuals following a behavioral intervention for obesity. MDPI 2020-12-18 /pmc/articles/PMC7765885/ /pubmed/33353057 http://dx.doi.org/10.3390/nu12123881 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Centis, Elena Petroni, Maria L. Ghirelli, Veronica Cioni, Mattia Navacchia, Paola Guberti, Emilia Marchesini, Giulio Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title | Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title_full | Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title_fullStr | Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title_full_unstemmed | Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title_short | Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit |
title_sort | motivational interviewing adapted to group setting for the treatment of relapse in the behavioral therapy of obesity. a clinical audit |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7765885/ https://www.ncbi.nlm.nih.gov/pubmed/33353057 http://dx.doi.org/10.3390/nu12123881 |
work_keys_str_mv | AT centiselena motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT petronimarial motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT ghirelliveronica motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT cionimattia motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT navacchiapaola motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT gubertiemilia motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit AT marchesinigiulio motivationalinterviewingadaptedtogroupsettingforthetreatmentofrelapseinthebehavioraltherapyofobesityaclinicalaudit |