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Copeland, Lauren; McNamara, Rachel; Kelson, Mark; Simpson, Sharon (2017)
Publisher: Elsevier
Journal: Patient Education and Counseling
Languages: English
Types: Article
Subjects: Planning, Outcome measure, Behavior change counselling, BF, Weight loss maintenance, Medicine(all), Motivational interviewing, Lifestyle change, Article
Objective:\ud \ud Understanding mechanisms of motivational interviewing (MI) could improve practice. Planning is important for behavior change, and a component of MI. We aimed to develop a scale to measure planning talk within MI and explore the potential association between planning and weight loss maintenance (WLM).\ud \ud Methods:\ud \ud A literature review and thematic analysis was used to develop the coding system. Reliability was tested using MI examples and a transcript. It was applied to 50 sessions and associations between planning and WLM were analyzed using logistic and linear regression.\ud \ud Results:\ud \ud The coding system included: past, continuing, future and hypothetical plans and goal setting, varying on specificity and commitment. The percentage agreement was 86% and 75% for examples and transcript reliability respectively. Frequent planners, potentially decrease their weight 2.8 kg(−9.7, 0.6) and BMI 1.2 kg/m2(−3.1, 0.4) more compared to less frequent planners. Frequent goal setters increase their BMI(3.6 kg/m2, 1.5, 5.7) and weight (9.5 kg, 3.4, 15.6) compared to non-goal setters.\ud \ud Conclusion:\ud \ud It is feasible to measure planning, with acceptable agreement. Limited conclusions for the potential associations were demonstrated.\ud \ud Practice implications:\ud \ud This is the first scale to measure planning, an important aspect of MI which has received less attention.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

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