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A brief motivational intervention to improve dietary adherence in adolescents

A brief motivational intervention to improve dietary adherence in adolescents Motivational interviewing offers health care professionals a potentially effective strategy for increasing a patient's readiness to change health behaviors. Recently, elements of motivational interviewing and the stages of change model have been simplified and adapted for use with patients in brief clinical encounters. This paper describes in detail a brief motivational intervention model to improve and renew dietary adherence with adolescents in the Dietary Intervention Study in Children (DISC). DISC is a randomized, multi-center clinical trial assessing the efficacy and safety of lowering dietary fat to decrease low-density lipoprotein cholesterol in high-risk children. In the first 3 years of follow-up covering ages 8–13, intervention participants ( n = 334) were exposed to a family-based group intervention approach to change dietary choices. To address adherence and retention obstacles as participants moved into adolescence (age 13–17), an individual-level motivational intervention was implemented. The DISC motivational intervention integrates several intervention models: stages of change, motivational interviewing, brief negotiation and behavioral self-management. A preliminary test of the intervention model suggests that it was acceptable to the participants, popular with interventionists and appeared to be an age-appropriate shift from a family-based intervention model. © Oxford University Press « Previous | Next Article » Table of Contents This Article Health Educ. Res. (1999) 14 (3): 399-410. doi: 10.1093/her/14.3.399 » Abstract Free Full Text (HTML) Free Full Text (PDF) Free Classifications Original Article Services Article metrics Alert me when cited Alert me if corrected Alert me if commented Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Disclaimer Responses Submit a response No responses published Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Berg-Smith, S. M. Articles by Smith, K. Search for related content PubMed PubMed citation Articles by Berg-Smith, S. M. Articles by Stevens, V. J. Articles by Brown, K. M. Articles by Van Horn, L. Articles by Gernhofer, N. Articles by Peters, E. Articles by Greenberg, R. Articles by Snetselaar, L. Articles by Ahrens, L. Articles by Smith, K. 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Search this journal: Advanced » Current Issue October 2015 30 (5) Alert me to new issues The Journal About this journal E-Letters Publishers' Books for Review Rights & Permissions Dispatch date of the next issue We are mobile – find out more Journals Career Network Impact factor: 1.574 5-Yr impact factor: 2.475 Executive Editor Michael Eriksen, USA View full editorial board For Authors Instructions to authors Online submission Self archiving policy This journal enables compliance with the NIH Public Access Policy Oxford Open Alerting Services Email table of contents Email Advance Access CiteTrack XML RSS feed Corporate Services Advertising sales Reprints Supplements var taxonomies = ("MED00860"); Most Most Read Understanding participation in sport and physical activity among children and adults: a review of qualitative studies Children's eating attitudes and behaviour: a study of the modelling and control theories of parental influence Understanding reasons for drug use amongst young people: a functional perspective Consumer health information seeking on the Internet: the state of the art The effectiveness of school-based sex education programs in the promotion of abstinent behavior: a meta-analysis » View all Most Read articles Most Cited A review of research on fidelity of implementation: implications for drug abuse prevention in school settings Community coalitions for prevention and health promotion Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy Understanding the potential of teachable moments: the case of smoking cessation Consumer health information seeking on the Internet: the state of the art » View all Most Cited articles Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. 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References (41)

Publisher
Oxford University Press
Copyright
Copyright © 2015 Oxford University Press
ISSN
0268-1153
eISSN
1465-3648
DOI
10.1093/her/14.3.399
Publisher site
See Article on Publisher Site

Abstract

Motivational interviewing offers health care professionals a potentially effective strategy for increasing a patient's readiness to change health behaviors. Recently, elements of motivational interviewing and the stages of change model have been simplified and adapted for use with patients in brief clinical encounters. This paper describes in detail a brief motivational intervention model to improve and renew dietary adherence with adolescents in the Dietary Intervention Study in Children (DISC). DISC is a randomized, multi-center clinical trial assessing the efficacy and safety of lowering dietary fat to decrease low-density lipoprotein cholesterol in high-risk children. In the first 3 years of follow-up covering ages 8–13, intervention participants ( n = 334) were exposed to a family-based group intervention approach to change dietary choices. To address adherence and retention obstacles as participants moved into adolescence (age 13–17), an individual-level motivational intervention was implemented. The DISC motivational intervention integrates several intervention models: stages of change, motivational interviewing, brief negotiation and behavioral self-management. A preliminary test of the intervention model suggests that it was acceptable to the participants, popular with interventionists and appeared to be an age-appropriate shift from a family-based intervention model. © Oxford University Press « Previous | Next Article » Table of Contents This Article Health Educ. Res. (1999) 14 (3): 399-410. doi: 10.1093/her/14.3.399 » Abstract Free Full Text (HTML) Free Full Text (PDF) Free Classifications Original Article Services Article metrics Alert me when cited Alert me if corrected Alert me if commented Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Disclaimer Responses Submit a response No responses published Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Berg-Smith, S. M. Articles by Smith, K. Search for related content PubMed PubMed citation Articles by Berg-Smith, S. M. Articles by Stevens, V. J. Articles by Brown, K. M. Articles by Van Horn, L. Articles by Gernhofer, N. Articles by Peters, E. Articles by Greenberg, R. Articles by Snetselaar, L. Articles by Ahrens, L. Articles by Smith, K. Related Content Load related web page information Share Email this article CiteULike Delicious Facebook Google+ Mendeley Twitter What's this? Search this journal: Advanced » Current Issue October 2015 30 (5) Alert me to new issues The Journal About this journal E-Letters Publishers' Books for Review Rights & Permissions Dispatch date of the next issue We are mobile – find out more Journals Career Network Impact factor: 1.574 5-Yr impact factor: 2.475 Executive Editor Michael Eriksen, USA View full editorial board For Authors Instructions to authors Online submission Self archiving policy This journal enables compliance with the NIH Public Access Policy Oxford Open Alerting Services Email table of contents Email Advance Access CiteTrack XML RSS feed Corporate Services Advertising sales Reprints Supplements var taxonomies = ("MED00860"); Most Most Read Understanding participation in sport and physical activity among children and adults: a review of qualitative studies Children's eating attitudes and behaviour: a study of the modelling and control theories of parental influence Understanding reasons for drug use amongst young people: a functional perspective Consumer health information seeking on the Internet: the state of the art The effectiveness of school-based sex education programs in the promotion of abstinent behavior: a meta-analysis » View all Most Read articles Most Cited A review of research on fidelity of implementation: implications for drug abuse prevention in school settings Community coalitions for prevention and health promotion Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy Understanding the potential of teachable moments: the case of smoking cessation Consumer health information seeking on the Internet: the state of the art » View all Most Cited articles Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department. Online ISSN 1465-3648 - Print ISSN 0268-1153 Copyright © 2015 Oxford University Press Oxford Journals Oxford University Press Site Map Privacy Policy Cookie Policy Legal Notices Frequently Asked Questions Other Oxford University Press sites: Oxford University Press Oxford Journals China Oxford Journals Japan Academic & Professional books Children's & Schools Books Dictionaries & Reference Dictionary of National Biography Digital Reference English Language Teaching Higher Education Textbooks International Education Unit Law Medicine Music Online Products & Publishing Oxford Bibliographies Online Oxford Dictionaries Online Oxford English Dictionary Oxford Language Dictionaries Online Oxford Scholarship Online Reference Rights and Permissions Resources for Retailers & Wholesalers Resources for the Healthcare Industry Very Short Introductions World's Classics function fnc_onDomLoaded() { var query_context = getQueryContext(); PF_initOIUnderbar(query_context,":QS:default","","JRN"); PF_insertOIUnderbar(0); }; if (window.addEventListener) { window.addEventListener('load', fnc_onDomLoaded, false); } else if (window.attachEvent) { window.attachEvent('onload', fnc_onDomLoaded); } var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); try { var pageTracker = _gat._getTracker("UA-189672-16"); pageTracker._setDomainName(".oxfordjournals.org"); pageTracker._trackPageview(); } catch(err) {}

Journal

Health Education ResearchOxford University Press

Published: Jun 1, 1999

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