Evidence map›Paper›PMID 27155958›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016

Teaching Physicians Motivational Interviewing for Discussing Weight With Overweight Adolescents.

Kathryn I Pollak, Cynthia J Coffman, James A Tulsky, Stewart C Alexander, Truls Østbye, David Farrell, Pauline Lyna, Rowena J Dolor, Alicia Bilheimer, Pao-Hwa Lin and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kathryn I PollakCancer Control and Populations Sciences, Duke Cancer Institute, Durham, North Carolina; Department of Community and Family Medicine, Duke School of Medicine, Durham, North Carolina. Electronic address: kathryn.pollak@duke.edu.
Cynthia J CoffmanDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina; Health Services Research and Development Service, Durham VA Medical Center, Durham, North Carolina.
James A TulskyCancer Control and Populations Sciences, Duke Cancer Institute, Durham, North Carolina; Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Stewart C AlexanderDepartment of Consumer Science, Purdue University, West Lafayette, Indiana.
Truls ØstbyeCancer Control and Populations Sciences, Duke Cancer Institute, Durham, North Carolina; Department of Community and Family Medicine, Duke School of Medicine, Durham, North Carolina.
David FarrellPeople Designs Inc., Durham, North Carolina.
Pauline LynaCancer Control and Populations Sciences, Duke Cancer Institute, Durham, North Carolina.
Rowena J DolorDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Alicia BilheimerCancer Control and Populations Sciences, Duke Cancer Institute, Durham, North Carolina.
Pao-Hwa LinDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Michael E BodnerSchool of Human Kinetics, Trinity Western University, Langley, British Columbia, Canada.
Terrill D BravenderDepartment of Pediatrics, University of Michigan, Ann Arbor, Michigan.

Funding

Teen CHAT:Improving physician communication with adolescents about healthy weightR01HL092403 · NHLBI · DUKE UNIVERSITY · PI POLLAK, KATHRYN I · 2009 to 2013
$3.6M
NHLBI NIH HHS R01 HL092403
6 · The paper itself

Abstract

purposeWe tested whether an online intervention combined with a patient feedback report improved physicians' use of motivational interviewing (MI) techniques when discussing weight with overweight and obese adolescents.

methodsWe randomized 46 pediatricians and family physicians and audio recorded 527 patient encounters. Half of the physicians received an individually tailored, online intervention. Then, all physicians received a summary report detailing patient's weight-related behaviors. We coded MI techniques and used multilevel linear mixed-effects models to examine arm differences. We assessed patients' motivation to change and perceived empathy after encounter.

resultsWe found arm differences in the Intervention Phase and the Summary Report Phase: Empathy (p < .001), MI Spirit (p < .001), open questions (p = .02), and MI consistent behaviors (p = .04). Across all three phases (Baseline, Intervention, and Summary Report), when physicians had higher Empathy scores, patients were more motivated to change diet (p = .03) and physical activity (p = .03). In addition, patients rated physicians as more empathic when physicians used more MI consistent techniques (p = .02).

conclusionsAn individually tailored, online intervention coupled with a Summary Report improved physicians' use of MI, which improved the patient experience.

Indexed as

Education, MedicalPhysiciansAdolescentAdultEmpathyFemaleHumansMaleMiddle AgedMotivationMotivational InterviewingOverweightPhysician-Patient RelationsPractice Patterns, Physicians'AdolescentsMotivational interviewing interventionPhysicians

Identifiers

PMID27155958
PMCPMC4920712

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.