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Motivational Enhanced Interview
• A client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
Create cognitive dissonance between
where one is & where one wants to be
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Ambivalence
Feeling two ways about something
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Parental Self-Report of TV in Child’s Bedroom (2nd grader) Pre- & Post- MEI
Intervention
OR=0.25 (0.08-0.82); p=0.02
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Proportion of Parents in Contemplation or Greater Stage Post-MEI Intervention to
Remove TV from Child’s Bedroom (2nd grader)
OR=3.55; p=0.04
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En Vivo - Community Setting
• 69 families
• 25 female tweens• 22 male tweens
• 20 mothers• 2 fathers
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Behavioral Outcomes• Reduce screen-time
• Remove TV from bedroom
• Increase physical activity
• Reduce intake of sugared beverages
• Increase intake of fruit and vegetables
• Restrict snacking while watching TV
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Physiological Outcomes
• BMI (overweight & obesity)
• C-reactive protein
• Insulin resistance (HOMA-IR)
• HbA1c
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Participant Recruitment
• Diabetes Cohort
• Local clinics
• Faith-based settings
• Community partners
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Kolbe & Story, 2005
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The Castillo Family • Homework immediately
after school
• Priority to have dinner as a family
• Everyone helps with dinner preparation
• Daily physical activity
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Isabel Castillo (mother)
“We make time to spend together as a family which builds strong bonds - our kids know that they can trust us and talk to us about anything. Make the time to get to know your children better; it's the best thing that you can do.”
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Academic Research Centers
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Acknowledgments
• Steven H. Kelder, PhD, MPH• Deanna M. Hoelscher, PhD,
RD, LD, CNS• Diamond Freeberg, PhD• Christopher Ledingham, PhD• Andrew E. Springer, DrPH
• Kelli Drenner, PhD
• Carolyn Agurcia-Parker, DrPH• Susan Hart, PhD
• Lizbette Hernandez
• Lidiana Ramirez
• Rosa Sauceda
• Dianeth Rodriguez
• Nancy Gonzalez
• Alda Rivas
• Margarita Ramirez
• Alejandro Bernal
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Gracias
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Contact Information
Cristina S. Barroso, DrPHAssistant ProfessorUniversity of Texas School of Public Health80 Fort Brown, RAHC Bldg.Brownsville, TX 78520(956) 882-5180(956) 882-5152 (fax)[email protected]