Hess Julia Meredith, Jimenez Elizabeth Yakes, Ozechowski Timothy J, McCauley Grace, Sanders Sarah G, Sedillo Donna, Vallabhan Monique K, Kong Alberta S
UNM Prevention Research Center, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Division of Adolescent Medicine, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
PEC Innov. 2022 Dec;1. doi: 10.1016/j.pecinn.2022.100060. Epub 2022 Jun 24.
Describe perspectives of teens and caregivers regarding motivations, successes, and challenges related to participation in ACTION PAC (ClinicalTrials.gov: NCT02502383), a two-year weight management trial.
Intervention group participants received 16 short motivational interviewing (MI) sessions with school-based health center (SBHC) primary care clinicians over two years. Post-study, we conducted semi-structured interviews with purposefully sampled intervention group teens and their caregivers. Interviews were audio recorded, transcribed, and managed in NVivo 11. Three independent coders analyzed the data, developed a coding tree, examined how codes intersected and clarified relationships through memo writing.
The clinician's role and use of motivational interviewing and family involvement in behavior changes were cited as critical to success. Some adolescents noted difficulty in sustaining behavior changes post-intervention and social and systemic barriers to behavior change.
Future studies should identify strategies to sustain teen motivation, better involve families, and address systemic barriers.
In this study, which simulated real-world SBHC conditions, adolescents appreciated the use of an MI approach and felt that was key to their success, indicating the potential to continue use of this approach to motivating behavior changes in SBHC settings.
描述青少年及其照顾者对于参与“行动PAC”（临床试验.gov：NCT02502383）这一为期两年的体重管理试验的动机、成效和挑战的看法。
干预组参与者在两年内与校内健康中心（SBHC）的初级保健临床医生进行了16次简短的动机性访谈（MI）。研究结束后，我们对经过有目的抽样的干预组青少年及其照顾者进行了半结构化访谈。访谈进行了录音、转录，并在NVivo 11中进行管理。三名独立编码员对数据进行了分析，制定了编码树，通过撰写备忘录研究代码如何交叉并阐明关系。
临床医生的角色、动机性访谈的运用以及家庭在行为改变中的参与被认为是成功的关键。一些青少年指出，干预后维持行为改变存在困难，以及行为改变面临社会和系统性障碍。
未来的研究应确定维持青少年动机、更好地让家庭参与以及解决系统性障碍的策略。
在这项模拟现实世界SBHC情况的研究中，青少年认可使用MI方法，并认为这是他们成功的关键，表明在SBHC环境中继续使用这种方法来激发行为改变具有潜力。
