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Review of Motivational Interviewing in promoting health behaviors
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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“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]
In the citing paper
“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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“Furthermore, there is evidence that motivational interviewing is an effective method for promoting behavior change (18,19), including when integrated with a BI approach (20).”
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“Motivational interviewing techniques were used to facilitate these discussions.(22) Visit 4 focused on chronic disease state self-efficacy and self-care, while Visit 5 focused on lifestyle choices, including diet and exercise.”
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“…advantage over comparison interventions; across health issues and patient characteristics, MI is useful in increasing likelihood of health behavior change, with especially high effect sizes and promise in dental outcomes (e.g., OR = 1.74–2.01; see Lundahl et al., 2013; Martins & McNeil, 2009).”
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“MI ascertains that individuals know what is best for themselves and suggests that practitioners need to work individually with patients to determine the most effective strategies for behaviour change [30].”
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“In fact, MI has been researched and explored for its effectiveness in health behaviors (11, 14, 15) and has shown promise in promoting diet and exercise, diabetic control, oral health, weight loss and more optimal blood pressure (16, 17).”
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Tangible Resources for Preparing Patients for Antiviral Therapy for Chronic Hepatitis C
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“Research has shown MI to be effective for promoting change in diet, exercise, and diabetes care, and to have promise for promoting oral health (Martins & McNeil, 2009).”
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“Done correctly, motivational interviewing utilizes communication strategies that promote a collaborative partnership and positively affects health behavior change among patients who receive it.(7,23,24)”
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“MI is found to improve treatment engagement and outcomes, increase psychiatric medication adherence (Hamrin & Iennaco, 2017), and reduce adolescent risk behaviors in other high-risk and medical populations (Martins & McNeil, 2009).”
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“It was initially developed to help people with addictions, but has since been used in many areas such as medication adherence, weight loss and dental health care.(41,42)”
MethodWeiner, L. S., Nagel, S., Su, H.-C. I., Hurst, S., & Hartman, S. J. (2020) · JMIR Research Protocols · doi:10.2196/18420 · Cited by 15
“Peer mentors were trained in motivational interviewing techniques for communicating with others, effective in supporting behavior change [52].”
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“Motivational Interviewing was proven effective for stimulating PA behaviour.(28) Fifth, to increase awareness and self-efficacy, participants monitor their daily PA (number of steps) using an activity tracker.”
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“Of note, brief MI-based approaches have demonstrated efficacy in other areas of health promotion.(34,35) In particular, there is a sound evidence for brief motivational interventions with emerging adults and alcohol use—these interventions have led to reductions in drinking behaviour and alcohol-related problems with…”
BackgroundProcess and outcomes of a skin protection intervention for young adults
Heckman, C. J., Zhu, F., Manne, S. L., Kloss, J. D., Collins, B. N., Bass, S. B., & Lessin, S. R. (2012) · Journal of Health Psychology · doi:10.1177/1359105312449193 · Cited by 13
“There is growing evidence for the efficacy of MI in promoting smoking cessation, medication adherence, HIV prevention behaviors, diet and exercise, stress management; and addressing a variety of physical health problems such as diabetes (see reviews by Heckman et al., 2010; Hyman et al., 2007; Knight et al., 2006; Mar…”
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Değişime Hız Kazandıracak Bir Yöntem : Motivasyonel Görüşme
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Strategies to promote regular exercise in adolescent and young adult cancer survivors
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“MI is noted to increase engagement in therapy and intention to change and is meant to be used with patients having the most difficulty with health behavior change to reduce risk.(67,68)”
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“…how to (1) use motivational interviewing strategies among patients in the pre-contemplation stage to help patients begin thinking about PA (Martins & McNeil, 2009), and (2) teach patients in the maintenance stage to set coping plans if and when a relapse occurs to ensure behaviour change…”
BackgroundHealth-coaching strategies to improve patient-centered outcomes.
Butterworth, S. W. (2010) · PubMed · Cited by 12
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“Originally developed for use with substance abusers, MI adaptations for youth with other chronic conditions have shown strong effects for this brief intervention approach [45-49], and 1 meta-analysis suggested stronger effects in studies targeting minority populations [50].”
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“In 1983, motivational interviewing was designed for the first time as an intervention and a type of short-term treatment for treating alcoholics, in which patients’ motivation is regarded as a serious and common barrier (Martins & McNeil, 2009).”
BackgroundOvercoming Challenges to Obesity Counseling: Suggestions for the Primary Care Provider
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“The RMI-Family was based on the tenets of motivational interviewing (MI), a directive, clientcentered, and empirically-supported clinical approach to helping individuals resolve ambivalence about change [13] across a range of lifestyle behaviours, including smoking [14], substance abuse [15], as well as nutrition and…”
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“A sample size of 10–15 in a group was probably sufficient [40] and allowed for estimation of the feasibility proportions of adherence and a retention rate within at least ±17% [41,42] using a 95% confidence interval with a power of 80% to detect an effect size of 0.”
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“The experience level and training of the health coach is another aspect poorly reported in the coaching literature [14,17].”
InfluentialMotivational interviewing in an oral health promotion programme
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“It has been applied to a number of areas of behavioural change, and is best known for applications in the realm of substance abuse”
BackgroundEducational Challenges to the Health Care Professional in Heart Failure Care
Lambrinou, E., Protopapas, A., & Kalogirou, F. (2014) · Current Heart Failure Reports · doi:10.1007/s11897-014-0203-y · Cited by 11
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“Evaluating the effectiveness of established interventions that have been utilized with other health behaviors and that promote adherence such as motivational interviewing or of newer treatment approaches such as acceptance and commitment therapy, may both strengthen treatment outcomes as well as elucidate key motivati…”
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“Studies have demonstrated the utility of MI across behavioral domains [21–24].”
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“The planned analyses will provide us with information on the feasibility and acceptability of the intervention, and the findings of the study will contribute towards the limited evidence base for using MI in dental settings and for eliciting dietary behaviour change [31].”
Castro, Y., Basen‐Engquist, K., Fernández, M. E., Strong, L. L., Eakin, E., Resnicow, K., Li, Y., & Wetter, D. W. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-237 · Cited by 11
“Several meta-analyses have supported the efficacy of MI-based interventions for smoking, dietary behavior change, and physical activity [41-44].”
MethodLandry, A. S., Madson, M. B., Thomson, J. L., Zoellner, J., Connell, C. L., & Yadrick, K. (2015) · Health Education Research · doi:10.1093/her/cyv058 · Cited by 10
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“These skills are also congruent with Motivational Interviewing techniques and have been shown to improve PA outcomes in several systematic reviews and meta-analyses (16,17).”
ResultNasstasia, Y., Baker, A., Halpin, S. A., Lewin, T. J., Hides, L. M., Kelly, B. J., & Callister, R. (2016) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000611 · Cited by 10
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“Motivational interviewing approaches have been shown to be effective in fostering lifestyle change for a wide variety of populations (Martin & McNeil, 2009; van Rinsum et al., 2018).”
BackgroundThe Impact of a Telephone-Based Chronic Disease Management Program on Medical Expenditures
Avery, G. H., Cook, D., & Talens, S. (2015) · Population Health Management · doi:10.1089/pop.2015.0049 · Cited by 10
Mirkarimi, K., Eri, M., Ghanbari, M. R., Kabir, M. J., Raeisi, M., Ozouni‐Davaji, R. B., Aryaie, M., & Charkazi, A. (2017) · Eastern Mediterranean Health Journal · doi:10.26719/2017.23.8.543 · Cited by 10
“Motivational interviewing has frequently been used in the health area, with beneficial outcomes (18).”
BackgroundMethodFemale pelvic floor dysfunctions and evidence-based physical therapy
(2014) · Elsevier eBooks · doi:10.1016/b978-0-7020-4443-4.00007-8 · Cited by 10
Association of deferring a quit attempt with smoking cessation success: A secondary analysis
Hughes, J. R., Russ, C., & Messig, M. (2013) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2013.08.015 · Cited by 10
Diabetes self-management : strategies to support patients and health care professionals
Heinrich, E. (2011) · doi:10.26481/dis.20110218eh · Cited by 10
Vossen, L. E., van Netten, J. J., Bakker, C. D., Berendsen, H. A., Busch‐Westbroek, T. E., Peters, E. J. G., Sabelis, L. W. E., Dijkgraaf, M. G. W., & Bus, S. A. (2023) · Trials · doi:10.1186/s13063-023-07635-z · Cited by 9
Clark, M. M., Goetze, R. E., Howell, L. A., & Grothe, K. B. (2020) · Techniques and Innovations in Gastrointestinal Endoscopy · doi:10.1016/j.tige.2020.03.006 · Cited by 9
Guzick, A. G., McCabe, R. E., & Storch, E. A. (2021) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00027 · Cited by 9
Liou, H., Stonnington, C. M., Shah, A. A., Buckner‐Petty, S., & Locke, D. E. C. (2021) · Brain Sciences · doi:10.3390/brainsci11101306 · Cited by 9
Flynn, P., Acharya, A., Schwei, K. M., VanWormer, J. J., & Skrzypcak, K. (2016) · PubMed · Cited by 9
Alvarado-Martel, D., Boronat, M., Alberiche-Ruano, M. P., Algara-González, M. A., Ramallo‐Fariña, Y., & Wägner, A. M. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.574312 · Cited by 8
“Keywords: type diabetes 1, adherence, self-care, motivational interviewing, self-efficacy, health related quality of life, randomised controlled trial Abbreviations: MI, motivational interviewing; MINT, Motivational Interviewing Network of Trainers; T1D, type 1 diabetes; T2D, type 2 diabetes. n.org December 2020 | Vol…”
BackgroundInfluentialKókai, L. L., Ceallaigh, D. O., Wijtzes, A. I., van Lennep, J. E. R., Hagger, M. S., Cawley, J., Rohde, K. I. M., van Kippersluis, H., & Alex Burdorf, A. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-053711 · Cited by 9
The Impact of Specialized Telephonic Guides on Employee Engagement in Corporate Well-Being Programs
Boerger, N. L., Barleen, N. A., Marzec, M. L., Moloney, D. P., & Dobro, J. (2017) · Population Health Management · doi:10.1089/pop.2017.0027 · Cited by 10
Use of Motivational Interviewing by Nurse Leaders
Niesen, C. R., Kraft, S. J., & Meiers, S. J. (2018) · The Health Care Manager · doi:10.1097/hcm.0000000000000209 · Cited by 9
Coumans, J. M. J., Bolman, C. A. W., Friederichs, S. A. H., Oenema, A., & Lechner, L. (2019) · JMIR Research Protocols · doi:10.2196/14491 · Cited by 10
“Evidence suggests that MI is a promising way of encouraging individuals to increase their PA, although reported effect sizes (ESs) vary [30,38].”
Backgroundvan Lonkhuijzen, R. M., Prins, S., van Loghem, F., de Vries, J. H. M., & Wagemakers, A. (2025) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.70027 · Cited by 8
“The strong positive response to dietitians ’ personalized guidance likely reflects their professional training in MI [25, 28, 29].”
Flood, S. M., D’Urzo, K., Shallow, S., Dobrowolski, S. L., Howse, K., & Tomasone, J. R. (2021) · Teaching and Learning in Medicine · doi:10.1080/10401334.2021.1891542 · Cited by 8
“14 Ontario Medical School 13 (52) 8 (53) 5 (50) Other canadian Medical School 9 (36) 4 (27) 5 (50) international Medical School 3 (12) 3 (20) 0 (0) Previous academic Program χ2(2) = 4.”
Clinical Predictors of Adherence to Exercise Training Among Individuals With Heart Failure
Collins, K. A., Reeves, G. R., Miller, N. H., Whellan, D. J., O’Connor, C. M., Marcus, B. H., Kitzman, D. W., & Kraus, W. E. (2022) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000757 · Cited by 10
“Yes (370) 133 (36) 117 (32) 61 (16) 59 (16)”
Curtin, S., & Trace, A. (2012) · European Journal Of Dental Education · doi:10.1111/eje.12009 · Cited by 8
Battise, D. M., DeValve, M. J., Marlowe, D. P., Beasley, B., & Miller, S. (2014) · Currents in Pharmacy Teaching and Learning · doi:10.1016/j.cptl.2014.02.019 · Cited by 8
Jelsma, J. G. M., Simmons, D. S., Gobat, N., Rollnick, S., Blumska, K., Jans, G., Galjaard, S., Desoyé, G., Corcoy, R., Juarez, F., et al. (2017) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-017-1471-9 · Cited by 9
Metadata
- 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)
- 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
- 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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