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J Pediatr Nurs. 2011 Oct;26(5):474-9. doi: 10.1016/j.pedn.2011.07.009.

Providers as weight coaches: using practice guides and motivational interview to treat obesity in the pediatric office.

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Duke University, Durham, NC, USA.


Motivational interview techniques combined with an evidence-based guideline provide valuable tools for the treatment of childhood obesity. The National Association of Pediatric Nurse Practitioners' Healthy Eating and Activity Together guidelines were adopted in a rural pediatric office. After a 6-month pilot, effectiveness of treatment was evaluated with a retrospective chart review. The results suggest that children were motivated for healthy lifestyle changes but had difficulty maintaining motivation and compliance with healthy change choices after 1-2 months; however, with consistent use of motivational interviewing techniques combined with diet and exercise counseling, there was a trend toward lowered body mass index and waist measurements.

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