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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“Lessons include reflection prompts, many asking students to comment on intended actions moving forward (based on behavioral interviewing strategies [17]).”
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App-Based Physical Activity Intervention Among Women With Prior Hypertensive Pregnancy Disorder
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“Using MI has been shown to positively impact HTN outcomes [108–110].”
Background
Cardiology Best Practice – Effective Health Education Meets Biomedical Advances: Reducing the Ultimate Knowledge Translation Gap
Dean, E., Li, Z., Pong, W., & Michael, E. (2012) · InTech eBooks · doi:10.5772/33398 · Cited by 6
“The patient’s internal motivations for change are identified at the outset (Martins & McNeil, 2009; Pollak et al. 2011; Rollnick et al. 2008).”
Background
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Shenkman, E. A., Muller, K. E., Vogel, B., Nixon, S. J., Wagenaar, A. C., Case, K., Guo, Y. M., Wegman, M. P., Aric, J., & Stoner, D. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1245-x · Cited by 8
“Individuals with chronic conditions receiving MI-based health coaching demonstrate increased readiness to make lifestyle changes related to drug, alcohol and tobacco use, physical activity, stress management, weight management and sleep [13, 14].”
Background
Therapist and Client Interactions in Motivational Interviewing for Social Anxiety Disorder
Romano, M., Arambasic, J., & Peters, L. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22405 · Cited by 8
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“MI interventions have been successful for HIV prevention (Martins & McNeil, 2009) and may also be appropriate for STI prevention.”
Method
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“It was initially established in the context of recovery from substance abuse and replaced the traditional approach of addiction interventions, which utilised heavy confrontation of the patients’ denial and resistance to rehabilitation.(44) This involves 4 core principles: The first is engaging the patient.”
Background
Impact of Motivational Interviewing on Self-Management in Patients With Type 2 Diabetes: Protocol for a Pilot Randomized Controlled Trial
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“A recent review of MI showed improvements in health behaviors such as diet and exercise in patients with diabetes [16].”
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“…MI (Bennett, Young, Nail, Winters-Stone, & Hanson, 2008; Gourlan, Sarrazin, & Trouilloud, 2013; Lilienthal, Pignol, Holm, & Vogeltanz-Holm, 2014; Martins & McNeil, 2009) and the effects of PP on mood, positive affect, and optimism (DiMatteo & Haskard-Zolnierek, 2011; Fredrickson, 2001; He, Cao,…”
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“…indicated that both MI and MI-based interventions are effective in promoting health behaviors, and MI has been linked to positive health outcomes such as lower blood pressure, reduced cholesterol, and better control of blood sugar (Britt et al., 2004; Knight et al., 2006; Martins & McNeil, 2009).”
Background
Multimodal Analysis of Client Behavioral Change Coding in Motivational Interviewing
Aswamenakul, C., Liu, L., Carey, K. B., Woolley, J. D., Scherer, S. J., & Borsari, B. E. (2018) · INTERNATIONAL CONFERENCE ON MULTIMODAL INTERACTION · doi:10.1145/3242969.3242990 · Cited by 7
“But its application has been expanded to treat many other psychological and physical health problems including alcohol and drug abuse, health-promoting behaviors, and gambling [11, 12, 15].”
Background
Fatty acids and schizophrenia
Peet, M., & Williamson, K. (2011) · Elsevier eBooks · doi:10.1533/9780857092922.3.464 · Cited by 7
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“These systems aimed to improve conversational fluidity by incorporating generative elements to create more empathetic, reflective responses, a core principle of many psychotherapeutic techniques such as MI [56, 59] and CBT [9].”
Influential
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“In addition, each MT will complete training in motivational interviewing, [40] a skill that will be used to encourage ambulation when patients may be resistant.”
Background
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“…to change their behavior when the behavior is monitored), a brief overview of motivational interviewing, and tips for integrating motivational interviewing into MNT (e.g., list of open-ended questions to gather information on what motivates the participant to improve their nutrition) [49,50].”
BackgroundMethodInfluential
An online tool for obesity intervention and public health
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“Motivational interviewing is associated in adults with improved glycemic control [62], weight reduction [63], improvement in physical activity [64], increased fruit and vegetable consumption [65], and lower dietary fat [66].”
Background
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Dorn, C., Phillips, S., Nicol, S., Russell, H., & Guenther, E. (2021) · American Journal of Lifestyle Medicine · doi:10.1177/15598276211015137 · Cited by 6
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“Participants were supported by means of motivational interviewing under guidance of a clinical psychologist, which has been found to be an effective, relatively low intensity intervention whereby the interaction was mainly based on collaboration and autonomy [26].”
Method
The Use of Knowledge Management in Healthcare: The Implementation of Shared Care Plans in Electronic Medical Record Systems at One Primary Care Practice
Pascal, C., McInerney, C. R., Orzano, J., Clark, E. C., & Clemow, L. (2013) · Journal of Information & Knowledge Management · doi:10.1142/s0219649213500408 · Cited by 6
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“…and to complete dental care, integrated complex chronic care management principles (Williams, Paik, Haley, & Grammatico, 2014) and motivational interviewing strategies (Almomani, Williams, Catley, & Brown, 2009; Martins & McNeil, 2009; Roberts, 2005; Eat Smart Move More North Carolina, n.d).”
BackgroundMethod
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Sepúlveda, A. R., Wise, C., Zabala, M. J., Todd, G., & Treasure, J. L. (2013) · Eating Behaviors · doi:10.1016/j.eatbeh.2013.07.010 · Cited by 6
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Motivational Interviewing
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“The integration of MI into healthcare settings has been found to impact many patient outcomes, including improved diet and exercise habits, enhanced weight loss, and decreased substance use (Rubak et al. 2005; Martins and McNeil 2009; Armstrong et al. 2011; Smedslund et al. 2011).”
Background
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“Motivational Interviewing is a gold standard approach for improving health behaviors such as diet and exercise, substance use, and smoking cessation.(75) The WBCM Principle 1 shares the interpersonal level of influence component with the SEM.”
Background
Evaluating the effects of a brief motivational interviewing protocol on excessive acquisition
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“Studied extensively since the early 1990s, MI has demonstrated efficacy with behaviors ranging from substance use (Lundhal & Burke, 2009) to promoting health behavior (Martins & McNeil, 2009).”
Background
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“MI is immensely used in the health field with efficient results (17).”
Background
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“…the efficacy of MI as an intervention approach to promote behavior change across a range of health behaviors (Hettema, Steele, & Miller, 2005; Martins & McNeil, 2009), thus making it potentially well-suited for the mentoring relationship wherein a number of different behaviors could…”
Background
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“To assure the program was rooted in current evidence, we presented and caregivers af ﬁ rmed the use of coaching and positive psychology approaches for fostering behavioral change and wellness (Martins & McNeil, 2009; Sin & Lyubomirsky, 2009).”
Background
Efficacy of three eight-week lifestyle interventions on weight loss and cardiovascular disease risk factors in obese adults
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van Lonkhuijzen, R. M., de Vries, J. H. M., Brouwer-Brolsma, E. M., Cremers, S., Faessen, J. P. M., Feskens, E. J. M., & Wagemakers, A. (2025) · BMC Public Health · doi:10.1186/s12889-025-21344-z · Cited by 6
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“MI is one behaviour change-related technique that can be delivered in a short period of time with high acceptability among individuals (Martins & McNeil, 2009).”
Background
Improving colorectal cancer screening rates using motivational interviewing
Maloney, A. R., & Rugen, K. W. (2018) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v8n6p138 · Cited by 4
“Health outcomes have been improved with MI such as reduction in blood pressure, body mass index and cholesterol levels.[17, 19]”
Background
The Effect of Motivational Interviewing on Fatigue in Patients with Multiple Sclerosis
Borji, M., Taghinejad, H., & Salimi, A. H. (2018) · Archives of Neuroscience · doi:10.5812/archneurosci.63436 · Cited by 4
“Motivational interviewing is a patient - centered approach that enhances intrinsic motivation among individuals to change their behaviors via the investigation and resolution of ambiguities, whose benefits in the domain of health have been widely accepted (26).”
Background
Effectiveness of behaviour change techniques on lifestyle interventions of patients with a high risk of developing cardiovascular disease. Using a qualitative approach
Kuriakose, L., Kuczynska, P., Timpel, P., Yakub, F., Bayley, A., & Nadal, I. P. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.12933 · Cited by 5
Prescribed exercise to Reduce Recidivism After Weight Loss-Pilot (PREVAIL-P): Design, methods and rationale
Swift, D. L., McGee, J. E., Huff, A. C., Clunan, M. C., Gniewek, N. R., Brown, T. T., Osborne, B. G., Bucher, C., Tanner, C. J., Barefoot, S. G., et al. (2021) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2021.100717 · Cited by 4
“Numerous reviews and meta-analyses support that motivational interviewing is effective at promoting and maintaining health behavior change including exercise [42].”
Background
Process and impact evaluation of a practicum in motivational interviewing
DeShaw, K. J., Ellingson, L. D., Lansing, J. E., Pérez, M., Wolff, M. M., & Welk, G. J. (2022) · International Journal of Health Promotion and Education · doi:10.1080/14635240.2022.2042356 · Cited by 4
“Health coaching (HC) is widely used in worksite, commercial, clinical, and educational settings to help individuals adopt healthy lifestyle behaviors or withdraw from unhealthy behaviors (Hill, Richardson, and Skouteris 2015; Martins and McNeil 2009).”
Patients’ and staff’s experiences of Well-Track physical activity and sleep quality intervention in an Early Intervention in Psychosis (EIP) service
Walker, K., Griffiths, C., & Willis, A. (2024) · Advances in Mental Health · doi:10.1080/18387357.2024.2302118 · Cited by 5
“…those with psychosis, within a multimodal approach, it is bene ﬁ cial to deliver this within a framework that utilises motivational interviewing (MI) and is goal-based as these approaches are e ﬀ ective and acceptable for patients with psychosis (Martins & McNeil, 2009; Rueve & Maphis, 2016).”
An evidence-based decision aid to help patients set priorities for selecting among multiple health behaviors.
Kukafka, R., Khan, S. A., Kaufman, D. R., & Mark, J. (2009) · PubMed Central · Cited by 4
Motivational enhancement therapy in obese patients: A promising application
Fioravanti, G., Rotella, F., Cresci, B., Pala, L., Vita, G. D., Mannucci, E., & Rotella, C. M. (2015) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2015.06.003 · Cited by 4
Are Aspects of a Motivational Interview Related to Subsequent Changes in Physical Activity and Regulatory Style? Examining Relationships among Patients with Rheumatoid Arthritis
Knittle, K. P., Gucht, V. D., Mejino, A., Hurkmans, E. J., Vlieland, T. P. M. V., & Maes, S. (2015) · Motivational Interviewing Training Research Implementation Practice · doi:10.5195/mitrip.2014.46 · Cited by 4
“Within studies targeting increased physical activity (PA), a recent review identified only 5 studies which included any assessment of adherence to MI (Martins & McNeil, 2009), and among those, only one used a validated tool to assess all MIs conducted in the trial (Carels, et al., 2007).”
MethodResult
Comparing the Effect of Motivational Interviewing and Standard Nutrition Education on Promoting Adherence to Weight Loss Program in Obese and Overweight Women: A Randomized Clinical Trial
Mirkarimi, S. K., & Kabir, M. J. (2015) · Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Māzandarān/Journal of Mazandaran University of Medical Sciences · Cited by 4
The OPTIMIZE trial: Rationale and design of a randomized controlled trial of motivational enhancement therapy to improve adherence to statin medication
Rash, J. A., Lavoie, K., Sigal, R. J., Campbell, D. J. T., Manns, B., Tonelli, M. A., & Campbell, T. S. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.06.001 · Cited by 5
“cent years and is showing promising results in helping people initiate and sustain health behavior change [43–46,103–105].”
Background
Coaching for health and lifestyle change: Theory and guidelines for interacting and reflecting with women about their challenges and aspirations
Stelter, R., & Andersen, V. (2018) · International Coaching Psychology Review · doi:10.53841/bpsicpr.2018.13.1.61 · Cited by 4
Commentary on “Oral health literacy: a pathway to reducing oral health disparities in Maryland”
Rozier, R. G. (2012) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2011.00298.x · Cited by 4
Gestational diabetes mellitus : experiences of pregnant women, midwives, and obstetricians and the performance of screening
Persson, M. (2009) · DiVA at Umeå University (Umeå University) · Cited by 4
Vitalum : development and evaluation of tailored print communication and telephone motivational interviewing to improve lifestyle behaviors among older adults
van Keulen, H. M. (2010) · doi:10.26481/dis.20101015hk · Cited by 4
The organisation and delivery of diabetes services in the UK: a scoping exercise.
Forbes, A., Hughes, J., Ismail, K., & While, A. (2010) · Research Portal (King's College London) · Cited by 4
Treatments for weight gain in schizophrenia
Elman, I. (2025) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000992 · Cited by 3
“dietary and lifestyle changes, focusing on personal goals related to weight management [111,112].”
Midwives and dietitians’ perspectives on an empowerment programme to enhance diet quality in pregnant women: A mixed-method study
van Lonkhuijzen, R. M., de Vries, J. H. M., Cremers, S., & Wagemakers, A. (2025) · Midwifery · doi:10.1016/j.midw.2025.104627 · Cited by 3
Planning a Change Easily (PACE): A randomized controlled trial for smokers who are not ready to quit
García, F. I. S., Derefinko, K. J., Bursac, Z., Hand, S. B., & Klesges, R. C. (2018) · Contemporary Clinical Trials · doi:10.1016/j.cct.2018.03.007 · Cited by 3
A scoping review of the use of motivational interviewing in oral healthcare settings
Brennan, R., & O’Driscoll, R. (2021) · Journal of the Irish Dental Association · doi:10.58541/001c.71443 · Cited by 3
Eating disorders in the course of life: A qualitative approach to vital change
Martínez, F. D., Pinto, N. S., Canales, I. S., & López, S. C. (2015) · European Journal of Psychotherapy & Counselling · doi:10.1080/13642537.2015.1027782 · Cited by 3
“The general aim of the interview is to reduce the latency in active participation in intervention, while the therapist assumes a passive role and becomes a companion who avoids confrontation with the suffering person (Martins & McNeil, 2009; Miller & Rollnick, 2002).”
Background
Test of an organizational change model to reduce no‐shows in dental care settings
Okunseri, C. E., Boss, D., Jacobson, N. A., Ming, W., Szabó, A., Okunseri, E., & Molfenter, T. D. (2021) · Journal of Public Health Dentistry · doi:10.1111/jphd.12440 · Cited by 3
Evaluation of a Safe Sleep Training for Home Visitors and Their Clients
Chahin, S. S., Damashek, A. L., Ospina, F., & Dickson, C. A. (2021) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09811-2 · Cited by 3
Effectiveness of a brief motivational intervention in the management of risky alcohol use in primary care: ALCO-AP20 study protocol
Rodríguez, E. M. R., Pérula-Jiménez, C., López, S. F., Cabello-Gracia, G., Fernández-García, J. Á., de Torres, L. Á. P., Villalobos, A. R., Leiva‐Cepas, F., Márquez, R. F., Rejano, J. M. P., et al. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2022.1008832 · Cited by 3
“Similarly, it is also reflected in the literature that the implementation of motivational interviewing (MI) in PC is an effective communicational tool for addressing health problems (13–15), such as hypertension (16), dyslipidemia (17), or addictions, such as alcohol consumption (10).”
Background
Patient experiences with a primary care medical home tailored for people with serious mental illness.
Bergman, A. A., Chang, E. T., Cohen, A. N., Hovsepian, S., Oberman, R. S., Vinzon, M., & Young, A. S. (2023) · Families Systems & Health · doi:10.1037/fsh0000853 · Cited by 3
Effect of Motivational Interviewing on Physical Activity Intention among Obese and Overweight Women Using Protection Motivation Theory: A Randomized Clinical Trial
Mirkarimi, K., Charkazi, A., Honarvar, M. R., Kabir, M. J., Ozouni‐Davaji, R. B., Aryaie, M., & Eri, M. (2016) · Quarterly of Horizon of Medical Sciences · doi:10.18869/acadpub.hms.22.4.321 · Cited by 3
Motivational Interviewing and Neuroscience: Moving forward while looking deeper
Lee, A., & Griva, K. (2015) · European Health Psychologist · Cited by 3
Interaktiv nettside for endring av helseatferd
Søvdsnes, E.-K., Skaret, E., Espelid, I., & Mosdøl, A. (2010) · Den norske tannlegeforenings Tidende · doi:10.56373/2010-7-12 · Cited by 3
Using pictures as vignettes to assess stages of change in weight management
Alahuhta, M. A., Korkiakangas, E. E., Keränen, A.-M., Kyngäs, H. A., & Laitinen, J. H. (2011) · Scandinavian Journal of Public Health · doi:10.1177/1403494810395822 · Cited by 3
“desire, ability, reasons, and need, which are the criteria for the commitment to change, according to motivational interviewing [16].”
Background
Buddy-motivational interviewing (buddy-MI) to Increase Physical Activity in Community Settings: Results of a Pragmatic Randomised Controlled Trial
Brinson, D., Wallace-Bell, M., Kirk, R., & Hornblow, A. (2013) · Motivational Interviewing Training Research Implementation Practice · doi:10.5195/mitrip.2014.49 · Cited by 2
“…Practice www.mitrip.org ISSN 2160-584X (online) Vol. 1 No. 3 (2014) DOI 10.5195/mitrip.2014.49 Lundahl, Kunz, Brownell, Tollefson, & Burke, 2010; Martins & McNeil, 2009; Vasilaki, Hosier, & Cox, 2006) and many sources provide thorough explanations and descriptions of its application in…”
Influential
Teaching family medicine residents brief interventions for alcohol misuse
Rule, J. C., & Samuel, P. (2015) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217415592363 · Cited by 3
“MI has been shown in multiple controlled trials to produce significant change in patient health behaviors in general and for patients with alcohol and substance use in particular.(16) This curriculum’s use of MI and HBC helps resident physicians support patient self-efficacy, autonomy, and use the patient’s expertise…”
Method
Exercise and Sleep Patterns of Pre-Clerkship Medical Students and Self-Reported Stress Levels
Raulkar, K. P., & Saks, N. S. (2016) · Medical Science Educator · doi:10.1007/s40670-016-0278-z · Cited by 3
Translating Neuroscience into Counseling Practice
Gonçalves, Ó. F., & Perrone, K. M. (2016) · Canadian Journal of Counselling and Psychotherapy · Cited by 3
Assessing Predictors of Health-Improving Behaviors of Females Referred to Healthcare Centers
Khodaveisi, M., Shabani, A., Mohhamadi, N., & Roshanaei, G. (2016) · Journal of Health Promotion Managment · doi:10.21859/jhpm-06037 · Cited by 3
Nutrition Class by Instagram: Interventions to Improve The Diet Quality, Physical Activity and Waist Circumfeence Among Female College Students with Obese
Dieny, F. F., Fitranti, D. Y., Jauharany, F. F., Suryawati, S., Tsani, A. F. A., & Rahadiyanti, A. (2021) · Jurnal Aisyah Jurnal Ilmu Kesehatan · doi:10.30604/jika.v6i1.360 · Cited by 3
Effectiveness and Legitimacy of the Motivational Interviewing With Caregivers on the Oral Health of Special Patients
Bem, J. S. P., dos-Santos, D. C. G., Lima, M. G. D. S., do Nascimento, L. J., Veras, S. R. D. A., Silva, B. Y. D. B., & Kozmhinsky, V. M. D. R. (2021) · International journal of odontostomatology · doi:10.4067/s0718-381x2021000200466 · Cited by 3

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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