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Supporting Autonomy in a Nutrition Intervention for Overweight/Obese Children Using Self‐Determination Theory with Motivational Interviewing
Author(s) -
Maia Angelina,
White Adrienne
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.911.3
Subject(s) - motivational interviewing , autonomy , psychology , overweight , self determination theory , intervention (counseling) , clinical psychology , session (web analytics) , developmental psychology , medicine , obesity , psychiatry , world wide web , political science , computer science , law
The study objective was to assess child and parent autonomy and researcher's support of autonomy in a psychoeducational program for overweight/obese children and parents. Motivating ME: Healthy Minds, Healthy Bodies, was implemented in a clinical setting, informed by the Self Determination Theory. Family dyads (n=31; children 9‐11 years) participated in a 12‐week program consisting of six, hour‐long individual counseling sessions for the child and parent, and three 90‐minute group sessions for parents. Phone calls using motivational interviewing (MI) techniques were made during non‐session weeks to provide support. The Treatment Self‐Regulation Questionnaire (TSRQ) was used to assess motivation (15 questions). The Health Care Climate Questionnaire (HCCQ) was used to assess the researcher's support of autonomy (6 questions). The Basic Needs Satisfaction in Relationships was used to assess support of autonomy in relationships (3 questions). The scales for children ranged from 5=very true to 1=not at all true; the scales for parents ranged from 7=very true to 1=not at all true. Questionnaires were adapted for children using cognitive interviewing. Significant results were found for autonomous motivation of treatment participants in TSRQ (child pre=22.9±5.3, post=25.7±3.7, p=0.048; adult pre=37.8±5.0, post=40.0±2.0, p=0.03). Positive movement was seen for treatment participants for support of autonomy in relationships (child, pre=9.9±2.17, post=10.0±1.9; adult, pre=14.8±1.5, post=15.5±1.9). Results were positive for support of autonomy at post‐test (child, 28.0±0.9; adult, 41.2±0.3). The use of motivational interviewing in a clinical setting appeared to play a role in supporting autonomy, construct in Self‐Determination Theory.