Design and Methods of a Synchronous Online Motivational Interviewing Intervention for Weight Management

Rebecca Anne Krukowski · Vicki G. DiLillo · Krista Ingle · Delia Smith West

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Digital Mental Health Interventions Behavioral Health and Interventions Obesity and Health Practices

Abstract

BACKGROUND: While Internet-based weight management programs can facilitate access to and engagement in evidence-based lifestyle weight loss programs, the results have generally not been as effective as in-person programs. Furthermore, motivational interviewing (MI) has shown promise as a technique for enhancing weight loss outcomes within face-to-face programs. OBJECTIVE: This paper describes the design, intervention development, and analysis of a therapist-delivered online MI intervention for weight loss in the context of an online weight loss program. METHODS: The MI intervention is delivered within the context of a randomized controlled trial examining the efficacy of an 18-month, group-based, online behavioral weight control program plus individually administered, synchronous online MI sessions relative to the group-based program alone. Six individual 30-minute MI sessions are conducted in private chat rooms over 18 months by doctoral-level psychologists. Sessions use a semistructured interview format for content and session flow and incorporate core MI components (eg, collaborative agenda setting, open-ended questions, reflective listening and summary statements, objective data, and a focus on evoking and amplifying change talk). RESULTS: The project was funded in 2010 and enrollment was completed in 2012. Data analysis is currently under way and the first results are expected in 2016. CONCLUSIONS: This is the first trial to test the efficacy of a synchronous online, one-on-one MI intervention designed to augment an online group behavioral weight loss program. If the addition of MI sessions proves to be successful, this intervention could be disseminated to enhance other distance-based weight loss interventions. TRIAL REGISTRATION: Clinicaltrials.gov NCT01232699; https://clinicaltrials.gov/ct2/show/NCT01232699.

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2013The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions 2008Self-determination theory: A macrotheory of human motivation, development, and health.2005Motivational interviewing: a systematic review and meta-analysis.1996Motivational predictors of weight loss and weight-loss maintenance.2006A Self-Regulation Program for Maintenance of Weight Loss 2005Motivational Interviewing and Self–Determination Theory 2006A Randomized Trial Comparing Human e-Mail Counseling, Computer-Automated Tailored Counseling, and No Counseling in an Internet Weight Loss Program 2012Motivational Interviewing: Helping People Change, 3rd Edition

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