Irby Megan, Kaplan Sebastian, Garner-Edwards Dara, Kolbash Stacy, Skelton Joseph A
Department of Pediatrics, Wake Forest University School of Medicine, Brenner Families in Training Program, Brenner Children's Hospital, Winston-Salem, NC 27157, USA.
Fam Syst Health. 2010 Sep;28(3):236-46. doi: 10.1037/a0020101.
Motivational Interviewing (MI) is an effective method for clinicians to guide and support individuals who wish to make complex health behavior changes; however, little research is available to support its use in the treatment of obesity, particularly in family based therapy and multidisciplinary team settings. The objective of this case report is to demonstrate the application of MI within a family based, multidisciplinary treatment program, and provide examples of MI in obesity treatment. We report a case study on the use of MI with behavioral therapy in a pediatric, family based, multidisciplinary weight management program (Brenner FIT Program). Tina, a 14-year-old White female, and her mother participated in the Brenner FIT Program where we successfully integrated MI into her obesity treatment. Further work is needed in the application of MI to diverse care teams to determine frequency of training required for effective use of MI in obesity treatment, its limitations, and its feasibility in community-based programs.
动机性访谈(MI)是临床医生指导和支持希望做出复杂健康行为改变的个体的有效方法;然而,支持其用于治疗肥胖症的研究很少,尤其是在基于家庭的治疗和多学科团队环境中。本病例报告的目的是展示MI在基于家庭的多学科治疗方案中的应用,并提供MI在肥胖症治疗中的实例。我们报告了一项在儿科、基于家庭的多学科体重管理项目(布伦纳健康与健身项目)中使用MI结合行为疗法的案例研究。蒂娜,一名14岁的白人女性,和她的母亲参加了布伦纳健康与健身项目,我们在该项目中成功地将MI融入了她的肥胖症治疗。在将MI应用于不同护理团队方面,还需要进一步开展工作,以确定在肥胖症治疗中有效使用MI所需的培训频率、其局限性以及在社区项目中的可行性。