激励儿童和青少年接受肥胖症治疗。
Motivating Children and Adolescents in Obesity Treatment.
作者信息
Woo Sarah, Park Kyung Hee
机构信息
Major in Biomedical Science, Department of Medical Sciences, Hallym University College of Medicine, Chuncheon, Korea.
Department of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
出版信息
J Obes Metab Syndr. 2020 Dec 30;29(4):260-269. doi: 10.7570/jomes20026.
Abstract
Enhancing motivation is a crucial issue in pediatric obesity interventions, as behavioral changes related to food intake and physical exercise are difficult to carry out with an insufficient level of motivation. In the treatment setting, low motivation towards change may lead to early termination or inadequate treatment outcomes. This paper reviews widely-used models of motivation, including the transtheoretical model of change, self-determination theory, and motivational interviewing (MI). We introduce useful strategies based on each theoretical model to enhance motivation, such as an importance and confidence scale and a decisional balance technique. A review of recent MI interventions in children and adolescents is presented to discuss the efficacy of MI-based interventions and considerations for applying MI in pediatric obesity.
摘要
增强动机是儿童肥胖干预中的一个关键问题，因为与食物摄入和体育锻炼相关的行为改变在动机水平不足的情况下很难实施。在治疗环境中，对改变的低动机可能导致早期终止或治疗效果不佳。本文回顾了广泛使用的动机模型，包括转变理论模型、自我决定理论和动机性访谈（MI）。我们介绍了基于每个理论模型的有用策略来增强动机，如重要性和信心量表以及决策平衡技术。本文还介绍了近期针对儿童和青少年的动机性访谈干预措施，以讨论基于动机性访谈的干预措施的疗效以及在儿童肥胖中应用动机性访谈的注意事项。
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JMIR Pediatr Parent. 2018 Apr 12;1(1):e3. doi: 10.2196/pediatrics.8878.
2
Intervention for Severely Obese Children and Adolescents.重度肥胖儿童及青少年的干预措施。
J Obes Metab Syndr. 2019 Mar;28(1):1-3. doi: 10.7570/jomes.2019.28.1.1. Epub 2019 Mar 30.
3
Outcomes From a Sequential Multiple Assignment Randomized Trial of Weight Loss Strategies for African American Adolescents With Obesity.一项针对肥胖非裔美国青少年的减肥策略序贯多项分配随机试验的结果。
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Pediatr Obes. 2019 Apr;14(4):e12484. doi: 10.1111/ijpo.12484. Epub 2018 Dec 4.
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