动机性访谈适应团体设置用于肥胖行为治疗中的复发治疗。临床审核。
Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit.
机构信息
Department of Medical and Surgical Sciences, IRCCS Policlinico Sant'Orsola-Malpighi, Alma Mater University of Bologna, Via Massarenti, 9, I-40138 Bologna, Italy.
Local Health Unit, Department of Public Health, Food and Nutrition Service, Via Altura 3, I-40139 Bologna, Italy.
出版信息
Nutrients. 2020 Dec 18;12(12):3881. doi: 10.3390/nu12123881.
Motivational interviewing (MI) is devised to change unhealthy behaviors by increasing motivation. We adapted MI to a group format for the treatment of relapse during the behavioral treatment of obesity and performed a clinical audit to evaluate its effectiveness in stopping weight regain. The program was structured in seven weekly sessions, plus a 6-month follow-up. Patients ( = 86) completed a questionnaire on motivation to change in both healthy diet and physical activity, and a self-reported measurement of calorie intake and physical activity at baseline, at program end and at 6-month follow-up. The attendance to the program was high, with only 13 patients (15%) not completing the program and 24% not attending the 6-month follow-up. By the end of follow up, the prevalence of patients in either precontemplation or contemplation was reduced from over 60% at enrollment to approximately 20%, whereas the sum of patients in action or maintenance stages was increased from 9.5% in healthy diet and 14% in physical activity to 39.7% and 41.3%, respectively. These changes translated into significant behavioral changes (mean calorie intake, -13%; total physical activity, +125%; sedentary time, -8%) and finally into reduced body weight ( -3%). We conclude that MI programs adapted for groups may be used to stop relapse in individuals following a behavioral intervention for obesity.
动机性访谈(MI)旨在通过提高动机来改变不健康的行为。我们将 MI 改编为团体形式,用于治疗肥胖行为治疗中的复发,并进行了临床审核,以评估其在阻止体重反弹方面的有效性。该计划分为七个每周一次的会议,外加 6 个月的随访。患者(= 86)在健康饮食和体育活动方面完成了关于改变动机的问卷,并在基线、计划结束时和 6 个月随访时自我报告了卡路里摄入量和体育活动的测量值。该计划的出勤率很高,只有 13 名患者(15%)未完成该计划,24%的患者未参加 6 个月随访。到随访结束时,无论是在考虑前还是考虑中的患者的患病率从入组时的 60%以上降至约 20%,而在行动或维持阶段的患者总数从健康饮食中的 9.5%和体育活动中的 14%分别增加到 39.7%和 41.3%。这些变化转化为显著的行为变化(平均卡路里摄入量减少 13%;总体力活动增加 125%;久坐时间减少 8%),最终导致体重减轻(-3%)。我们得出结论,为团体改编的 MI 计划可用于阻止肥胖行为干预后个体的复发。