Review of Motivational Interviewing in promoting health behaviors

Martins, Renata K.; McNeil, Daniel W.

doi:10.1016/j.cpr.2009.02.001

Cited by 584Behavioral Health and InterventionsSubstance Abuse Treatment and OutcomesBehavioral and Psychological Studies

Review of Motivational Interviewing in promoting health behaviors

Martins, Renata K., McNeil, Daniel W.·2009·Clinical Psychology Review

DOI 10.1016/j.cpr.2009.02.001

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Abstract

There is considerable evidence for the effectiveness of Motivational Interviewing (MI) in the treatment of substance abuse, as well as a number of other health behavior areas. The present paper summarizes and critically reviews the research in three emerging areas in which (MI) is being applied: diet and exercise, diabetes, and oral health. Although 10 prior reviews focused in part on MI studies in the areas of diet, exercise, or diabetes, the present paper provides an up-to-date review, and includes oral health as another emerging area of MI research. Overall, 37 articles were reviewed: 24 in the areas of diet and exercise, 9 in the area of diabetes, and 4 in the oral health area. Research in these areas suggests that (MI) is effective in all these health domains, although additional research is needed, particularly in the oral health arena. Specifically, future research in the areas of diet and exercise should examine the clinical utility of MI by health care professionals (other than dietitians), studies in the area of diabetes should continue to examine long-term effects of MI on glycemic control, and research in the area of oral health should focus on developing additional trials in this field. Further, future studies should demonstrate improved research methodology, and investigate the effects of possible outcome mediators, such as client change talk, on behavior change.

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MI leads to decreased ambivalence, greater intention to change, and increased feelings of control, all of which are consistently associated with greater physical activity.
“Furthermore, MI itself leads to decreased ambivalence, greater intention to change, and increased feelings of control (pathway C1) [113, 133–137], all of which are consistently associated with greater physical activity (pathway C2) [138–140].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [133]
Both MI and the effects of PP on mood, well-being, and optimism are associated with greater self-efficacy, confidence, and motivation, which are in turn linked to physical activity.
“In addition, both MI (pathway D1) [113, 133, 141–145] and the previously described effects of PP on mood, well-being, and optimism (pathway E) [52, 95, 146] are associated with greater self-efficacy, confidence, and motivation, which are in turn linked to physical activity (pathway D2) [139, 147–151].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [133]

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Mhurchú, C. N., Margetts, B., & Speller, V. (1998) · Clinical Science · doi:10.1042/cs19980118 · Cited by 39 · see citing works
An intervention program to reduce dental avoidance behaviour among adolescents: a pilot study.
Skaret, E., Weinstein, P., Kvale, G., & Raadal, M. (2003) · PubMed · Cited by 31 · see citing works

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Sorted by citations

Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer
Francis, G. L., Waguespack, S. G., Bauer, A. J., Angelos, P., Benvenga, S., Cerutti, J. M., Dinauer, C., Hamilton, J. K., HAY, I. D., Luster, M., et al. (2015) · Thyroid · doi:10.1089/thy.2014.0460 · Cited by 1,252 · see citing works
“Motivational interviewing may be a nonjudgmental means by which to improve compliance (404,405).”
Background
Motivational interviewing to improve weight loss in overweight and/or obese patients: A systematic review and meta-analysis of randomized controlled trials
Armstrong, M. J., Mottershead, T. A., Ronksley, P. E., Sigal, R. J., Campbell, T. S., & Hemmelgarn, B. R. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2011.00892.x · Cited by 586 · see citing works
A meta-analysis of serious digital games for healthy lifestyle promotion
DeSmet, A., Van Ryckeghem, D., Compernolle, S., Baranowski, T., Thompson, D., Crombez, G., Poels, K., Van Lippevelde, W., Bastiaensens, S., Van Cleemput, K., et al. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.08.026 · Cited by 414 · see citing works
“…or leisure purposes (e.g. commercial exergames such as Wii) Digital game Includes all games using computer technologies as the delivery media (Mäyrä, 2008) Games not played on digital media (e.g. board games) For healthy lifestyle promotion Health behaviors covered in this review were…”
Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews
Frost, H., Campbell, P., Maxwell, M., O’Carroll, R. E., Dombrowski, S. U., Williams, B., Cheyne, H., Coles, E., & Pollock, A. (2018) · PLoS ONE · doi:10.1371/journal.pone.0204890 · Cited by 420 · see citing works
Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis
O’Halloran, P. D., Blackstock, F., Shields, N., Holland, A., Iles, R., Kingsley, M., Bernhardt, J., Lannin, N., Morris, M. E., & Taylor, N. F. (2014) · Clinical Rehabilitation · doi:10.1177/0269215514536210 · Cited by 398 · see citing works
Motivational interviewing for smoking cessation
Lindson, N., Thompson, T., & Begh, R. A. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006936.pub3 · Cited by 384 · see citing works
Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: A meta-analytic review.
Jensen, C. D., Cushing, C. C., Aylward, B. S., Craig, J. T., Sorell, D. M., & Steele, R. G. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0023992 · Cited by 363 · see citing works
A systematic review of motivational interviewing training for general health care practitioners
Söderlund, L. L., Madson, M. B., Rubak, S., & Nilsen, P. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2010.06.025 · Cited by 282 · see citing works
“025 addressing many health-related problems, with the best results having been observed for alcohol-related problems [6–11].”
Background
Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: a randomised controlled trial with a 12-month post-intervention follow-up
Hardcastle, S. J., Taylor, A. H., Bailey, M. P., Harley, R. A., & Hagger, M. S. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-40 · Cited by 269 · see citing works
Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial
Barrowclough, C., Haddock, G., Wykes, T., Beardmore, R., Conrod, P., Craig, T., Davies, L. M., Dunn, G., Eisner, E., Lewis, S. W., et al. (2010) · BMJ · doi:10.1136/bmj.c6325 · Cited by 245 · see citing works
“have also been recommended. Motivational interviewing has a good evidence base with regard to promoting health behaviour change,”
Background
Motivational interviewing and the clinical science of Carl Rogers.
Miller, W. R., & Moyers, T. B. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000179 · Cited by 231 · see citing works
A systematic review of internet-based therapy for the treatment of addictions
Gainsbury, S., & Blaszczynski, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.11.007 · Cited by 192 · see citing works
“…therapy (CBT) and motivational interviewing (MI) interventions in the treatment of addictions including drug and alcohol abuse and dependence and problem gambling (Anton et al., 2006; Carlbring, Jonsson, Josephson, & Forsberg, 2009; Carroll et al., 2006; Martins & McNeil, 2009; MTP Research Group.”
Motivational interviewing and outcomes in adults with type 2 diabetes: A systematic review.
Ekong, G., & Kavookjian, J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.022 · Cited by 193 · see citing works
“The effectiveness and clinical utility of MI in promoting health behaviors have been documented in diverse health conditions and populations and with many different target behaviors [13–15].”
BackgroundResult
The effectiveness of motivational interviewing for health behaviour change in primary care settings: a systematic review
Morton, K., Beauchamp, M., Prothero, A., Joyce, L., Saunders, L., Spencer-Bowdage, S., Dancy, B., & Pedlar, C. (2015) · Health Psychology Review · doi:10.1080/17437199.2014.882006 · Cited by 176 · see citing works
“Although MI techniques appear to hold substantial promise for health-related behaviour change (e.g., Martins & McNeil, 2009; Rubak et al., 2005), the evidence for its effectiveness in primary care settings with general populations is unclear.”
Background
Maternal obesity in Europe: where do we stand and how to move forward?
Devlieger, R., Benhalima, K., Damm, P., Assche, A. V., Mathieu, C., Mahmood, T. A., Dunne, F., & Bogaerts, A. (2016) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2016.04.005 · Cited by 182 · see citing works
“Motivational interviewing technique can be a supportive tool in the communication about health promotion and have showed promising effects in reducing weight in a non-pregnant population [60,61].”
Background
Meta-analysis of motivational interviewing for adolescent health behavior: Efficacy beyond substance use.
Cushing, C. C., Jensen, C. D., Miller, M. B., & Leffingwell, T. R. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0036912 · Cited by 175 · see citing works
Motivational Interviewing in Improving Oral Health: A Systematic Review of Randomized Controlled Trials
Gao, X., Lo, E. C. M., Kot, C. C. S., & Chan, K. C. W. (2013) · Journal of Periodontology · doi:10.1902/jop.2013.130205 · Cited by 174 · see citing works
Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: A systematic review
Copeland, L., McNamara, R. L., Kelson, M. J., & Simpson, S. A. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.11.022 · Cited by 164 · see citing works
“There have been at least 12 reviews that have found statistically significant effects of MI in relation to health outcomes [5,7–17].”
Background
Motivational interviewing: a useful approach to improving cardiovascular health?
Thompson, D. R., Chair, S. Y., Chan, S. W., Astin, F., Davidson, P. M., & Ski, C. F. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03558.x · Cited by 139 · see citing works
“An up-to-date review of 37 studies of motivational interviewing for diet and exercise, diabetes and oral health suggests that it is effective in all these areas, although additional research is needed in the oral health arena (Martins & McNeil 2009).”
Background
Physical Activity Text Messaging Interventions in Adults: A Systematic Review
Buchholz, S. W., Wilbur, J., Ingram, D., & Fogg, L. (2013) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12002 · Cited by 140 · see citing works
“Another potential method of supplementing physical activity text messaging can be done with healthcare providers providing telephone counseling sessions using motivational interviewing strategies (Levensky, Forcehimes, O’Donohue, & Beitz, 2007; Martins & McNeil, 2009).”
Method
Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
Huffman, J. C., DuBois, C. M., Millstein, R. A., Celano, C. M., & Wexler, D. (2015) · Journal of Diabetes Research · doi:10.1155/2015/428349 · Cited by 127 · see citing works
“Furthermore, MI itself leads to decreased ambivalence, greater intention to change, and increased feelings of control (pathway C1) [113, 133–137], all of which are consistently associated with greater physical activity (pathway C2) [138– 140].”
Background
Effectiveness of a Universal Parental Support Programme to Promote Healthy Dietary Habits and Physical Activity and to Prevent Overweight and Obesity in 6-Year-Old Children: The Healthy School Start Study, a Cluster-Randomised Controlled Trial
Nyberg, G., Sundblom, E., Norman, Å., Bohman, B., Hagberg, J., & Elinder, L. S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0116876 · Cited by 104 · see citing works
“In the treatment and prevention of overweight and obesity, evidence has been found that the use of MI may lead to improved dietary and physical activity habits in adults [34] and enhanced weight loss in overweight and obese patients [35].”
Background
Evaluation of the effect of motivational interviewing counselling on hypertension care
Ma, C., Zhou, Y., Zhou, W., & Huang, C. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.01.011 · Cited by 101 · see citing works
Exercise as an Adjunctive Treatment for Substance Use Disorders: Rationale and Intervention Description
Weinstock, J., Farney, M. R., Elrod, N. M., Henderson, C. E., & Weiss, E. P. (2016) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2016.09.002 · Cited by 102 · see citing works
“…motivation is an important component for sustaining it AC C EP TE D M AN U SC R IP T enhance intrinsic and/or extrinsic motivation to start and maintain an exercise program demonstrate a range of positive effect sizes (Martins & McNeil, 2009; O’Halloran et al., 2014; Webb & Sheeran, 2006).”
Providers’ roles in enhancing patients’ adherence to pain self management
Dorflinger, L., Kerns, R. D., & Auerbach, S. M. (2013) · Translational Behavioral Medicine · doi:10.1007/s13142-012-0158-z · Cited by 97 · see citing works
Functional imagery training versus motivational interviewing for weight loss: a randomised controlled trial of brief individual interventions for overweight and obesity
Solbrig, L., Whalley, B., Kavanagh, D. J., May, J., Parkin, T., Jones, R. B., & Andrade, J. (2018) · International Journal of Obesity · doi:10.1038/s41366-018-0122-1 · Cited by 97 · see citing works
The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community
Hardcastle, S. J., Blake, N., & Hagger, M. S. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9417-1 · Cited by 95 · see citing works
“Previous motivational interviewing research has included the use of ‘adaptations’ of motivational interviewing as opposed to ‘pure’ motivational interviewing and the optimal dose to promote autonomous forms of motivation and sustained physical activity change is unclear (Martins & McNeil, 2009).”
Background
Evaluating the mechanisms of change in motivational interviewing in the treatment of mental health problems: A review and meta-analysis
Romano, M., & Peters, L. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.02.008 · Cited by 95 · see citing works
Effectiveness of a universal parental support programme to promote health behaviours and prevent overweight and obesity in 6-year-old children in disadvantaged areas, the Healthy School Start Study II, a cluster-randomised controlled trial
Nyberg, G., Norman, Å., Sundblom, E., Zeebari, Z., & Elinder, L. S. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0327-4 · Cited by 91 · see citing works
“There is evidence that MI may improve dietary and physical activity habits in adults and enhance weight loss in overweight and obese patients [30–32].”
Background
Internet-Delivered Cognitive-Behavioral Therapy for Social Anxiety Disorder in Romania: A Randomized Controlled Trial
Tulbure, B. T., Szentagotai, A., David, O., Ștefan, S., Månsson, K. N. T., David, D., & Andersson, G. (2015) · PLOS ONE · doi:10.1371/journal.pone.0123997 · Cited by 81 · see citing works
“Also, a motivational interviewing could be added before the intervention to enhance treatment adherence [54, 56].”
Background
Diabetes nurse case management and motivational interviewing for change (<scp>DYNAMIC</scp>): Results of a 2‐year randomized controlled pragmatic trial (糖尿病护士病例管理以及促进改变的动机性会谈（DYNAMIC）：一项为期2年的实用随机对照研究)
Gabbay, R. A., Añel‐Tiangco, R. M., Dellasega, C., Mauger, D. T., Adelman, A., & Van Horn, D. H. A. (2013) · Journal of Diabetes · doi:10.1111/1753-0407.12030 · Cited by 85 · see citing works
“Previous reviews on MI and its adaptations have shown variability in the dose and method of delivery of MI and in what skills were actually used.(29) Developing and maintaining proficiency in MI can also be challenging.”
Method
No identifiable Hb1Ac or lifestyle change after a comprehensive diabetes programme including motivational interviewing: A cluster randomised trial
Jansink, R., Braspenning, J., Keizer, E., van der Weijden, T., Elwyn, G., & Grol, R. (2013) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2013.797178 · Cited by 79 · see citing works
The relationship in motivational interviewing.
Moyers, T. B. (2014) · Psychotherapy · doi:10.1037/a0036910 · Cited by 83 · see citing works
Can we improve cognitive–behavioral therapy for chronic back pain treatment engagement and adherence? A controlled trial of tailored versus standard therapy.
Kerns, R. D., Burns, J. W., Shulman, M., Jensen, M. P., Nielson, W. R., Czlapinski, R. A., Dallas, M. I., Chatkoff, D. K., Sellinger, J. J., Heapy, A. A., et al. (2013) · Health Psychology · doi:10.1037/a0034406 · Cited by 81 · see citing works
Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis
Dewhurst, A., Peters, S., Devereux‐Fitzgerald, A., & Hart, J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.12.017 · Cited by 81 · see citing works
Developing physical activity interventions for adults with spinal cord injury. Part 2: Motivational counseling and peer-mediated interventions for people intending to be active.
Latimer‐Cheung, A. E., Arbour‐Nicitopoulos, K. P., Brawley, L. R., Gray, C. E., Wilson, A., Harry Prapavessis, A., Tomasone, J. R., Wolfe, D. L., & Ginis, K. A. M. (2013) · Rehabilitation Psychology · doi:10.1037/a0032816 · Cited by 80 · see citing works
Behavioral Modification for the Management of Obesity
Kelley, C. P., Sbrocco, G., & Sbrocco, T. (2016) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2015.10.004 · Cited by 79 · see citing works
Tailored Print Communication and Telephone Motivational Interviewing Are Equally Successful in Improving Multiple Lifestyle Behaviors in a Randomized Controlled Trial
van Keulen, H. M., Mesters, I., Ausems, M., van Breukelen, G., Campbell, M. K., Resnicow, K., Brug, J., & de Vries, H. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9231-3 · Cited by 78 · see citing works
“Although a limited number of studies have focused on the effects of motivational interviewing on diet and PA, reviews report positive effects on these behaviors [11–19], and motivational interviewing outperforms traditional advice regarding a broad range of behavioral problems and diseases [13, 15, 16].”
Background
Primary healthcare nurses’ experiences with motivational interviewing in health promotion practice
Brobeck, E., Bergh, H., Odencrants, S., & Hildingh, C. I. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03874.x · Cited by 79 · see citing works
A healthy school start - Parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention
Nyberg, G., Sundblom, E., Norman, Å., & Elinder, L. S. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-185 · Cited by 74 · see citing works
“There is strong evidence that MI may lead to improved dietary and physical activity habits in adults [19].”
Background
An Explorative Study on the Efficacy and Feasibility of the Use of Motivational Interviewing to Improve Footwear Adherence in Persons with Diabetes at High Risk for Foot Ulceration
Keukenkamp, R., Merkx, M. J. M., Busch‐Westbroek, T. E., & Bus, S. A. (2017) · Journal of the American Podiatric Medical Association · doi:10.7547/16-171 · Cited by 75 · see citing works
A Randomized Trial Comparing the Effect of Two Phone-Based Interventions on Colorectal Cancer Screening Adherence
Menon, U., BeLue, R., Wahab, S., Rugen, K. W., Kinney, A. Y., Maramaldi, P., Wujcik, D. M., & Szalacha, L. A. (2011) · Annals of Behavioral Medicine · doi:10.1007/s12160-011-9291-z · Cited by 73 · see citing works
“Personalized behavioral interventions using computerized tailoring (28), motivational interviewing (24), or both (32) have shown promise over targeted (not individually personalized) interventions in improving health promotion behavior, including cancer screening.”
Background
Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial
Saffi, M. A. L., Polanczyk, C. A., & Rabelo, E. R. (2013) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515113505396 · Cited by 73 · see citing works
The effect of motivational interviewing on glycaemic control and perceived competence of diabetes self-management in patients with type 1 and type 2 diabetes mellitus after attending a group education programme: a randomised controlled trial
Rosenbek Minet, L. K., Wagner, L., Lønvig, E. M., Hjelmborg, J., & Henriksen, J. E. (2011) · Diabetologia · doi:10.1007/s00125-011-2120-x · Cited by 71 · see citing works
Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care
Heinrich, E., Candel, M. J. J. M., Schaper, N. C., & de Vries, N. K. (2010) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2010.09.012 · Cited by 72 · see citing works
“However, as summarized by Martins and colleagues [17], MI shows potential for diabetes care.”
BackgroundResultInfluential
Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence
Bosworth, H. B., Fortmann, S. P., Kuntz, J. L., Zullig, L. L., Mendys, P., Safford, M. M., Phansalkar, S., Wang, T. S., & Rumptz, M. H. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-016-3851-7 · Cited by 74 · see citing works
Patients, persons or partners? Involving those with chronic disease in their care
McWilliam, C. L. (2009) · Chronic Illness · doi:10.1177/1742395309349315 · Cited by 92 · see citing works
“The participation of the person with chronic disease is not framed by a practice perspective focused principally on biomedical disease management(117) and motivating(45,46) and facilitating desired psychosocial health behaviours.(13,45,118,119) Rather, in empowering partnering, the participation of the person with chr…”
Background
Motivational Interviewing in a Web-Based Physical Activity Intervention With an Avatar: Randomized Controlled Trial
Friederichs, S., Bolman, C., Oenema, A., Guyaux, J., & Lechner, L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2974 · Cited by 69 · see citing works
“Evidence illustrates that MI can be successful in getting individuals to increase their physical activity (PA) [2].”
Background
Preventive Intervention for Living Donor Psychosocial Outcomes: Feasibility and Efficacy in a Randomized Controlled Trial
Dew, M. A., DiMartini, A. F., Dabbs, A. D., Zuckoff, A., Tan, H. P., McNulty, M. L., Switzer, G. E., Fox, K. R., Greenhouse, J. B., & Humar, A. (2013) · American Journal of Transplantation · doi:10.1111/ajt.12393 · Cited by 69 · see citing works
The first decade of the National Drug Abuse Treatment Clinical Trials Network: Bridging the gap between research and practice to improve drug abuse treatment
Tai, B., Straus, M., Liu, D., Sparenborg, S., Jackson, R., & McCarty, D. W. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.01.011 · Cited by 67 · see citing works
“A considerable body of research has shown strong support for the usefulness of motivational interviewing interventions (Martins & McNeil, 2009).”
Background
Motivational Interviewing to Promote Adherence Behaviors in Pediatric Type 1 Diabetes
Powell, P. W., Hilliard, M. E., & Anderson, B. J. (2014) · Current Diabetes Reports · doi:10.1007/s11892-014-0531-z · Cited by 62 · see citing works
The Detroit Young Adult Asthma Project: Pilot of a Technology-Based Medication Adherence Intervention for African-American Emerging Adults
MacDonell, K. K., Naar, S., Gibson-Scipio, W. M., Lam, P. K., & Secord, E. A. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.05.016 · Cited by 62 · see citing works
“MI adaptations for youthwith chronic conditions have shown strong effects [20,21], and one meta-analysis suggested stronger effects in studies targeting minorities [22].”
Background
Understanding the process of motivational interviewing: A review of the relational and technical hypotheses
Romano, M., & Peters, L. (2014) · Psychotherapy Research · doi:10.1080/10503307.2014.954154 · Cited by 61 · see citing works
“Meta-analytic research provides support for the efficacy of MI in the treatment of alcohol and drug use (Lundahl & Burke, 2009), diet, exercise, diabetes (Martins & McNeil, 2009), gambling and general health-promoting behaviours (Lundahl, Kunz, Brownell, Tollefson, & Burke, 2010).”
Method
Effects of declared levels of physical activity on quality of life of individuals with intellectual disabilities
Blick, R. N., Saad, A. E., Goreczny, A. J., Roman, K., & Sorensen, C. H. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.11.021 · Cited by 60 · see citing works
The role of peer physical activity champions in the workplace: a qualitative study
Edmunds, S., & Clow, A. (2015) · Perspectives in Public Health · doi:10.1177/1757913915600741 · Cited by 60 · see citing works
Mixed-method process evaluation of the Welsh National Exercise Referral Scheme
Moore, G. F., Raisanen, L., Moore, L., Din, N. U., & Murphy, S. (2013) · Health Education · doi:10.1108/he-08-2012-0046 · Cited by 60 · see citing works
Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial
Brouwers, R. W. M., Kraal, J. J., Traa, S., Spee, R. F., Oostveen, L. M. L. C., & Kemps, H. (2017) · BMC Cardiovascular Disorders · doi:10.1186/s12872-017-0477-6 · Cited by 59 · see citing works
Social robots as treatment agents: Pilot randomized controlled trial to deliver a behavior change intervention
Robinson, N., Connolly, J., Hides, L. M., & Kavanagh, D. J. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100320 · Cited by 59 · see citing works
Motivational Interviewing As an Adjunct to Periodontal Therapy—A Systematic Review
Kopp, S. L., Ramseier, C. A., Ratka-Krüger, P., & Woelber, J. P. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00279 · Cited by 58 · see citing works
“- Although the studies showed no deterioration of the clinical results due to the efficacy of SRP, several MI interventions seem to have a greater effect on the behavioral change of the patients (Martins and McNeil, 2009).”
BackgroundResult
Motivational Interviewing With Parents for Obesity: An RCT
Pakpour, A. H., Gellert, P. R., Dombrowski, S. U., & Fridlund, B. (2015) · PEDIATRICS · doi:10.1542/peds.2014-1987 · Cited by 58 · see citing works
Mechanisms of motivational interviewing in health promotion: a Bayesian mediation analysis
Pirlott, A. G., Kisbu‐Sakarya, Y., DeFrancesco, C., Elliot, D. L., & MacKinnon, D. P. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-69 · Cited by 57 · see citing works
“More than 200 MI trials have been published and compiled in reviews [18-24].”
Background
The FAST study: Fertility ASsessment and advice Targeting lifestyle choices and behaviours: a pilot study
Homan, G., Litt, J., & Norman, R. J. (2012) · Human Reproduction · doi:10.1093/humrep/des176 · Cited by 56 · see citing works
“, 2005; Martins and McNeil, 2009) and weight loss (Rubak et al., 2005; Martins and McNeil, 2009; Armstrong et al., 2011).”
Background
A single session of motivational interviewing as an additive means to improve adherence in periodontal infection control: A randomized controlled trial
Stenman, J., Lundgren, J., Wennström, J. L., Ericsson, J. S., & Abrahamsson, K. H. (2012) · Journal of Clinical Periodontology · doi:10.1111/j.1600-051x.2012.01926.x · Cited by 56 · see citing works
Lifestyle Modification for Secondary Stroke Prevention
Bailey, R. R. (2016) · American Journal of Lifestyle Medicine · doi:10.1177/1559827616633683 · Cited by 57 · see citing works
Behavioral approaches to nutrition and eating patterns for managing type 2 diabetes: A review
Salvia, M. G., & Quatromoni, P. A. (2023) · American Journal of Medicine Open · doi:10.1016/j.ajmo.2023.100034 · Cited by 64 · see citing works
“60 A qualitative study among participants of a diabetes intervention grounded in motivational interviewing reported individualized direction and education as well as encouragement without judgement were important themes participants identiﬁed in their diabetes self-management success.”
Background
I Move: systematic development of a web-based computer tailored physical activity intervention, based on motivational interviewing and self-determination theory
Friederichs, S. A. H., Oenema, A., Bolman, C. A. W., Guyaux, J., van Keulen, H. M., & Lechner, L. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-212 · Cited by 54 · see citing works
“Evidence illustrates that motivational inter-viewing can be successful in getting individuals to increase their PA [33].”
Background
Telephone-Delivered Lifestyle Support With Action Planning and Motivational Interviewing Techniques to Improve Rehabilitation Outcomes
Dobler, A., Belnap, B. H., Pollmann, H., Farin, E., Raspe, H., & Mittag, O. (2018) · Rehabilitation Psychology · doi:10.1037/rep0000224 · Cited by 51 · see citing works
“…to facilitate behavior change in people with addiction (Miller & Rollnick, 2002) but that is now widely used in other health areas, such as diet or exercise improvements, with small effects in health-promoting behavior (Lundahl, Kunz, Brownell, Tollefson, & Burke, 2010; Martins & McNeil, 2009).”
Development of an Integrated Psychosocial Treatment to Address the Medical Burden Associated with Bipolar Disorder
Sylvia, L., Nierenberg, A., Stange, J., Peckham, A., & Deckersbach, T. (2011) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000398419.82362.32 · Cited by 52 · see citing works
Observing Dialogue in Therapy: Categorizing and Forecasting Behavioral Codes
Cao, J., Tanana, M., Imel, Z. E., Poitras, E., Atkins, D. C., & Srikumar, V. (2019) · Proceedings of the conference - Association for Computational Linguistics. Meeting · doi:10.18653/v1/p19-1563 · Cited by 54 · see citing works
“Several meta-analyses and empirical studies have shown the high efficacy and success of MI in psychotherapy (Burke et al., 2004; Martins and McNeil, 2009; Lundahl et al., 2010).”
Background
Effects of video‐feedback on the communication, clinical competence and motivational interviewing skills of practice nurses: a pre‐test posttest control group study
Noordman, J., van der Weijden, T., & van Dulmen, S. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12376 · Cited by 52 · see citing works
Breast cancer survivors’ perspectives on a weight loss and physical activity lifestyle intervention
Balneaves, L. G., Patten, C. L. V., Truant, T. L. O., Kelly, M. T., Neil‐Sztramko, S., & Campbell, K. L. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2185-4 · Cited by 52 · see citing works
“Therefore, the inclusion of cognitive strategies, such as motivational interviewing, which has been shown to be beneficial in behavior change interventions by helping individuals see the gaps between their current and desired behavior, may be helpful additions [18].”
Teaching Motivational Interviewing to Medical Students: A Systematic Review
Kaltman, S. I., & Tankersley, A. P. (2019) · Academic Medicine · doi:10.1097/acm.0000000000003011 · Cited by 51 · see citing works
Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis)
Berhe, K. K., Gebru, H. B., & Berhe, H. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240839 · Cited by 51 · see citing works
“diet and exercise) in patients with diabetes [17].”
Background
The effect of education through motivational interviewing compared with conventional education on self-care behaviors in heart failure patients with depression
Navidian, A., Mobaraki, H., & Shakiba, M. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.02.023 · Cited by 48 · see citing works
Promoting healthy home environments and lifestyles in families with preschool children: HomeStyles, a randomized controlled trial
Byrd‐Bredbenner, C., Martin‐Biggers, J. T., Alleman, G. P., Worobey, J., Hongu, N. K., & Quick, V. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.10.012 · Cited by 50 · see citing works
Factors associated with co-occurring medical conditions among adults with serious mental disorders
Razzano, L. A., Cook, J. Α., Yost, C., Jonikas, J. A., Swarbrick, M. A., Carter, T. M., & Santos, A. B. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.11.021 · Cited by 49 · see citing works
A clinical reasoning model focused on clients’ behaviour change with reference to physiotherapists: its multiphase development and validation
Elvén, M., Hochwälder, J., Dean, E., & Söderlund, A. (2014) · Physiotherapy Theory and Practice · doi:10.3109/09593985.2014.994250 · Cited by 48 · see citing works
“…encompassing the individual’s perceived readiness, goals, importance and self-efficacy for behaviour change (Miller and Rollnick, 2012), has been reported to be a critical component to increase the likelihood of behaviour change (Burke, Arkowitz, and Menchola, 2003; Martins and McNeil, 2009).”
Background
A values-based Motivational Interviewing (MI) intervention for pediatric obesity: Study design and methods for MI Values
Bean, M. K., Mazzeo, S. E., Stern, M., Bowen, D. J., & Ingersoll, K. S. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2011.04.010 · Cited by 47 · see citing works
“Issues identified in MI research with adolescents, and specifically related to obesity, include inadequate descriptions of MI training and practice, lack of treatment integrity measurement and reporting, and unknown dose necessary for behavior change [22, 23].”
Background
Adverse Childhood Experiences, Brain Development, and Mental Health: A Call for Neurocounseling
Navalta, C. P., McGee, L., & Underwood, J. (2018) · Journal of Mental Health Counseling · doi:10.17744/mehc.40.3.07 · Cited by 46 · see citing works
Motivational Interviewing in Childhood Obesity Treatment
Borrello, M., Pietrabissa, G., Ceccarini, M., Manzoni, G. M., & Castelnuovo, G. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01732 · Cited by 46 · see citing works
“MI has been used with good results in different health domains such as substance abuse, smoking, diabetes, and weight loss (e.g., Britt et al., 2004; Hettema et al., 2005; Rubak et al., 2005; Martins and McNeil, 2009; Lundahl et al., 2013).”
BackgroundMethod
Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials
Collins, K. A., Huffman, K. M., Wolever, R. Q., Smith, P. J., Siegler, I. C., Ross, L. M., Hauser, E. R., Jiang, R., Jakicic, J. M., Costa, P. T., et al. (2022) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000190 · Cited by 45 · see citing works
Fertility Desires among Women Living with HIV
Jones, D. L., Cook, R., Potter, J. E., Miron‐Shatz, T., Chakhtoura, N. A., Spence, A., & Byrne, M. M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0160190 · Cited by 45 · see citing works
Motivational Interviewing as a Strategy to Impact Outcomes in Heart Failure Patients: A Systematic Review
Poudel, N., Kavookjian, J., & Scalese, M. (2019) · Patient · doi:10.1007/s40271-019-00387-6 · Cited by 38 · see citing works
Cultural adaptations of motivational interviewing: A systematic review.
Self, K. J., Borsari, B. E., Ladd, B. O., Nicolas, G., Gibson, C. J., Jackson, K. M., & Manuel, J. K. (2022) · Psychological Services · doi:10.1037/ser0000619 · Cited by 45 · see citing works
Primary care providers’ communication with patients during weight counseling: A focus group study
Gudzune, K. A., Clark, J. M., Appel, L. J., & Bennett, W. L. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.06.033 · Cited by 44 · see citing works
“The technique of motivational interviewing (MI) can also effectively promote weight loss [14-15].”
BackgroundMethod
Motivational interviewing for screening and feedback and encouraging lifestyle changes to reduce relative weight in 4-8 year old children: design of the MInT study
Taylor, R. W., Brown, D. A., Dawson, A. M., Haszard, J. J., Cox, A., Rose, E. A., Taylor, B. J., Meredith-Jones, K. A., Treacy, L., Ross, J., et al. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-271 · Cited by 44 · see citing works
“MI has been the focus of ongoing development, research and application to a wide range of contexts where behaviour change (reduction of problem behaviours, increase of health promotion behaviours, or maintenance of health behaviours) is of interest [ 22-24 ].”
Background
H.U.B city steps: methods and early findings from a community-based participatory research trial to reduce blood pressure among african americans
Zoellner, J., Connell, C. L., Madson, M. B., Wang, B., Reed, V. B., Molaison, E. F., & Yadrick, K. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-59 · Cited by 44 · see citing works
“Although these studies generally support the use of MI as an approach for improving dietary and physical activity behaviors[40], there are some limitations to the existing body of research.”
Result
A Culinary Medicine Elective for Clinically Experienced Medical Students: A Pilot Study
Rothman, J. M., Bilici, N., Mergler, B. D., Schumacher, R., Mataraza-Desmond, T., Booth, M., Olshan, M., Bailey, M., Mascarenhas, M. R., Duffy, W., et al. (2020) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0063 · Cited by 44 · see citing works
“Second, they encourage scaffolding culinary medicine in the framework motivational interviewing, 33 where change is seen as a diligent, persistent process of engagement with the patient.”
Health education strategies used by physical therapists to promote behaviour change in people with lifestyle-related conditions: A systematic review
Alexander, J., Bambury, E., Mendoza, A., Reynolds, J., Veronneau, R., & Dean, E. (2012) · Hong Kong Physiotherapy Journal · doi:10.1016/j.hkpj.2012.07.003 · Cited by 43 · see citing works
“Motivational interviewing has been one evidence-based strategy for systematically interviewing patients in the clinic with respect to effecting changes in a range of health behaviours [38,39].”
Background
Enhancing Grit Through Functional Imagery Training in Professional Soccer
Rhodes, J., May, J., Andrade, J., & Kavanagh, D. J. (2018) · The Sport Psychologist · doi:10.1123/tsp.2017-0093 · Cited by 43 · see citing works
“…(e.g., Parsons, Rosof, Punzalan, & Di Maria, 2005; Rollnick, Miller, & Butler, 2007) and reviewed (e.g., Burke, Arkowitz, & Menchola, 2003; Martins & McNeil, 2009) considering various domains of behaviour change such as substance abuse (Burke, Dunn, & Atkins, 2004) and diet management…”
Cost-effectiveness of tailored print communication, telephone motivational interviewing, and a combination of the two: results of an economic evaluation alongside the Vitalum randomized controlled trial
van Keulen, H. M., Bosmans, J. E., van Tulder, M. W., Severens, J. L., de Vries, H., Brug, J., & Mesters, I. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-64 · Cited by 42 · see citing works
“Computer tailoring and motivational interviewing (MI) have been reported as promising interventions for changing health behavior [3-5].”
Background
A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial
Elinder, L. S., Patterson, E., Nyberg, G., & Norman, Å. (2018) · BMC Public Health · doi:10.1186/s12889-018-5354-4 · Cited by 42 · see citing works
“exploring and resolving ambivalence [44] and is today regarded as an evidence-based counselling method for behaviour change in adults [45].”
Method
Adherence Behavior in the Prevention and Treatment of Cardiovascular Disease
Miller, N. H. (2012) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0b013e318235c729 · Cited by 42 · see citing works
A telephone-based motivational interviewing intervention has positive effects on psoriasis severity and self-management: a randomized controlled trial
Larsen, M. H., Krogstad, A., Aas, E., Moum, T., & Wahl, A. K. (2014) · British Journal of Dermatology · doi:10.1111/bjd.13363 · Cited by 42 · see citing works
A simple method to enable patient-tailored treatment and to motivate the patient to change behaviour
Vercoulen, J. H. (2012) · Chronic Respiratory Disease · doi:10.1177/1479972312459974 · Cited by 41 · see citing works
“Motivational interviewing originally was developed to treat substance abuse but also has been found promising to increase health behaviours in chronic diseases.(12,13) There are few studies on motivational interviewing in COPD, mostly related to smoking cessation.”
Background
Prevention of Poor Psychosocial Outcomes in Living Organ Donors: From Description to Theory-Driven Intervention Development and Initial Feasibility Testing
Dew, M. A., Zuckoff, A., DiMartini, A. F., Dabbs, A. D., McNulty, M., Fox, K. R., Switzer, G. E., Humar, A., & Tan, H. P. (2012) · Progress in Transplantation · doi:10.7182/pit2012890 · Cited by 40 · see citing works
Teaching Dental Students Motivational Interviewing Techniques: Analysis of a Third‐Year Class Assignment
Hinz, J. G. (2010) · Journal of Dental Education · doi:10.1002/j.0022-0337.2010.74.12.tb05010.x · Cited by 40 · see citing works
“useful technique to help patients change their oral health behaviors.(4) For example, it has shown promis-”
Method
Motivational Interviewing in the Management of Type 2 Diabetes Mellitus and Arterial Hypertension in Primary Health Care: An RCT
Steffen, P. L. D. S., Mendonça, C. S., Meyer, E., & Faustino‐Silva, D. D. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2020.12.015 · Cited by 40 · see citing works
A Randomized Clinical Trial Comparing Delivery of Behavioral Pediatric Obesity Treatment Using Standard and Enhanced Motivational Approaches
Saelens, B. E., Lozano, P., & Scholz, K. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jst054 · Cited by 40 · see citing works
Linking a Motivational Interviewing Curriculum to the Chronic Care Model
Abramowitz, S., Flattery, D., Franses, K., & Berry, L. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1426-6 · Cited by 39 · see citing works

Efetividade da entrevista motivacional na melhoria da saúde bucal: revisão sistemática
Cascaes, A. M., Bielemann, R. M., Clark, V. L., & Barros, A. J. D. (2014) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · doi:10.1590/s0034-8910.2014048004616
Effectiveness of Motivational Interviewing to Improve Chronic Condition Self-Management
Coyne, N. A., & Correnti, D. (2013) · Home Healthcare Now · doi:10.1097/nhh.0000000000000001 · Cited by 14 · see citing works
Motivational interviewing in promoting oral health: A literature review
Natanek, Ł., Adamiecki, M. K., & Klosek, S. K. (2023) · Dental and Medical Problems · doi:10.17219/dmp/140221 · Cited by 7 · see citing works
Counselling Style through Motivational Interviewing - A Tool for Clinicians: A Review
Al-Qarni, M. A. (2019) · Annals of Medical and Health Sciences Research
Motivational interviewing: a review
Britt, E., Blampied, N. M., & Hudson, S. M. (2003) · Australian Psychologist · doi:10.1080/00050060310001707207 · Cited by 121 · see citing works

Authors: Martins, R. K., & McNeil, D. W.
Affiliations: West Virginia University (US)
Corresponding author: Martins, Renata K.
McNeil, Daniel W.
ORCID: McNeil, Daniel W.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2009-06
Volume: 29
Issue: 4
Pages: 283-293
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2009.02.001
OpenAlex: W1991002414
Semantic Scholar: 703f3a1f36630f3ffcc6acff6e80166358bf3ff9
Cited by: 584
References: 86
Citations by year: 2026: 8 · 2025: 19 · 2024: 14 · 2023: 43 · 2022: 28 · 2021: 37 · 2020: 30 · 2019: 31 · 2018: 40 · 2017: 30 · 2016: 39 · 2015: 51 · 2014: 56 · 2013: 51 · 2012: 42
FWCI: 4.37
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: motivational interviewing, health behavior change, diet and exercise, diabetes mellitus, oral health, glycemic control, change talk
MeSH terms: Diet, Health Promotion, Humans, Interview, Psychological, Motivation, Health Behavior, Exercise

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