A brief motivational intervention to improve dietary adherence in adolescents. The Dietary Intervention Study in Children (DISC) Research Group

S M Berg-Smith; V J Stevens; Kristin Brown; L Van Horn; N Gernhofer; E Peters; R Greenberg; L Snetselaar; L Ahrens; K Smith

doi:10.1093/her/14.3.399

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A brief motivational intervention to improve dietary adherence in adolescents. The Dietary Intervention Study in Children (DISC) Research Group

Journal article

Open access

Peer reviewed

A brief motivational intervention to improve dietary adherence in adolescents. The Dietary Intervention Study in Children (DISC) Research Group

S M Berg-Smith, V J Stevens, Kristin Brown, L Van Horn, N Gernhofer, E Peters, R Greenberg, L Snetselaar, L Ahrens and K Smith

Health education research, Vol.14(3), pp.399-410

06/1999

DOI: 10.1093/her/14.3.399

PMID: 10539230

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Abstract

Motivational interviewing offers health care professionals a potentially effective strategy for increasing a patient's readiness to change health behaviors. Recently, elements of motivational interviewing and the stages of change model have been simplified and adapted for use with patients in brief clinical encounters. This paper describes in detail a brief motivational intervention model to improve and renew dietary adherence with adolescents in the Dietary Intervention Study in Children (DISC). DISC is a randomized, multi-center clinical trial assessing the efficacy and safety of lowering dietary fat to decrease low-density lipoprotein cholesterol in high-risk children. In the first 3 years of follow-up covering ages 8-13, intervention participants (n = 334) were exposed to a family-based group intervention approach to change dietary choices. To address adherence and retention obstacles as participants moved into adolescence (age 13-17), an individual-level motivational intervention was implemented. The DISC motivational intervention integrates several intervention models: stages of change, motivational interviewing, brief negotiation and behavioral self-management. A preliminary test of the intervention model suggests that it was acceptable to the participants, popular with interventionists and appeared to be an age-appropriate shift from a family-based intervention model.

Health Behavior

Motivation

Diet, Fat-Restricted

Humans

Adolescent

Female

Interviews as Topic

Male

Adolescent Behavior

Patient Compliance

Patient Education as Topic

Details

Title: Subtitle: A brief motivational intervention to improve dietary adherence in adolescents. The Dietary Intervention Study in Children (DISC) Research Group
Creators: S M Berg-Smith - Kaiser Permanente Center for Health Research, Portland, OR 97227-1098, USA
V J Stevens
Kristin Brown - University of Maryland Medical Center
L Van Horn
N Gernhofer
E Peters
R Greenberg
L Snetselaar
L Ahrens
K Smith
Resource Type: Journal article
Publication Details: Health education research, Vol.14(3), pp.399-410
DOI: 10.1093/her/14.3.399
PMID: 10539230
NLM abbreviation: Health Educ Res
ISSN: 0268-1153
eISSN: 1465-3648
Publisher: England
Language: English
Date published: 06/1999
Academic Unit: Management and Entrepreneurship ; Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
Record Identifier: 9983995116702771

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