Dyslipidemia management in overweight or obese adolescents: A mixed-methods clinical trial of motivational interviewing:

SAGE Open Medicine

NitaChahal¹ 

关键词: Motivational interviewing;    adolescents;    low-density lipoprotein cholesterol;    high-density lipoprotein cholesterol;    total cholesterol;    triglycerides;    overweight;    obesity;    dyslipidemia;    cardiovascular risk;   

DOI  :  10.1177/2050312117707152

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Lifestyle management for dyslipidemic adolescents often occurs in the context of family-centered care, which necessitates adaptation of counseling strategies.Objective:To determine the effectiveness of motivational interviewing for lifestyle behavior change for dyslipidemic adolescents in a dyad with a parent versus alone.Methods:A total number of 32 adolescents were randomized 1:1 to receive a series of motivational interviewing sessions either together with a parent or alone for a 6-month intervention, with both quantitative and qualitative assessment of outcomes.Results:Both groups were similar at baseline. Following the intervention, there were no significant differences between groups in physical, laboratory, lifestyle or psychosocial measures, except for a reduction in dietary fats/sugars (p = 0.02) and in screen time (p = 0.02) in the alone group. When both groups were combined, significant reductions at 6 months were noted for body mass index (p < 0.001), waist circumference (p < 0.001)...

【 授权许可】

CC BY