Evidence map›Paper›PMID 40412364›Full record

Trial reportPatient education and counseling2025

Training in motivational interviewing for pediatricians was associated with a higher uptake of health behavior and lifestyle treatment: Results from the KP Wellness Coaching for Families and Kids (WC4K) Program.

Eden Moore, Jessica Vallejo, Margo A Sidell, Xia Li, Emerson Delacroix, Deborah R Young, Poornima Kunani, Ken Resnicow, Corinna Koebnick

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Eden MooreDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States; Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United States.
Jessica VallejoDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.
Margo A SidellDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.
Xia LiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.
Emerson DelacroixSchool of Public Health, University of Michigan Health Behavior & Health Equity, Ann Arbor, MI, United States; Michigan Medicine, Rogel Cancer Center, Ann Arbor, MI, United States.
Deborah R YoungDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, United States.
Poornima KunaniDepartment of Pediatrics, Kaiser Permanente Manhattan Beach Medical Office, Manhattan Beach, CA, United States.
Ken ResnicowUniversity of Minnesota School of Public Health, Minneapolis, MN, United States.
Corinna KoebnickDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, United States. Electronic address: corinna.koebnick@kp.org.

Funding

Reducing Childhood Obesity through EHR-supported Motivational InterviewingR01DK127038 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI KOEBNICK, CORINNA · 2021 to 2025
$3.4M
NIDDK NIH HHS R01 DK127038
6 · The paper itself

Abstract

objectiveTo determine the association between motivational interviewing (MI) training for pediatricians and the caregiver's uptake of health behavior and lifestyle treatment (HBLT) during the Wellness Coaching for Kids (WC4K) implementation study.

methodsPediatricians from 24 (of 49) randomly assigned pediatric clinics across Southern California were trained in MI to motivate and refer eligible caregivers to engage in HBLT beginning in 2022. Eligible children were 3-8 years old at the time of their caregiver's referral to HBLT, with a body mass index (BMI) ≥ 85th percentile for age and sex. Two years after the program started, we analyzed the proportion of referred caregivers who engaged in HBLT coaching by the pediatricians' MI-training status.

resultsAmong 233 pediatricians from 24 intervention clinics, 53 % (n = 123) participated in MI training, and 44 % (n = 102) referred at least one caregiver to HBLT coaching. Out of 19,888 eligible children, 10.3 % (n = 2045) were referred to wellness coaching (reached). The reach was higher in MI-trained compared to untrained pediatricians (20.4 ± 10.1 % and 7.0 ± 10.2 %, respectively, p = 0.003). Among those referred, 49.9 % (n = 1021) scheduled a coaching appointment, and 43.3 % (n = 886) received at least one coaching call (uptake). The uptake among caregivers with MI-trained pediatricians was significantly higher (aOR 2.3; 95 %CI 1.4, 3.6) than among those with untrained pediatricians.

conclusionCaregiver uptake of HBLT was higher when referred by MI-trained pediatricians, suggesting MI can be successful in brief interventions to engage families in initiating HBLT for childhood obesity in primary care.

Indexed as

CaregiversHealth BehaviorHealth PromotionLife StyleMotivational InterviewingPediatriciansAdultCaliforniaChildChild, PreschoolFemaleHumansMaleMentoringMiddle AgedPediatricschildhood obesityimplementationmotivational interviewingpediatric carewellness coaching

Identifiers

PMID40412364
PMCPMC12682314

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.