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Teen CHAT: Development and utilization of a web-based intervention to improve physician communication with adolescents about healthy weight

机译：青少年聊天：开发和利用基于网络的干预措施，以改善医师与青少年之间有关健康体重的沟通

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Objective: To describe the theoretical basis, use, and satisfaction with Teen CHAT, an online educational intervention designed to improve physician-adolescent communication about healthy weight. Methods: Routine health maintenance encounters between pediatricians and family practitioners and their overweight adolescent patients were audio recorded, and content was coded to summarize adherence with motivational interviewing techniques. An online educational intervention was developed using constructs from social cognitive theory and using personalized audio recordings. Physicians were randomized to the online intervention or not, and completed post-intervention surveys. Results: Forty-six physicians were recruited, and 22 physicians were randomized to view the intervention website. The educational intervention took an average of 54. min to complete, and most physicians thought it was useful, that they would use newly acquired skills with their patients, and would recommend it to others. Fewer physicians thought it helped them address confidentiality issues with their adolescent patients. Conclusion: The Teen CHAT online intervention shows potential for enhancing physician motivational interviewing skills in an acceptable and time-efficient manner. Practice implications: If found to be effective in enhancing motivational interviewing skills and changing adolescent weight-related behaviors, wide dissemination will be feasible and indicated.
机译：目的：描述青少年CHAT的理论基础，使用和满意度，这是一种在线教育干预措施，旨在改善医师与青少年之间有关健康体重的交流。方法：对儿科医生和家庭医生与他们的超重青少年患者之间的例行健康维护进行录音，并对内容进行编码，以采用动机访谈技术总结依从性。使用来自社会认知理论的结构和个性化的录音，开发了一种在线教育干预措施。是否将医生随机分配给在线干预，并完成干预后调查。结果：招募了46位医生，并随机分配了22位医生来查看干预网站。该教育干预平均需要54分钟才能完成，大多数医生认为这是有用的，因为他们将与患者一起使用新获得的技能，并将其推荐给其他人。更少的医生认为这有助于他们解决青少年患者的机密性问题。结论：青少年CHAT在线干预显示出以可接受且省时的方式增强医师动机性面试技能的潜力。实践意义：如果发现可以有效地提高动机性面试技巧和改变与青少年体重有关的行为，那么广泛的传播将是可行的，并表明了这一点。

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