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

Ambivalence

Feeling two ways about something

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

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

En Vivo - Community Setting

• 69 families

• 25 female tweens• 22 male tweens

• 20 mothers• 2 fathers

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

Physiological Outcomes

• BMI (overweight & obesity)

• C-reactive protein

• Insulin resistance (HOMA-IR)

• HbA1c

Participant Recruitment

• Diabetes Cohort

• Local clinics

• Faith-based settings

• Community partners

Kolbe & Story, 2005

The Castillo Family • Homework immediately

after school

• Priority to have dinner as a family

• Everyone helps with dinner preparation

• Daily physical activity

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.”

Academic Research Centers

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

Gracias

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)cristina.s.barroso@uth.tmc.edu