Evidence map›Paper›PMID 37402547›Full record

ArticleBJGP open2023

Motivational interviewing for the management of child and adolescent obesity: a systematic literature review.

Romain Lutaud, Eva Mitilian, Jenny Forte, Gaetan Gentile, Rachel Reynaud, Camille Truffet, Thibault Bellanger

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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  4. Review
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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

7 authors at 3 institutions in 2 countries.

Romain LutaudDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France romain.lutaud@univ-amu.fr.ORCID https://orcid.org/0000-0003-3443-5937
Eva MitilianDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France.
Jenny ForteDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France.
Gaetan GentileDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France.ORCID https://orcid.org/0000-0002-8849-7888
Rachel ReynaudAix Marseille Université, Faculté des Sciences Médicales et Paramédicales, Service de Pediatrie Multidisciplinaire CHU Timone Enfants, APHM, France.
Camille TruffetDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France.
Thibault BellangerDépartement Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, France.
Aix-Marseille Université · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong children or adolescents with obesity, 40-70.5% will remain obese as adults according to their paediatric body mass index (BMI). The recommended management involves changes in their nutritional habits (diet, physical activity, and sedentary lifestyle). Motivational interviewing (MI), a patient-centred consultation, has proven its worth in many fields where acting on behaviours is essential.

aimTo investigate the use and outcomes of MI in the management of children and adolescents who are overweight and obese. DESIGN &

settingA systematic review evaluated MI in the management of children and adolescents who are overweight and obese.

methodPubMed, Web of Science, Cochrane Library, and CISMeF were searched between January 2022 and March 2022 for following terms: 'motivational interviewing', 'overweight or obesity', 'children or adolescent' to identify randomised controlled trials (RCTs). Inclusion criteria were interventions involving MI in children or adolescents who were commonly (polygenically) overweight or obese. Exclusion criteria were: studies before 1991; and articles not written in English or French. The first stage of the selection process was carried out by reading the titles and abstracts. A second stage was carried out by reading the complete studies. A secondary inclusion of articles was carried out following the reading of bibliographic references, mainly from systematic reviews and meta-analyses. The data were summarised in synthetic tables based on the Population, Intervention, Comparison, Outcomes, and Study (PICOS) tool.

resultsFrom 444 articles the review identified 26 RCTs. Statistically significant results were found for all criteria (anthropometric and behavourial) in both children and adolescents. Quality of life and depression scores were also improved. Parental presence in the interview appeared to be essential for children, whereas for adolescents, the supportive involvement of parents outside of the interviews seemed more appropriate. The frequency and duration of the interventions played a major role in obtaining results, as did the number of people involved, and the diversity of the places where they are taken care of.

conclusionMI seems promising for children and adolescents with overweight or obesity, within the framework of a comprehensive, multiprofessional, family management, carried out over a long period with regular consultations.

Indexed as

adolescentchildgeneral practicemotivational interviewingobesityoverweightprimary healthcaresystematic review

Identifiers

PMID37402547
PMCPMC11176675
OpenAlexW4383105321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.