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

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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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“…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.”
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BackgroundResult
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Background
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“…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).”
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Background
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Method
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Background
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“There is strong evidence that MI may lead to improved dietary and physical activity habits in adults [19].”
Background
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Background
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“However, as summarized by Martins and colleagues [17], MI shows potential for diabetes care.”
BackgroundResultInfluential
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“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
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“Evidence illustrates that MI can be successful in getting individuals to increase their physical activity (PA) [2].”
Background
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“A considerable body of research has shown strong support for the usefulness of motivational interviewing interventions (Martins & McNeil, 2009).”
Background
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“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
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“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
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“- 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
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“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
“, 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
Lifestyle Modification for Secondary Stroke Prevention
Bailey, R. R. (2016) · American Journal of Lifestyle Medicine · doi:10.1177/1559827616633683 · Cited by 61
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 68
“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 60
“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.
Döbler, A., Belnap, B. H., Pollmann, H., Farin‐Glattacker, E., Raspe, H. H., & Mittag, O. (2018) · Rehabilitation Psychology · doi:10.1037/rep0000224 · Cited by 58
“…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. G., Nierenberg, A. A., Stange, J. P., Peckham, A., & Deckersbach, T. (2011) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000398419.82362.32 · Cited by 54
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 60
“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
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
“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
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 57
“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
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
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
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 52
“…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
“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 54
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
“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
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
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
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
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 50
“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
“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 49
“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
“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
“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
“…(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
“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 50
“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
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
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
“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
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
“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
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
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 40

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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