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Clin Pediatr (Phila). 2015 May;54(5):425-9. doi: 10.1177/0009922814553432. Epub 2014 Oct 20.

Brief training in patient-centered counseling for healthy weight management increases counseling self-efficacy and goal setting among pediatric primary care providers: results of a pilot program.

Author information

1
Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA Nutrition and Health Sciences PhD Program, Emory University, Atlanta, GA, USA.
2
Children's Healthcare of Atlanta, Atlanta, GA, USA.
3
Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA.
4
Children's Healthcare of Atlanta, Atlanta, GA, USA Emory University School of Medicine, Atlanta, GA, USA Nutrition and Health Sciences PhD Program, Emory University, Atlanta, GA, USA mvos@emory.edu.

Abstract

BACKGROUND:

We hypothesized that training in patient-centered counseling would improve self-efficacy and quality of weight management-related counseling provided by pediatric primary care physicians (PCPs).

METHODS:

A total of 36 PCPs attended a brief (2-hour) training and consented to participate in an evaluation. Training impact was assessed using self-administered, pretraining and posttraining surveys and a review of patient charts from prior to and from 6 and 12 months after training for a random subsample of 19 PCPs (10 charts/timepoint per PCP).

RESULTS:

Self-reported effectiveness at obesity prevention and treatment increased from 16.7% to 44.4% (P = .01) and from 19.4% to 55.6% (P < .001), respectively. Self-efficacy in counseling and motivating patients increased from 44.4% to 80.6% (P < .001) and 27.8% to 63.9% (P < .001), respectively. Goal documentation increased from 3.9% to 16.4% and 57.9% at 6 months and 12 months posttraining, respectively.

CONCLUSIONS:

Brief training in patient-centered counseling appears to increase self-efficacy and the frequency and quality of weight-related counseling provided by PCPs.

KEYWORDS:

motivational interviewing; obesity; patient-centered counseling; pediatrics; primary care

PMID:
25336443
DOI:
10.1177/0009922814553432
[Indexed for MEDLINE]

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