Teen CHAT: Development and utilization of a web-based intervention to improve physician communication with adolescents about healthy weight

PATIENT EDUCATION AND COUNSELING

卷:93

Article

Bravender, Terrill¹  Tulsky, James A.^2,3  Farrell, David⁴  Alexander, Stewart C.^2,3  Ostbye, Truls⁵  Lyna, Pauline⁶  Dolor, Rowena J.^2,3  Coffman, Cynthia J.^2,7  Bilheimer, Alicia⁶  Lin, Pao-Hwa²  Pollak, Kathryn I.^5,6 

[1] Ohio State Univ, Dept Pediat, Nationwide Childrens Hosp, Columbus, OH 43210 USA

[2] Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA

[3] Durham VA Med Ctr, Hlth Serv Res & Dev Serv, Durham, NC USA

[4] People Designs, Durham, NC USA

[5] Duke Univ, Med Ctr, Dept Community & Family Med, Durham, NC 27706 USA

[6] Duke Univ, Med Ctr, Canc Prevent Detect & Control Res Program, Durham, NC 27706 USA

[7] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC 27706 USA

关键词: Motivational interviewing;    Obesity;    Overweight;    Adolescents;    Physician-patient communication;    Tailored intervention;   

DOI  :  10.1016/j.pec.2013.08.017

来源: Elsevier

【 摘 要 】

Objective: To describe the theoretical basis, use, and satisfaction with Teen CHAT, an online educational intervention designed to improve physician-adolescent communication about healthy weight. Methods: Routine health maintenance encounters between pediatricians and family practitioners and their overweight adolescent patients were audio recorded, and content was coded to summarize adherence with motivational interviewing techniques. An online educational intervention was developed using constructs from social cognitive theory and using personalized audio recordings. Physicians were randomized to the online intervention or not, and completed post-intervention surveys. Results: Forty-six physicians were recruited, and 22 physicians were randomized to view the intervention website. The educational intervention took an average of 54 min to complete, and most physicians thought it was useful, that they would use newly acquired skills with their patients, and would recommend it to others. Fewer physicians thought it helped them address confidentiality issues with their adolescent patients. Conclusion: The Teen CHAT online intervention shows potential for enhancing physician motivational interviewing skills in an acceptable and time-efficient manner. Practice implications: If found to be effective in enhancing motivational interviewing skills and changing adolescent weight-related behaviors, wide dissemination will be feasible and indicated. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free