{"id":{"repo_id":"toronto-retro","oai_identifier":"oai:utoronto.scholaris.ca:1807/92689"},"canonical_url":"https://search.dev.ndltd.org/etd/toronto-retro/oai:utoronto.scholaris.ca:1807/92689","repository":{"repo_id":"toronto-retro","name":"University of Toronto","base_url":"https://utoronto.scholaris.ca/server/oai/request"},"display":{"title":"Motivational Interviewing as a Lifestyle Management Strategy for Dyslipidemic Overweight and Obese Adolescents","abstract":"Background: Dyslipidemia, overweight and obesity (OW/OB) in the pediatric population contributes to metabolic complications and future cardiovascular disease. The prevalence varies but the problem is a global issue. Adolescence is a challenging developmental stage with many factors influencing adolescent health. Lifestyle management is the preferred treatment. Motivational interviewing is a promising counselling approach; however, evidence is limited for this population. Objectives and Methods: The substantive focus involved exploring MI for dyslipidemic adolescents. Study A was a retrospective cohort comparison aimed to assess a collaborative educational approach with MI elements for pediatric patients (n=38) newly referred to a specialized lipid clinic, versus historical patients who had received a more didactic educational approach (n=31). Study B involved theoretical research to build and graphically represent a conceptual framework for MI, including special applications to adolescents. Study C was a mixed-methods, randomized controlled trial (N=32) to evaluate the outcomes of MI counselling, comparing adolescents together with a parent versus adolescents alone. A qualitative component occurred following the quantitative data collection to explore the perceptions of participants. Findings: Despite some limitations, sufficient promise was observed in the Study A findings to move forward with a detailed plan to rigorously explore MI. Significantly improved lifestyle and anthropometry outcomes were observed favouring the collaborative education approach with MI. The theoretical work in Study B defined four key elements for a MI framework: the Person, the Problem, the Process, and the MI Counsellor. The between group results for Study C were equivocal; however, with both groups combined in a secondary analysis, there were significant improvements in nearly all outcomes. The interviews enriched an understanding of the participantsâ lives, lifestyle change, and the counselling process. Conclusion: Motivational interviewing is an effective and desired counselling strategy for adolescents with dyslipidemia and overweight/obesity. Further research with a longer period of observation is needed to determine whether achieved lifestyle improvements can be sustained in the long-term.","abstract_html":"Background: Dyslipidemia, overweight and obesity (OW/OB) in the pediatric population contributes to metabolic complications and future cardiovascular disease. The prevalence varies but the problem is a global issue. Adolescence is a challenging developmental stage with many factors influencing adolescent health. Lifestyle management is the preferred treatment. Motivational interviewing is a promising counselling approach; however, evidence is limited for this population. Objectives and Methods: The substantive focus involved exploring MI for dyslipidemic adolescents. Study A was a retrospective cohort comparison aimed to assess a collaborative educational approach with MI elements for pediatric patients (n=38) newly referred to a specialized lipid clinic, versus historical patients who had received a more didactic educational approach (n=31). Study B involved theoretical research to build and graphically represent a conceptual framework for MI, including special applications to adolescents. Study C was a mixed-methods, randomized controlled trial (N=32) to evaluate the outcomes of MI counselling, comparing adolescents together with a parent versus adolescents alone. A qualitative component occurred following the quantitative data collection to explore the perceptions of participants. Findings: Despite some limitations, sufficient promise was observed in the Study A findings to move forward with a detailed plan to rigorously explore MI. Significantly improved lifestyle and anthropometry outcomes were observed favouring the collaborative education approach with MI. The theoretical work in Study B defined four key elements for a MI framework: the Person, the Problem, the Process, and the MI Counsellor. The between group results for Study C were equivocal; however, with both groups combined in a secondary analysis, there were significant improvements in nearly all outcomes. The interviews enriched an understanding of the participantsâ lives, lifestyle change, and the counselling process. Conclusion: Motivational interviewing is an effective and desired counselling strategy for adolescents with dyslipidemia and overweight/obesity. Further research with a longer period of observation is needed to determine whether achieved lifestyle improvements can be sustained in the long-term.","abstract_has_math":false,"creators":["Chahal, Nutan (Nita)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":"Medical Science","school":null,"contributors":[],"advisors":["McCrindle, Brian W"],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-06","date_published":"2016-06","updated_at":"2026-07-27T21:27:56Z","subjects":["Adolescents","Dyslipidemia","Motivational Interviewing","Overweight/Obesity"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/1807/92689","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["McCrindle, Brian W"]},{"key":"dc:contributor.department","label":"Department","values":["Medical Science"]},{"key":"dc:creator","label":"Author","values":["Chahal, Nutan (Nita)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2016-06"]},{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-12-01T05:00:14Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2018-12-01T05:00:14Z"]},{"key":"dc:date.issued","label":"Date","values":["2016-06"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Adolescents","Dyslipidemia","Motivational Interviewing","Overweight/Obesity"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1807/92689"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background: Dyslipidemia, overweight and obesity (OW/OB) in the pediatric population contributes to metabolic complications and future cardiovascular disease. The prevalence varies but the problem is a global issue. Adolescence is a challenging developmental stage with many factors influencing adolescent health. Lifestyle management is the preferred treatment. Motivational interviewing is a promising counselling approach; however, evidence is limited for this population. Objectives and Methods: The substantive focus involved exploring MI for dyslipidemic adolescents. Study A was a retrospective cohort comparison aimed to assess a collaborative educational approach with MI elements for pediatric patients (n=38) newly referred to a specialized lipid clinic, versus historical patients who had received a more didactic educational approach (n=31). Study B involved theoretical research to build and graphically represent a conceptual framework for MI, including special applications to adolescents. Study C was a mixed-methods, randomized controlled trial (N=32) to evaluate the outcomes of MI counselling, comparing adolescents together with a parent versus adolescents alone. A qualitative component occurred following the quantitative data collection to explore the perceptions of participants. Findings: Despite some limitations, sufficient promise was observed in the Study A findings to move forward with a detailed plan to rigorously explore MI. Significantly improved lifestyle and anthropometry outcomes were observed favouring the collaborative education approach with MI. The theoretical work in Study B defined four key elements for a MI framework: the Person, the Problem, the Process, and the MI Counsellor. The between group results for Study C were equivocal; however, with both groups combined in a secondary analysis, there were significant improvements in nearly all outcomes. The interviews enriched an understanding of the participantsâ lives, lifestyle change, and the counselling process. Conclusion: Motivational interviewing is an effective and desired counselling strategy for adolescents with dyslipidemia and overweight/obesity. Further research with a longer period of observation is needed to determine whether achieved lifestyle improvements can be sustained in the long-term."]},{"key":"dc:description.degree","label":"Dc Description Degree","values":["Ph.D."]},{"key":"dc:title","label":"Title","values":["Motivational Interviewing as a Lifestyle Management Strategy for Dyslipidemic Overweight and Obese Adolescents"]}]}],"canonical_facts":{"dc:contributor.advisor":["McCrindle, Brian W"],"dc:contributor.department":["Medical Science"],"dc:creator":["Chahal, Nutan (Nita)"],"dc:date":["2016-06"],"dc:date.accessioned":["2018-12-01T05:00:14Z"],"dc:date.available":["2018-12-01T05:00:14Z"],"dc:date.issued":["2016-06"],"dc:description.abstract":["Background: Dyslipidemia, overweight and obesity (OW/OB) in the pediatric population contributes to metabolic complications and future cardiovascular disease. The prevalence varies but the problem is a global issue. Adolescence is a challenging developmental stage with many factors influencing adolescent health. Lifestyle management is the preferred treatment. Motivational interviewing is a promising counselling approach; however, evidence is limited for this population. Objectives and Methods: The substantive focus involved exploring MI for dyslipidemic adolescents. Study A was a retrospective cohort comparison aimed to assess a collaborative educational approach with MI elements for pediatric patients (n=38) newly referred to a specialized lipid clinic, versus historical patients who had received a more didactic educational approach (n=31). Study B involved theoretical research to build and graphically represent a conceptual framework for MI, including special applications to adolescents. Study C was a mixed-methods, randomized controlled trial (N=32) to evaluate the outcomes of MI counselling, comparing adolescents together with a parent versus adolescents alone. A qualitative component occurred following the quantitative data collection to explore the perceptions of participants. Findings: Despite some limitations, sufficient promise was observed in the Study A findings to move forward with a detailed plan to rigorously explore MI. Significantly improved lifestyle and anthropometry outcomes were observed favouring the collaborative education approach with MI. The theoretical work in Study B defined four key elements for a MI framework: the Person, the Problem, the Process, and the MI Counsellor. The between group results for Study C were equivocal; however, with both groups combined in a secondary analysis, there were significant improvements in nearly all outcomes. The interviews enriched an understanding of the participantsâ lives, lifestyle change, and the counselling process. Conclusion: Motivational interviewing is an effective and desired counselling strategy for adolescents with dyslipidemia and overweight/obesity. Further research with a longer period of observation is needed to determine whether achieved lifestyle improvements can be sustained in the long-term."],"dc:description.degree":["Ph.D."],"dc:identifier.uri":["http://hdl.handle.net/1807/92689"],"dc:subject":["Adolescents","Dyslipidemia","Motivational Interviewing","Overweight/Obesity"],"dc:title":["Motivational Interviewing as a Lifestyle Management Strategy for Dyslipidemic Overweight and Obese Adolescents"],"dc:type":["Thesis"]},"updated_at":"2026-07-27T21:27:56Z"}