Motivational Interviewing Screening Tool to Address Pediatric Obesity

Published:January 08, 2022DOI:


      • Pediatric obesity can lead to chronic cardiovascular and endocrine conditions.
      • An effective intervention proven to manage obesity is the implementation of motivational interviewing.
      • The motivational interviewing survey tool increases provider awareness of pediatric patients with obesity.


      The aim of this quality improvement project was to increase the providers’ awareness of pediatric patients with overweight and obesity and initiate change behavior conversations. A healthy weight motivational interviewing survey tool was adapted from the University of Connecticut Rudd Center and was implemented at all well-child visits in patients aged 10 to 18 years at a rural pediatric health care clinic in Alabama. A comparative analysis was conducted on the baseline and postintervention data. The results of the motivational interviewing survey tool indicated that there was an increase from 40% to 90% of patients having their weight status addressed by the health care provider.


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        • Price C.
        • Cohen D.
        • Pribis P.
        • Cerami J.
        Nutrition education and body mass index in grades K-12: a systematic review.
        J Sch Health. 2017; 87: 715-720
        • Centers for Disease Control and Prevention (CDC)
        Childhood Obesity Facts: Prevalence of Childhood Obesity in the United States. 2019.
        Date accessed: September 6, 2021
        • Singhasai L.
        • Phuphaibul R.
        • Orathani P.
        • Piaseu N.
        • Darling-Fisher C.
        Predictors of weight status among school-age children.
        Pac Rim Int J Nurs Res Thai. 2017; 21: 180-194
        • Ball G.D.
        • Spence N.D.
        • Browne N.E.
        • et al.
        The readiness and motivation interview for families (RMI-Family) managing pediatric obesity: study protocol.
        BMC Health Serv Res. 2017; 17: 261
        • Gourlan M.
        • Sarrazin P.
        • Trouilloud D.
        Motivational interviewing as a way to promote physical activity in obese adolescents: a randomised-controlled trial using self-determination theory as an explanatory framework.
        Psychol Health. 2013; 28: 1265-1286
        • Resnicow K.
        • Harris D.
        • Wasserman R.
        • et al.
        Advances in motivational interviewing for pediatric obesity: results of the brief motivational interviewing to reduce body mass index trial and future directions.
        Pediatr Clin North Am. 2016; 63: 539-562
        • Uconn Rudd Center for Food Policy & Obesity
        Motivational Interviewing for Diet, Exercise and weight.
        • Draxten M.
        • Flattum C.
        • Fulkerson J.
        An example of how to supplement goal setting to promote behavior change for families using motivational interviewing.
        Health Commun. 2016; 31: 1276-1283
        • Vittrup B.
        • McClure D.
        Barriers to childhood obesity prevention: parental knowledge and attitudes.
        Pediatr Nurs. 2018; 44: 81-94
        • Waters E.
        • Gibbs L.
        • Tadic M.
        • et al.
        Cluster randomised trial of a school community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland!.
        BMC Public Health. 2017; 18 (Published correction appears in BMC Public Health. 2017;17(1):736. 92
        • Masters K.
        Models and Theories Focused on Nursing Goals and Functions.
        in: Butts J.B. Rich K.L. Philosophies and Theories for Advanced Nursing Practice. 3rd ed. Jones & Bartlett Learning, 2018: 425-454
        • Goodarzi-Khoigani M.
        • Baghiani Moghadam M.H.
        • Nadjarzadeh A.
        • Mardanian F.
        • Fallahzadeh H.
        • Mazloomy-Mahmoodabad S.
        Impact of nutrition education in improving dietary pattern during pregnancy based on Pender’s health promotion model: a randomized clinical trial.
        Iran J Nurs Midwifery Res. 2018; 23: 18-25
        • Moser T.
        • Edwards J.
        • Pryor F.
        • Manson L.
        • O’Hare C.
        Workflow improvement and the use of PDSA cycles: an exploration using screening, brief intervention, and referral to treatment (SBIRT) integration.
        Qual Manag Health Care. 2020; 29: 100-108


      Heather Hyde, DNP, CPNP-PC, is a nurse practitioner at Wetumpka Pediatrics, Wetumpka, AL, and can be contacted at [email protected] .


      Steadman L. McPeters, DNP, CPNP-AC, is the Assistant Dean of Faculty at Chamberlain University, Chicago, IL.