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Motivational Enhanced Interview A client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.

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Presentation on theme: "Motivational Enhanced Interview A client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence."— Presentation transcript:

1 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

2 Ambivalence Feeling two ways about something

3 Parental Self-Report of TV in Child’s Bedroom (2 nd grader) Pre- & Post- MEI Intervention OR=0.25 ( ); p=0.02

4 Proportion of Parents in Contemplation or Greater Stage Post-MEI Intervention to Remove TV from Child’s Bedroom (2 nd grader) OR=3.55; p=0.04

5 En Vivo - Community Setting 69 families 25 female tweens 22 male tweens 20 mothers 2 fathers

6 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

7 Physiological Outcomes BMI (overweight & obesity) C-reactive protein Insulin resistance (HOMA-IR) HbA1c

8 Participant Recruitment Diabetes Cohort Local clinics Faith-based settings Community partners

9

10 Kolbe & Story, 2005

11 The Castillo Family Homework immediately after school Priority to have dinner as a family Everyone helps with dinner preparation Daily physical activity

12 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.”

13 Academic Research Centers

14 Acknowledgments Steven H. Kelder, PhD, MPH Deanna M. Hoelscher, PhD, RD, LD, CNS Diamond Freeberg, PhD Christopher Ledingham, PhD Andrew E. Springer, DrPH Kelli Drenner, PhD Carolyn Agurcia-Parker, DrPH Susan Hart, PhD Lizbette Hernandez Lidiana Ramirez Rosa Sauceda Dianeth Rodriguez Nancy Gonzalez Alda Rivas Margarita Ramirez Alejandro Bernal

15 Gracias

16 Contact Information Cristina S. Barroso, DrPH Assistant Professor University of Texas School of Public Health 80 Fort Brown, RAHC Bldg. Brownsville, TX (956) (956) (fax)


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