Patients' Perception of the Use of Motivational Interviewing for Childhood Obesity Treatment: A Qualitative Study

21.00
Hdl Handle:
http://hdl.handle.net/10755/621340
Category:
Full-text
Format:
Text-based Document
Type:
Dissertation
Level of Evidence:
Qualitative Study, Other
Research Approach:
Qualitative Research
Title:
Patients' Perception of the Use of Motivational Interviewing for Childhood Obesity Treatment: A Qualitative Study
Author(s):
Neal, Penelope L.
Additional Author Information:
Penelope L. Neal, PhD
Advisors:
Ghaffari, Masoud; Loury, Sharon; Edwards, Joellen; Kaplan, Sebastian
Degree:
PhD
Degree Year:
2015
Grantor:
East Tennessee State University
Abstract:

The purpose of this qualitative interpretive descriptive study was to better understand children’s perceptions of the use of motivational interviewing (MI) as a communication style for childhood obesity treatment. Childhood obesity in the United States has reached epidemic proportions and much research effort has been dedicated to reversing this trend. One approach that has demonstrated positive outcomes in the clinical setting is MI. Leading organizations in pediatric healthcare now recommend MI as a communication style to be used for childhood obesity related behavior change. Although empiric studies have demonstrated improvement in outcomes when this communication style is used with patients and families, no study to date had looked at MI from the perspective of the child. Thorne’s (2008) framework for interpretive descriptive research was used for this study. Individual interviews with children ages 7 through 13 were
conducted in an outpatient weight management clinic that utilizes MI as the primary communication style for facilitating behavior change. Qualitative data analysis was conducted utilizing Thorne’s recommendations for interpretive descriptive research. Five themes emerged from the data: 1) Empowerment, 2) Freedom to be Me, 3) Educating without “Educating”, 4)
Unconditional Support, and 5) Blossoming. A conceptual model was developed from the research findings to help clinicians working with children in similar contexts glean a deeper understanding of the use of MI with children. Future research endeavors should focus on the implementation of this model in clinical practice to strengthen the conceptual links and determine applicability to practice.

Keywords:
Childhood Obesity; child-centered research; Interpretive Description Research Study
CINAHL Headings:
Pediatric Obesity--Prevention and Control; Pediatric Obesity; Motivational Interviewing; Child Health Services; Adolescent Health Services; Child--Evaluation; Child; Adolescent--Evaluation; Attitude to Obesity
Description:
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3739990; ProQuest document ID: 1754414995. The author still retains copyright.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-03-03T20:32:33Z
Date of Publication:
2017-03-03

Full metadata record

DC FieldValue Language
dc.contributor.advisorGhaffari, Masouden
dc.contributor.advisorLoury, Sharonen
dc.contributor.advisorEdwards, Joellenen
dc.contributor.advisorKaplan, Sebastianen
dc.contributor.authorNeal, Penelope L.en
dc.date.accessioned2017-03-03T20:32:33Z-
dc.date.available2017-03-03T20:32:33Z-
dc.date.issued2017-03-03-
dc.identifier.urihttp://hdl.handle.net/10755/621340-
dc.descriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3739990; ProQuest document ID: 1754414995. The author still retains copyright.en
dc.description.abstract<p>The purpose of this qualitative interpretive descriptive study was to better understand children’s perceptions of the use of motivational interviewing (MI) as a communication style for childhood obesity treatment. Childhood obesity in the United States has reached epidemic proportions and much research effort has been dedicated to reversing this trend. One approach that has demonstrated positive outcomes in the clinical setting is MI. Leading organizations in pediatric healthcare now recommend MI as a communication style to be used for childhood obesity related behavior change. Although empiric studies have demonstrated improvement in outcomes when this communication style is used with patients and families, no study to date had looked at MI from the perspective of the child. Thorne’s (2008) framework for interpretive descriptive research was used for this study. Individual interviews with children ages 7 through 13 were<br />conducted in an outpatient weight management clinic that utilizes MI as the primary communication style for facilitating behavior change. Qualitative data analysis was conducted utilizing Thorne’s recommendations for interpretive descriptive research. Five themes emerged from the data: 1) Empowerment, 2) Freedom to be Me, 3) Educating without “Educating”, 4)<br />Unconditional Support, and 5) Blossoming. A conceptual model was developed from the research findings to help clinicians working with children in similar contexts glean a deeper understanding of the use of MI with children. Future research endeavors should focus on the implementation of this model in clinical practice to strengthen the conceptual links and determine applicability to practice.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectChildhood Obesityen
dc.subjectchild-centered researchen
dc.subjectInterpretive Description Research Studyen
dc.titlePatients' Perception of the Use of Motivational Interviewing for Childhood Obesity Treatment: A Qualitative Studyen_US
dc.typeDissertationen
thesis.degree.grantorEast Tennessee State Universityen
thesis.degree.levelPhDen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
dc.primary-author.detailsPenelope L. Neal, PhDen
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelQualitative Study, Otheren
dc.research.approachQualitative Researchen
dc.subject.cinahlPediatric Obesity--Prevention and Controlen
dc.subject.cinahlPediatric Obesityen
dc.subject.cinahlMotivational Interviewingen
dc.subject.cinahlChild Health Servicesen
dc.subject.cinahlAdolescent Health Servicesen
dc.subject.cinahlChild--Evaluationen
dc.subject.cinahlChilden
dc.subject.cinahlAdolescent--Evaluationen
dc.subject.cinahlAttitude to Obesityen
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