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NCT Number: NCT07745231

Motivational Interviewing for Overweight and Obese Adults at Healthy Life Centers

Overweight and obesity are major public health problems associated with increased morbidity and mortality. Motivational interviewing is a patient-centered counseling approach that may improve lifestyle behaviors and weight management. This randomized controlled trial aims to evaluate the effect of motivational interviewing on anthropometric measurements, eHealth literacy, and healthy eating attitudes among overweight and obese adults attending Healthy Life Centers in Sakarya, Türkiye. Participants will be randomly assigned to either a motivational interviewing intervention group or a routine nutrition counseling control group. Outcomes will be assessed at baseline and after the intervention.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Adapazarı Healthy Life Center, Sakarya, Adapazarı, Turkey (Türkiye)

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About this study

Overweight and obesity are increasing worldwide and contribute substantially to chronic diseases, reduced quality of life, and healthcare costs. Although lifestyle modification remains the cornerstone of obesity management, long-term adherence to healthy eating and physical activity recommendations remains challenging. Motivational interviewing is an evidence-based behavioral counseling method designed to strengthen an individual's motivation and commitment to behavior change.

This study is a single-blind, parallel-group, randomized controlled trial conducted in Healthy Life Centers affiliated with the Sakarya Provincial Health Directorate in Türkiye. Eligible adults with overweight or obesity will be randomly allocated to either an intervention group receiving four structured motivational interviewing sessions in addition to routine nutrition counseling or a control group receiving routine nutrition counseling alone.

Anthropometric measurements, including body weight, height, body mass index, waist circumference, hip circumference, and waist-to-hip ratio, will be collected. Participants will also complete the eHealth Literacy Scale (eHEALS) and the Healthy Eating Attitude Scale before and after the intervention.

The primary objective is to determine whether motivational interviewing improves anthropometric outcomes compared with routine care. Secondary objectives include evaluating changes in eHealth literacy and healthy eating attitudes. Findings from this study may contribute to the development of evidence-based behavioral interventions for overweight and obesity management in primary healthcare settings.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults aged 18 years and older.
  • Body mass index (BMI) ≥25 kg/m² (overweight or obese).
  • Registered at one of the participating Healthy Life Centers in Sakarya Province.
  • Able to communicate in Turkish.
  • Willing to participate and provide written informed consent.
  • Able to participate in face-to-face and telephone/online counseling sessions.

Exclusion criteria

  • Pregnancy or breastfeeding.
  • Severe psychiatric disorders or cognitive impairment affecting participation.
  • Serious medical conditions preventing participation in lifestyle counseling.
  • Currently participating in another behavioral or weight management intervention.
  • Inability to complete follow-up assessments.
  • Withdrawal of informed consent at any time.

Treatment and study plan

Motivational Interviewing

Behavioral

Participants will receive four structured motivational interviewing sessions in addition to routine nutrition counseling. The first and fourth sessions will be delivered face-to-face, while the second and third sessions will be conducted by telephone or online. The intervention is based on motivational interviewing principles and aims to improve healthy eating behaviors, eHealth literacy, and anthropometric outcomes among overweight and obese adults.

Routine Nutrition Counseling

Behavioral

Participants will receive routine nutrition counseling provided by Healthy Life Centers according to standard clinical practice without motivational interviewing.

Primary outcomes

  1. Change in Body Weight

    Time frame: Baseline and 12 weeks

    Body weight (kg) will be measured at baseline and after completion of the 12-week intervention using standardized anthropometric procedures. The primary outcome is the change in body weight from baseline to post-intervention.

Secondary outcomes

  1. Change in Body Mass Index (BMI)

    Time frame: Baseline and 12 weeks

    Body mass index will be calculated as weight in kilograms divided by height in meters squared.

  2. Change in Waist Circumference

    Time frame: Baseline and 12 weeks

    Waist circumference will be measured using standardized anthropometric techniques.

  3. Change in Waist-to-Hip Ratio

    Time frame: Baseline and 12 weeks

    Waist-to-hip ratio will be calculated from waist and hip circumference measurements.

  4. Change in eHealth Literacy

    Time frame: Baseline and 12 weeks

    eHealth literacy will be assessed using the Turkish version of the eHealth Literacy Scale (eHEALS).

  5. Change in Healthy Nutrition Attitudes

    Time frame: Baseline and 12 weeks

    Healthy nutrition attitudes will be evaluated using the Healthy Nutrition Attitude Scale (SBITO).

Study contacts

Contact information is provided by the study sponsor or research team.

Rıdvan ATICI, MSc

CONTACT

[email protected]

5335111233 ext. 5346978087

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Collaborators

  • Sakarya Provincial Health Directorate

Registry information

Official study title

Effect of Motivational Interviewing on Anthropometric Measurements, eHealth Literacy, and Healthy Eating Attitudes Among Overweight and Obese Adults Attending Healthy Life Centers: A Randomized Controlled Trial

Acronym: MI-HLC

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Aug 4, 2026
Registry last updated
Aug 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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