Transcript Motivational Enhanced Interview

Motivational Enhanced Interview
• A client centered, directive method for
enhancing intrinsic motivation to change by
exploring and resolving ambivalence
Create cognitive dissonance between
where one is
& where one wants to be
Ambivalence
Feeling two ways about something
Parental Self-Report of TV in Child’s
Bedroom (2nd grader) Pre- & Post- MEI
Intervention
OR=0.25 (0.08-0.82); p=0.02
Proportion of Parents in Contemplation or
Greater Stage Post-MEI Intervention to
Remove TV from Child’s Bedroom (2nd grader)
OR=3.55; p=0.04
En Vivo - Community Setting
• 69 families
• 25 female tweens
• 22 male tweens
• 20 mothers
• 2 fathers
Behavioral Outcomes
• Reduce screen-time
• Remove TV from bedroom
• Increase physical activity
• Reduce intake of sugared beverages
• Increase intake of fruit and vegetables
• Restrict snacking while watching TV
Physiological Outcomes
• BMI (overweight & obesity)
• C-reactive protein
• Insulin resistance (HOMA-IR)
• HbA1c
Participant Recruitment
• Diabetes Cohort
• Local clinics
• Faith-based settings
• Community partners
Kolbe & Story, 2005
The Castillo Family
• Homework immediately
after school
• Priority to have dinner as
a family
• Everyone helps with
dinner preparation
• Daily physical activity
Isabel Castillo (mother)
“We make time to spend together as a family which builds strong
bonds - our kids know that they can trust us and talk to us about
anything. Make the time to get to know your children better; it's
the best thing that you can do.”
Academic Research Centers
Acknowledgments
• Steven H. Kelder, PhD, MPH
• Deanna M. Hoelscher, PhD,
RD, LD, CNS
• Diamond Freeberg, PhD
• Christopher Ledingham, PhD
• Andrew E. Springer, DrPH
• Lizbette Hernandez
• Kelli Drenner, PhD
• Alda Rivas
• Carolyn Agurcia-Parker, DrPH
• Susan Hart, PhD
• Margarita Ramirez
• Lidiana Ramirez
• Rosa Sauceda
• Dianeth Rodriguez
• Nancy Gonzalez
• Alejandro Bernal
Gracias
Contact Information
Cristina S. Barroso, DrPH
Assistant Professor
University of Texas School of Public Health
80 Fort Brown, RAHC Bldg.
Brownsville, TX 78520
(956) 882-5180
(956) 882-5152 (fax)
[email protected]