Motivational Interviewing With Dyslipidemic Adolescents Together With a Parent Versus With Adolescents Alone: A Mixed Methods Clinical Trial

The Hospital for Sick Children

Status: Completed

Conditions: Dyslipidemias

Treatments: Other: Motivational Interviewing/Counselling

Study type: Interventional

Funder types: Other

Identifiers

NCT02730559

1000035605

Details and patient eligibility

About

The primary focus of this proposal is to address growing concern of overweight/ obese adolescents with hyperlipidemia. The proposed study is a 2-arm randomized controlled clinical trial to compare the effectiveness of Motivational interviewing (MI) interventions with the parent and adolescent dyad versus adolescent (10-17yr) alone. The patients will be recruited from the Lipid clinic at Sick Kids. The study hypothesis is that parent child dyad will have more success due to the possible synergetic effect compared to adolescents alone. The study's primary outcome is cholesterol levels (Triglycerides/HDL ratio) and secondary outcomes include overall improvement in their lifestyle and their responses to the MI intervention.

Enrollment: 32 patients

Sex: All

Ages: 10 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age at randomization: 10-17 years old
• 12 hour fasting lipid profile with triglycerides ≥39 mg/dL (1.0 mmol/L) or HDL-C ≤46 mg/dL (1.2 mmol/L), and with non-HDL-C ≥123 mg/dL (3.2 mmol/L)
• Waist to height ratio ≥0.5.

Exclusion criteria

• On lipid lowering medication
• non-English speaking
• Developmentally delayed

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

Intervention Group

Experimental group

Description:

Group A (Parent-adolescent dyads)

Treatment:

Other: Motivational Interviewing/Counselling

Control Group - Active Comparator

Active Comparator group

Description:

Group B (Adolescents only)

Treatment:

Other: Motivational Interviewing/Counselling