Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis
Abstract Background Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whet...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13643-018-0814-6 |
| _version_ | 1828349758400364544 |
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| author | Parisa Amiri Elham Kazemian Mohammad Masih Mansouri-Tehrani Ahmad Khalili Atieh Amouzegar |
| author_facet | Parisa Amiri Elham Kazemian Mohammad Masih Mansouri-Tehrani Ahmad Khalili Atieh Amouzegar |
| author_sort | Parisa Amiri |
| collection | DOAJ |
| description | Abstract Background Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents. Methods/design A systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I 2 statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias. Discussion The results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group. Systematic review registration PROSPERO 2017:CRD42017069813. |
| first_indexed | 2024-04-14T01:15:19Z |
| format | Article |
| id | doaj.art-ca544e4f65d6409d9a4792568a695b74 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-04-14T01:15:19Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-ca544e4f65d6409d9a4792568a695b742022-12-22T02:20:54ZengBMCSystematic Reviews2046-40532018-10-01711810.1186/s13643-018-0814-6Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysisParisa Amiri0Elham Kazemian1Mohammad Masih Mansouri-Tehrani2Ahmad Khalili3Atieh Amouzegar4Research Center of Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesResearch Center of Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesResearch Center of Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesAbstract Background Data on the effects of motivational interviewing (MI) on modifying unhealthy lifestyles and promoting weight status during childhood is controversial. Adolescents are more prone to assume higher personal responsibilities for behavioral changes. This study aims to investigate whether MI will improve weight management process in adolescents. Methods/design A systematic review will be conducted on clinical trials, assessing the effect of MI on weight management processes in adolescents, aged 10 to 19 years. The primary objective is to assess the efficacy of MI in controlling weight-related measures in overweight and obese adolescents. Secondary objectives are assessing the efficacy of MI on obesity-related behaviors and cognitive abilities considering heterogeneity in outcomes of primary studies in different MI settings. Main data sources include MEDLINE/PubMed, Scopus, Embase, Web of Science, Cochrane, and PsycINFO from 1980 to May, 2018, with no language restrictions. Study selection, data extraction, and risk of bias assessment will be performed by two independent reviewers. A meta-analysis will be conducted on relevant outcomes. Data will be analyzed for outcome of interest using the 95% confidence interval (CI) of an estimate for dichotomous outcomes and mean differences (MDs) for continious outcomes. Cochrane’s Q statistic and the I 2 statistic will be performed to evaluate the heterogeneity. Subgroup analysis and suitable analytical strategies will be conducted to identify the potential sources of heterogeneity. As we expect a high heterogeneity in our included studies, pooled risk ratios (RRs) and 95% CI will be calculated to estimate the overall effect sizes, using meta-regression models or finite mixture modeling through conducting random effect methods. GRADE system will be used to evaluate the certainty of evidence. We will also use subgroup analysis and the GRADE system to investigate the effect of methodological quality of primary studies on results of meta-analysis. Funnel plots and egger and beggs test and plot will be implemented to assess publication bias. Discussion The results of this systematic review will provide more insights regarding the effect of MI on weight management in adolescents and will be useful for future research and health promotion programs in this age group. Systematic review registration PROSPERO 2017:CRD42017069813.http://link.springer.com/article/10.1186/s13643-018-0814-6Motivational interviewingObesityAdolescent |
| spellingShingle | Parisa Amiri Elham Kazemian Mohammad Masih Mansouri-Tehrani Ahmad Khalili Atieh Amouzegar Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis Systematic Reviews Motivational interviewing Obesity Adolescent |
| title | Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis |
| title_full | Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis |
| title_fullStr | Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis |
| title_full_unstemmed | Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis |
| title_short | Does motivational interviewing improve the weight management process in adolescents? Protocol for a systematic review and meta-analysis |
| title_sort | does motivational interviewing improve the weight management process in adolescents protocol for a systematic review and meta analysis |
| topic | Motivational interviewing Obesity Adolescent |
| url | http://link.springer.com/article/10.1186/s13643-018-0814-6 |
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